Do not share your Tresiba® FlexTouch® with other people, even if the needle has been changed. Do not share needles or syringes with another person. You may give other people a serious infection, or get a serious infection from them.
Patient Assistance Program
The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to our patients. The Patient Assistance Program provides medication at no cost to those who qualify.
Patients who are approved for the PAP may qualify to receive free medicine from Novo Nordisk. There is no registration charge or monthly fee for participating.
Click here for a list of our Novo Nordisk products covered by the PAP.
Patient Assistance Program
The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to our patients. The Patient Assistance Program provides medication at no cost to those who qualify.
Patients who are approved for the PAP may qualify to receive free medicine from Novo Nordisk. There is no registration charge or monthly fee for participating.
Click here for a list of our Novo Nordisk products covered by the PAP.
See if you qualify for the PAP
See if you qualify for the PAP
Select your state
Select your state
Select your state to begin
Select your patient's state
Select your patient's state
Select your program
Select your program
Select a program
Select a program
The Urgent Need Program is meant for patients who have less than 7 days of insulin remaining. The Continuing Need Program is for all other applicants.
The Urgent Need Program is meant for patients who have less than 7 days of insulin remaining. The Continuing Need Program is for all other applicants.
To be eligible for this program, you must:
- Be a US citizen or legal resident
- Have a total household income that is at or below 400% of the federal poverty level (FPL). Visit the NeedyMeds website, which lists the current FPL guidelines
- Have no insurance or Medicare
- Not be enrolled in or qualify for any other federal, state, or government program such as Medicaid, Low Income Subsidy, or Veterans (VA) Benefits
- If you are eligible for Medicaid, you must sign the Patient Declaration section of the latest version of the PAP application stating that you are not enrolled in, plan to enroll in, or are eligible for Medicaid or Medicare Extra Help/LIS (proof of denial must be submitted if requested)
COVID-19 job-loss exceptions
If you have lost your health insurance coverage because of a change in job status due to COVID-19, you may be eligible for a free 90-day supply of insulin.
Documentation required:
- Completed PAP application
- Documentation showing loss of health care benefits (job termination notice, job status change, proof of COBRA benefits being offered)
- No proof of income required
If approved, you will receive a free 90-day supply of insulin. Novo Nordisk will check back with you (before your 90-day enrollment ends) to determine continued eligibility. Assistance can be extended for otherwise eligible patients who have been denied Medicaid coverage.
If this exception doesn’t apply to you, see all options for saving on your Novo Nordisk insulin.
COVID-19 job-loss exceptions
If you have lost your health insurance coverage because of a change in job status due to COVID-19, you may be eligible for a free 90-day supply of insulin.
Documentation required:
- Completed PAP application
- Documentation showing loss of health care benefits (job termination notice, job status change, proof of COBRA benefits being offered)
- No proof of income required
If approved, you will receive a free 90-day supply of insulin. Novo Nordisk will check back with you (before your 90-day enrollment ends) to determine continued eligibility. Assistance can be extended for otherwise eligible patients who have been denied Medicaid coverage.
If this exception doesn’t apply to you, see all options for saving on your Novo Nordisk insulin.
Questions?
See the frequently asked questions below or call Novo Nordisk toll-free at 1-866-310-7549.
Questions?
See the frequently asked questions below or call Novo Nordisk toll-free at 1‑866‑310‑7549.
Start the application process
Start the application process
STEP 2
Gather proof of income
- Make a copy of one of the following items to show your adjusted gross annual household income:
- 2 most current paycheck stubs or earning statements for all working members of your household
- Last year’s Federal Income Tax Return (1040)
- Social Security income, pension, and other income statements
- W-2 or 1099 forms
- Unemployment benefit statements
STEP 3
Ask your health care provider to complete the application
- Take your application and proof of income to your health care provider and have them:
- Complete the Prescriber and Rx sections of the application
- Sign and date the application
- Fax the completed application and proof of income to 1-866-441-4190, or mail them to Novo Nordisk Inc., PO Box 370, Somerville, NJ 08876. Faxes must be sent from your health care provider’s office
Please allow up to 10 business days for processing.
Note: After the application is reviewed, you and your health care provider will be informed of the decision. If approved, your medicine will be sent to your health care provider’s office, where you can pick it up.
Product availability subject to change without notice.
Novo Nordisk reserves the right to modify or cancel this program at any time without notice.
- Take your application and proof of income to your health care provider and have them:
- Complete the Prescriber and Rx sections of the application
- Sign and date the application
- Fax the completed application and proof of income to 1-866-441-4190, or mail them to Novo Nordisk Inc., PO Box 370, Somerville, NJ 08876. Faxes must be sent from your health care provider’s office
Please allow up to 10 business days for processing.
Note: After the application is reviewed, you and your health care provider will be informed of the decision. If approved, your medicine will be sent to your health care provider’s office, where you can pick it up.
Product availability subject to change without notice.
Novo Nordisk reserves the right to modify or cancel this program at any time without notice.
Important
Do not include patient medical records with this application
- Patients who are eligible for Medicaid must sign the Patient Declaration section of the latest version of the PAP application stating they are not enrolled in, plan to enroll in, or are eligible for Medicaid or Medicare Extra Help/LIS (proof of denial must be submitted if requested)
- Applications to participate in the PAP by individuals with Medicare must be submitted by November 30th of each calendar year, and qualified Medicare patients will be enrolled in the program through December 31st of the calendar year
Important
Do not include patient medical records with this application
- Patients who are eligible for Medicaid must sign the Patient Declaration section of the latest version of the PAP application stating they are not enrolled in, plan to enroll in, or are eligible for Medicaid or Medicare Extra Help/LIS (proof of denial must be submitted if requested)
- Applications to participate in the PAP by individuals with Medicare must be submitted by November 30th of each calendar year, and qualified Medicare patients will be enrolled in the program through December 31st of the calendar year
Eligibility and enrollment
Patients must be a US citizen or legal resident, must have a total household income at or below 400% of the federal poverty level, and must be uninsured or have Medicare.
Uninsured patients are enrolled for 12 months. Medicare patients are enrolled for a calendar year.
No, we no longer require that Medicare Part D patients spend $1000 out of pocket to be eligible for the program.
Application process and approval
If an application is submitted with all supporting documentation and all required fields completed, it will be processed within 2 business days. Any missing or incomplete information may cause a delay.
If approved, patients will receive a letter in the mail. Also, if a patient opts in for automated phone notification on the application, they will receive an automated recorded phone message notification.
Health care providers will receive a letter via fax.
Once approved, a patient's medication should arrive at their prescriber's office within 10-14 business days.
Medication shipment
Unfortunately, we are currently not able to ship directly to patients.
Unfortunately, we are currently not able to ship directly to a pharmacy.
Change of doctor or address
Please contact us at 866-310-7549 so we can provide additional direction.
Please contact us at 866-310-7549 so we can provide additional direction.
Please contact us at 866-310-7549 so we can update your records.
Please contact us at 866-310-7549 so we can update your records.
Please contact us at 866-310-7549 so we can update your records.
Please contact us at 866-310-7549 so we can update your records.
PAP reapplication
Yes. Patients will need to submit a new application and supporting documentation when their enrollment ends if they'd like to be considered for continued support. Patients should be sure to submit the latest version of the application, which is available on this page in the "Patient Assistance Program forms" section above.
Patients may submit a new application 30 days prior to the end of their enrollment. Medicare Part D patients may apply after October 15th of the current year to enroll for the following year.
Program updates
Program updates
Medicare Part D
Individuals with Medicare Part D coverage may apply for 2023 PAP enrollment after October 15th, 2022. Please complete the latest version of the application available for download above. Be sure to enter the correct enrollment year when completing the Medicare Part D Enrollment Consent.
Auto refill
For added convenience and at the direction of the prescriber, the Novo Nordisk PAP now offers automatic refills for most medications.
All new applicants will be automatically enrolled. The medication will ship to the prescriber of an approved enrollee/applicant in accordance with current program guidelines with minimal involvement on behalf of the prescriber. Auto refills terminate at the end of the patient's program enrollment period. Auto refills are managed by the prescriber.
Medicare Part D
Individuals with Medicare Part D coverage may apply for 2023 PAP enrollment after October 15th, 2022. Please complete the latest version of the application available for download above. Be sure to enter the correct enrollment year when completing the Medicare Part D Enrollment Consent.
Auto refill
For added convenience and at the direction of the prescriber, the Novo Nordisk PAP now offers automatic refills for most medications.
All new applicants will be automatically enrolled. The medication will ship to the prescriber of an approved enrollee/applicant in accordance with current program guidelines with minimal involvement on behalf of the prescriber. Auto refills terminate at the end of the patient's program enrollment period. Auto refills are managed by the prescriber.
Novo Nordisk Minnesota State Insulin Affordability Program
To be eligible for this program, you must:
- Be a resident of Minnesota who is able to provide one of the following:
- Valid Minnesota driver’s license or permit
- Valid Minnesota identification card
- Valid tribal identification card from a Minnesota tribe; or
- If the person who needs insulin is under the age of 18, the parent or legal guardian must provide proof of residency
- Not be enrolled in Medical Assistance or MinnesotaCare
- Have your total household income be at or below 400% of the federal poverty level (FPL)
- Not be eligible to receive health care benefits through federally funded programs, with the exception of Medicare Part D
- Not be enrolled in or eligible to receive prescription drug benefits through the Department of Veterans Affairs
- Have an out-of-pocket cost of more than $75 for a 30-day supply of insulin if you have private prescription drug coverage
Questions?
Call Novo Nordisk toll-free at 1-866-310-7549.
Questions?
Call Novo Nordisk toll-free at 1‑866‑310‑7549.
Start the application process
Start the application process
STEP 1
Download and fill out the application
- Download the application
- Make sure that you've done the following:
- Signed and dated the form, as required
- Completed all sections with accuracy
STEP 2
Gather the required documents
- Make sure you have a copy of the following:
- Proof of income
- Minnesota ID
STEP 3
Ask your health care provider to complete the application
- Take your application, proof of income, and proof of residency to your health care provider, and have them do the following:
- Sign and date the application
- Fax the completed application and required documentation to 1-866-441-4190, or mail them to Novo Nordisk Inc., PO Box 370 Somerville, NJ 08876
Patients and prescribers will be notified of the decision by mail. If approved, a 120-day supply of insulin will be shipped to the residence listed on your application. Someone will reach out to you directly to schedule a time for the delivery.
- Take your application, proof of income, and proof of residency to your health care provider, and have them do the following:
- Sign and date the application
- Fax the completed application and required documentation to 1-866-441-4190, or mail them to Novo Nordisk Inc., PO Box 370 Somerville, NJ 08876
Patients and prescribers will be notified of the decision by mail. If approved, a 120-day supply of insulin will be shipped to the residence listed on your application. Someone will reach out to you directly to schedule a time for the delivery.
Novo Nordisk Minnesota State Insulin Affordability Program
To be eligible for this program, you must:
- Be a resident of Minnesota
- Have an urgent need for insulin, meaning you have less than a 7-day supply
- Have a current prescription for insulin
- Be paying more than $75 each month for your insulin
- Not be enrolled in Medical Assistance or MinnesotaCare
- Not have received an urgent need supply of insulin through this program within the previous 12 months
- If you are waiting for your Medical Assistance or MinnesotaCare coverage to begin, or if you have been determined ineligible for a manufacturer’s patient assistance program by the manufacturer and are waiting for the Minnesota Board of Pharmacy’s decision on an appeal, you may be eligible to access a second 30-day supply
- If you are waiting for your Medical Assistance or MinnesotaCare coverage to begin, or if you have been determined ineligible for a manufacturer’s patient assistance program by the manufacturer and are waiting for the Minnesota Board of Pharmacy’s decision on an appeal, you may be eligible to access a second 30-day supply
Questions?
Call Novo Nordisk toll-free at 1-866-310-7549.
Questions?
Call Novo Nordisk toll-free at 1‑866‑310‑7549.
Start the application process
Start the application process
How to apply
STEP 1
Complete the application
- The application is accessible through the MNSure website
STEP 2
Bring the application to your local pharmacy
- If the pharmacist approves your application, they'll dispense a 30-day supply of your prescribed insulin
- If you are a pharmacist in the state of Minnesota, contact 1‑833‑538‑0027
- If the pharmacist approves your application, they'll dispense a 30-day supply of your prescribed insulin
- If you are a pharmacist in the state of Minnesota, contact 1‑833‑538‑0027
Novo Nordisk Maine State Insulin Affordability Program
To be eligible for this program, you must:
- Be a resident of Maine who is able to provide one of the following:
- Valid Maine driver’s license or permit
- Valid Maine identification card; or
- If the person who needs insulin is under the age of 18, the parent or legal guardian must provide proof of residency
- Not be enrolled in Medical Assistance or MaineCare
- Have your total household income be at or below 400% of the federal poverty level (FPL)
- Not be eligible to receive health care benefits through federally funded programs, with the exception of Medicare Part D
- Not be enrolled in or eligible to receive prescription drug benefits through the Department of Veterans Affairs
- Have an out-of-pocket cost of more than $75 for a 30-day supply of insulin if you have private prescription drug coverage, regardless of the type or amount of insulin needed
Questions?
Call Novo Nordisk toll-free at 1-866-310-7549.
Questions?
Call Novo Nordisk toll-free at 1‑866‑310‑7549.
Start the application process
Start the application process
STEP 1
Download and fill out the application
- Download the application
- Make sure that you've done the following:
- Signed and dated the form, as required
- Completed all sections with accuracy
STEP 2
Gather the required documents
- Make sure you have a copy of the following:
- Proof of income
- Maine ID
STEP 3
Ask your health care provider to complete the application
- Take your application, proof of income, and proof of residency to your health care provider, and have them do the following:
- Sign and date the application
- Fax the completed application and required documentation to 1-866-441-4190, or mail them to Novo Nordisk Inc., PO Box 370 Somerville, NJ 08876
Patients and prescribers will be notified of the decision by mail. If approved, a 120-day supply of insulin will be shipped to the residence listed on your application. Someone will reach out to you directly to schedule a time for the delivery.
- Take your application, proof of income, and proof of residency to your health care provider, and have them do the following:
- Sign and date the application
- Fax the completed application and required documentation to 1-866-441-4190, or mail them to Novo Nordisk Inc., PO Box 370 Somerville, NJ 08876
Patients and prescribers will be notified of the decision by mail. If approved, a 120-day supply of insulin will be shipped to the residence listed on your application. Someone will reach out to you directly to schedule a time for the delivery.
Novo Nordisk Maine State Insulin Affordability Program
To be eligible for this program, you must:
- Be a resident of Maine who is able to provide one of the following:
- Valid Maine driver’s license or permit
- Valid Maine identification card; or
- If the person who needs insulin is under the age of 18, the parent or legal guardian must provide proof of residency
- Have an urgent need for insulin, meaning you have less than a 7-day supply
- Have a current prescription for insulin
- Be paying more than $75 each month for your insulin
- Not be enrolled in Medical Assistance or MaineCare
- Not have received an urgent need supply of insulin through this program within the previous 12 months
- If you are waiting for your Medical Assistance or MaineCare coverage to begin, or if you have been determined ineligible for a manufacturer’s patient assistance program by the manufacturer and are waiting for the Maine Board of Pharmacy’s decision on an appeal, you may be eligible to access a second 30-day supply
Questions?
Call Novo Nordisk toll-free at 1-866-310-7549.
Questions?
Call Novo Nordisk toll-free at 1‑866‑310‑7549.
Start the application process
Start the application process
How to apply
STEP 1
Complete the application
- The application is accessible through the Maine Board of Pharmacy website
STEP 2
Bring the application to your local pharmacy
- If the pharmacist approves your application, they'll dispense a 30-day supply of your prescribed insulin
- If you are a pharmacist in the state of Maine, contact 1‑833‑538‑0027
- If the pharmacist approves your application, they'll dispense a 30-day supply of your prescribed insulin
- If you are a pharmacist in the state of Maine, contact 1‑833‑538‑0027
Novo Nordisk Colorado State Insulin Affordability Program
To be eligible for this program, you must:
- Be a permanent, legal resident of Colorado
- Have a valid prescription for insulin
- Not be eligible for or enrolled in assistance provided through the “Colorado Medical Assistance Act,” Articles 4 to 6 of Title 25.5, or the Federal “Health Insurance for the Aged Act,” Title XVIII of the Federal “Social Security Act,” 42 U.S.C. sec 1395 et seq, as amended
- Not be enrolled in prescription drug coverage through an individual or group health plan that limits the total amount of cost sharing that an enrollee is required to pay for a 30-day supply of insulin, including copayments, deductibles, or coinsurance to $100 or less, regardless of the type or amount of insulin needed
Questions?
Call Novo Nordisk toll-free at 1-866-310-7549.
Questions?
Call Novo Nordisk toll-free at 1‑866‑310‑7549.
Start the application process
Start the application process
How to apply
Steps for you to follow
- Visit the Colorado Board of Pharmacy website to access the application and instructions
- Complete the application
If you are a pharmacist in the state of Colorado, contact 1‑833‑538‑0027
- Visit the Colorado Board of Pharmacy website to access the application and instructions
- Complete the application
If you are a pharmacist in the state of Colorado, contact 1‑833‑538‑0027
Novo Nordisk Colorado State Insulin Affordability Program
To be eligible for this program, you must:
- Be a resident of Colorado
- Have a valid prescription for insulin or be eligible for an emergency supply
- Have less than a 7-day supply of insulin available
- Be paying more than $100 out of pocket each month for your insulin
Questions?
Call Novo Nordisk toll-free at 1-866-310-7549.
Questions?
Call Novo Nordisk toll-free at 1‑866‑310‑7549.
Start the application process
Start the application process
How to apply
Steps for you to follow
- Visit the Colorado Board of Pharmacy website to access the application and instructions
- Complete the application
If you are a pharmacist in the state of Colorado, contact 1‑833‑538‑0027
- Visit the Colorado Board of Pharmacy website to access the application and instructions
- Complete the application
If you are a pharmacist in the state of Colorado, contact 1‑833‑538‑0027
Find helpful resources
Find helpful resources
Safe disposal program
It’s important to properly dispose of your used Novo Nordisk products.
Resources and education
Find tools and resources tailored to your needs at Cornerstones4Care.com.
Tresiba® is a prescription medication.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
If you need assistance with prescription costs, help may be available. Visit www.pparx.org or call 1‑888‑4PPA‑NOW.
Cornerstones4Care®, NovoCare®, and Tresiba® are registered trademarks of Novo Nordisk A/S.
Novo Nordisk is a registered trademark of Novo Nordisk A/S.
All other trademarks, registered or unregistered, are the property of their respective owners.
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