A comprehensive guide to the Novo Nordisk Patient Assistance Program (PAP)

The cost of prescription medications has never felt higher, especially for well-known Novo Nordisk drugs like Ozempic, Wegovy, Rybelsus, and Victoza. For many people, these medications are not optional. They are essential for staying healthy, managing chronic conditions, and preventing future complications.

If you’ve ever received a bill at the pharmacy and felt your stomach drop, you’re not alone. The stress of choosing between medication, groceries, utilities, or rent is a burden no one should have to carry.

This is exactly why the Novo Nordisk Patient Assistance Program (PAP) exists. For decades, Novo Nordisk A/S has run this program as part of its commitment to ensuring that those facing financial hardship can still access the essential medications their health depends on. The PAP provides eligible patients with certain Novo Nordisk medications for free.

Savings cards are meant for insured patients to reduce copays, while the PAP is an income-based program that provides medication at no cost for those who are uninsured and unable to afford coverage.

Struggling to afford your Novo Nordisk medication? Learn if you qualify for the Novo Nordisk Patient Assistance Program for free medicine. We break down eligibility, the application process, and how to get help.

What is the Novo Nordisk Patient Assistance Program (PAP)?

The NovoCare Patient Assistance Program (PAP), offered through NovoCare, provides certain Novo Nordisk medications at no cost to eligible low-income U.S. residents who are uninsured or underinsured and cannot afford their medications.

The Novo Nordisk Patient Assistance Program is considered a last-resort option for patients who have no other way to pay for their medication.

If approved, patients receive their medication for free. The medication is typically shipped directly to their health-care provider’s office for dispensing. For medications available through NovoCare Pharmacy, like Ozempic and Wegovy, patients can have the medication shipped to their home through Novo Nordisk’s partnership with CoAssist Pharmacy

The PAP covers a range of Novo Nordisk medicines, including many used for diabetes and other chronic health conditions, and is limited to specific products and package sizes listed by the program.

It’s important to note that the PAP is different from manufacturer copay or savings card. PAP supports uninsured or underinsured individuals who meet income and eligibility criteria. Copay savings programs are for patients with private/commercial insurance, and are not intended for those who are uninsured or on government-sponsored programs such as Medicare and Medicaid.

If you’re eligible for the PAP, you will need to provide proof of income documents. Having recent pay stubs or tax returns ready can help expedite the process.

Who qualifies for the program? Eligibility rules

The Novo Nordisk Patient Assistance Program is not only a lifeline for those who need help affording their medications, but it’s also completely free to use.

For the Novo Nordisk Patient Assistance Program application, you must meet the following criteria:

US residency

You must be a U.S. citizen or legal resident living in the United States or Puerto Rico.

Income limitations

You must have a total household income at or below 400% of the Federal Poverty Level (FPL). This is the same income threshold used for many assistance programs.

Use the Federal Poverty Level Calculator to calculate your household’s FPL based on your income and household size.

If your household income is at or below 400% FPL, you may be eligible for the Novo Nordisk PAP. For the most up-to-date information, visit the Novo Nordisk PAP website or contact their customer support.

You must submit proof of income (last year’s IRS Form 1040, W-2s, or paycheck stubs) to verify financial need.

Insurance status

You will also need to meet the following requirements:

• Uninsured: Patients with no health insurance are eligible to apply.
• Medicare: Patients on Medicare may be eligible if:
  • They have spent more than $1,000 on prescription medications under Medicare Part D this calendar year, or;
  • They were denied Medicare Extra Help/Low Income Subsidy (LIS) and do not have Medicare Part D plan coverage.
• Medicaid: People who are eligible for Medicaid must have applied for and been denied for consideration for the PAP.
• No other government programs: In general, applicants cannot be enrolled in or eligible for other federal government programs or state programs, such as:
  • Medicaid (unless denied)
  • Low Income Subsidy (LIS)/Extra Help
  • Veterans Affairs (VA) benefits, or other government-funded programs.

Meeting these insurance requirements is essential for eligibility for the Novo Nordisk PAP. If you’re not sure about your insurance status or eligibility, help is available through the program’s support line or your healthcare provider.

If you meet the income requirements but are still eligible for Medicaid, you may need to provide proof of denial from the government program before qualifying for the Novo Nordisk PAP.

Prescription requirement

To be eligible for the Novo Nordisk PAP, you must have a valid prescription from a U.S.-licensed healthcare provider for a Novo Nordisk medication for an FDA-approved indication.

For Ozempic (semaglutide), this prescription must be for an approved medical use, such as type 2 diabetes, reducing the risk of major cardiovascular events, or reducing the risk of worsening kidney disease, kidney failure, and cardiovascular death.

The prescribing information must be included with your application. Without a current, valid prescription, your application cannot be processed.

Medical necessity

The medication must be medically necessary for the treatment to be eligible for the Novo Nordisk PAP.

It’s important to note that eligibility may not apply if the medication is prescribed off-label for weight loss or other non-approved uses. The program is specifically intended to support patients using the medication as approved by the FDA.

You can visit the NovoCare website to check if you qualify and start the application process, or call 1-866-310-7549.

Specific rules for Medicare patients

For Medicare patients, eligibility for the PAP can be more limited. Historically, Medicare Part D beneficiaries are generally not eligible, because PAPs cannot replace or subsidize medications already covered by a government insurance program. However, rules are evolving, and some situations may allow limited support when a patient has very high true out-of-pocket drug costs or lacks access to the medication through their health plans.

You may still be eligible for the PAP if you have Medicare Part D and have spent at least $1,000 out-of-pocket on medication purchases in the calendar year. You may need to provide proof such as an itemized statement from the pharmacy or copies of the receipts for medication purchases.

In most cases, Medicare patients must show that they do not have another way to afford the medication or that coverage is insufficient. Because these rules can change, it’s best to check the current eligibility criteria for the specific medication and confirm through NovoCare, as the company updates its guidance over time.

Which medicines are covered

The PAP only covers a specific list of Novo Nordisk registered trademark medicines, which currently includes certain GLP-1 medications (Ozempic, Rybelsus and Xultophy), insulin products (Fiasp, Novolin R, Novolin N and Novolin 70/30, NovoLog Vial, NovoLog PenFill and Flexpen, NovoLog® Mix, Tresiba), devices (Novopen, NovoFine), and other selected specialty therapies. The exact products, strengths, and packaging are listed in the official product list, and the program will only ship those specific versions, not substitutes or different dose forms.

PAP supplies are typically provided in defined quantities, often up to a 120-day supply at a time, and are usually shipped to a licensed healthcare provider (HCP) for dispensing. In some cases, an approved voucher or participating pharmacy option may be available instead.

Always confirm that your medication and dosage are currently covered before applying, since the product list can change over time, and newly launched medications may not be included right away.

You can visit the NovoCare website to check if you qualify and start the application process, or call 1-866-310-7549.

How to apply: Step-by-step guide

Here’s a clear, step-by-step breakdown to make the PAP process easier and less overwhelming:

Step 1: Gather your documents

Before filling out the application, collect these items to make the process smoother:

• Proof of income
  • Last year’s tax return
  • Recent pay stubs
  • Social Security/benefit award letter (if applicable)
• Your prescription information
  • Name of the medication, dosage, and how often you take it
• Any current insurance information (if applicable)
  • Even if you have limited coverage, list it accurately
  • If you have no insurance, you will indicate that on the form
• Proof of residency
  • Driver’s license, state ID, or utility bill with your current address

Step 2: Talk to your doctor

The patient can complete only part of the application. Your provider completes the “Healthcare Provider Section” of the form. The application cannot be processed until this section is signed and submitted.

This includes the prescription details, patient information, and provider signatures, which are required for the PAP to review and approve your request.

Step 3: Obtain the application

To begin the process, you’ll need to get the official PAP application form. There are several ways to do this:

• Download online: Visit the Novo Nordisk Patient Assistance Program page or go to NovoCare.com to download the application form directly.
• Ask your healthcare provider: Your doctor’s office may have copies of the form or can help you complete and submit it.
• Call to request by mail: You can call the Novo Nordisk Patient Assistance Program helpline at 1-866-310-7549 to request that a paper application be mailed to you.

Once you’ve obtained the application form, you can move on to the next steps, including completing your section, having your healthcare provider fill out their portion, and gathering any required documentation.

Step 4: Complete the application

Patient section (your responsibility)

You will complete the first part of the application:

• Enter your personal information (name, address, date of birth, etc.)
• Sign the patient declaration. This confirms that your information is accurate and that you cannot afford the medication on your own.
• Attach proof of income. Accepted documents may include: tax returns, W-2 forms, recent pay stubs, or benefit letters.
• Include proof of residency if requested (driver’s license or utility bill).

Prescriber section (your health-care provider’s responsibility)

Your health-care provider must complete the second part of the application:

• Provide prescription details: medication name, dosage, frequency, and refill quantity
• Sign the Provider Declaration, stating:
  • The medication is medically necessary
  • It will be dispensed to you at no charge

Step 5: Submit the application

Once you’ve completed the application and gathered all required documentation, the next step is to submit it to Novo Nordisk for review. There are a few methods available, and choosing the right one can help avoid delays.

• Online application: If the online portal is available through NovoCare.com, patients or healthcare providers can upload completed forms and documentation directly. The system may require patient identity verification, provider information confirmation, and electronic consent and signatures. This method offers a faster, more streamlined process and confirms once your submission is received.

• Paper application: If you’re using the paper version of the application, ensure all sections are completed, including both the patient and prescriber sections. Attach required documentation, such as proof of income and insurance details. Double-check signatures as incomplete forms will delay processing. The paper application can be mailed or faxed from your healthcare provider’s office.

Applying promptly and through the preferred channels (fax or online) ensures a smoother and quicker review process. Once submitted, you can typically expect a response within 7–10 business days, depending on volume and completeness of the application.

Step 6: Application review and decision

Once you’ve submitted your completed application and all required documents, Novo Nordisk will review your application within 10 business days. During this time, they will verify your income, insurance, prescription, and medical necessity for the medication.

You and your healthcare provider will be notified by mail of the approval or denial, and in some cases by phone or email if contact information is provided. Make sure all information on the application is accurate and complete to avoid delays.

If you haven’t heard back within a week, it’s recommended to follow up. You can check the status of your application by calling the toll-free number 1-866-310-7549. Calling after a week gives enough time for the application to be received and entered into their system.

Step 7: Receiving medication

If approved, the medicine will be shipped to your healthcare provider’s office, not your home. You’ll need to coordinate with your provider to pick up the medication from their office. Home delivery is not offered through the Novo Nordisk Patient Assistance Program.

For patients on Medicare Part D, approval is usually granted through the end of the calendar year. If continued assistance is needed beyond that, you’ll need to reapply annually and provide updated documentation to confirm ongoing eligibility.

To avoid a gap in medication, make sure to track your enrollment period and start the renewal process well before the current coverage expires.

Step 8: Re-enrollment

If you wish to continue receiving the medication through the Novo Nordisk Patient Assistance Program beyond your current approval period, you must re-enroll annually.

Re-enrollment requires you to:

• Complete a new application each year.
• Resubmit proof of income and any updated insurance information.
• Ensure your healthcare provider fills out and signs the prescriber section again.
• Reconfirm medical necessity and prescription details.

It’s strongly recommended to start the re-enrollment process at least 30–60 days before your current coverage ends to avoid any interruption in access to your medication. Being proactive with renewal ensures a smoother transition and uninterrupted treatment.

What to expect after submission

Processing time

• Allow up to 10 business days for the application to be reviewed.
• Online applications are usually processed faster.
• Mailed or fax submissions can take a few extra days.
• Both you and your healthcare provider will receive written notification of approval or denial.

Medication delivery

• If approved, the PAP typically provides up to a 120-day supply at a time.
• The medication is not shipped to your home. It is usually shipped directly to your licensed healthcare professional (HCP) for dispensing.
• In some cases, an approved pharmacy or voucher method may be used, but this depends on the medication and Novo Nordisk’s policies.

Enrollment duration

• Enrollment is usually valid for 12 months, with the exception of those enrolled in Medicare.
• Enrollment for those with Medicare typically ends at the end of the calendar year.
• After the enrollment period ends, you must re-enroll to continue receiving medication.

Refills and re-enrollment

• PAP enrollment is not indefinite. You will need to renew or reapply when your refill is due or at the end of your enrollment year.
• NovoCare provides a PAP Refill or Change Request Form to continue therapy without repeating the entire application.

To avoid delays, mark your calendar for 30 to 45 days before your supply runs out and begin your refill or re-enrollment process early.

What if I don’t qualify? Other Novo Nordisk savings options

If you aren’t eligible for the patient assistance program, there are still several ways to reduce your medication costs, depending on your insurance status and prescribed medication.

Novo Nordisk offers support through savings cards, supply assistance programs, self-pay cash prices, and lifestyle support programs. You still have meaningful options to lower costs or stay supported throughout your treatment.

Novo Nordisk savings cards

These savings programs are available to patients who have private/commercial insurance or employer-sponsored insurance. Unlike the patient assistance program, they do not require income documentation.

Eligibility is based primarily on your insurance type, which means that patients with Medicare, Medicaid, or other government-sponsored insurance usually cannot use these cards.

Each medication has its own savings card. You can look for a prescription drug coverage specific savings card on the official medication website for medications like Ozempic, Wegovy, Saxenda, or Victoza. When eligible, these cards can significantly reduce your monthly copay and may make your prescription much more affordable.

Diabetes support program

Novo Nordisk offers a no-cost diabetes supply program for qualifying patients.

Novo Nordisk also provides a separate support program (a no-cost diabetes supply) for people managing diabetes. This program may include assistance with blood glucose meters, test strips, and other related diabetes supplies.

This program is not associated with PAP eligibility, meaning you may still qualify for support even if you do not qualify for free medication.

To learn more or apply, check NovoCare for application details.

Cash price / uninsured discounts

For individuals who do not have insurance or who are paying entirely out-of-pocket, Novo Nordisk offers reduced cash-pricing options through NovoCare that are often significantly lower than standard pharmacy list prices. These programs include:

• My$99Insulin Program: Through the My$99Insulin Program, eligible patients can receive select insulin products for $99 per month.
• Ozempic and Wegovy are available for purchase through NovoCare Pharmacy at a flat price of $499 per month for self-pay patients.

These options make treatment more accessible for those without insurance coverage.

WeGoTogether support for Wegovy patients

If you are prescribed Wegovy, you also have access to WeGoTogether, a free lifestyle and adherence support program.

The WeGoTogether support program goes beyond just helping patients save on their Wegovy prescriptions. It’s designed to help people stay consistent and feel supported.

This program includes:

• 1-on-1 health coaching: Patients can connect with trained health coaches for motivation, habit-building, mindset support, and lifestyle guidance. These coaches are not a substitute for medical care. They are a valuable accountability partner to help keep momentum going.
• Progress tracking tools: The platform allows users to track injection schedules, weight changes, and day-to-day habits like meals, movement, and sleep. Seeing progress visually can help maintain motivation over the long term.
• Personalized reminders & check-ins: Automated reminders ensure doses aren’t missed, while tailored nudges help reinforce healthy habits. These reminders adapt based on your goals and where you are in your weight loss journey.

GLP-1 medications are most effective when taken consistently and paired with small, sustainable lifestyle adjustments. The WeGoTogether support system is designed to make adherence easier and support patients in building routines that last.

While this program does not reduce medication costs, it can be highly beneficial in helping you feel supported, confident, and equipped to follow your treatment plan. Enrollment is available regardless of whether you qualify for financial assistance.

Additional resources beyond Novo Nordisk

If you don’t qualify for the PAP, several independent support options that may help reduce your medication costs:

• State Pharmaceutical Assistance Programs (SPAPs): Many states offer financial help for residents who need assistance paying for prescriptions. Check your state health department or insurance website to see whether your state participates and what qualifications apply.
• Nonprofit copay and financial grant foundations: Organizations such as the Patient Access Network Foundation (PAN), Patient Advocate Foundation (PAF), Good Days, and others sometimes provide grants to help cover out-of-pocket medication costs for eligible patients. Funding opens and closes throughout the year, so you may need to check periodically.
• Insurance appeals and prior authorizations: If your insurance has denied coverage, your prescriber can submit a prior authorization or medical necessity appeal with supporting clinical notes. Many denials are reversed once the insurer receives documentation showing the medication is necessary.
• Community health centers and safety-net clinics: Local clinics, federally qualified health centers (FQHCs), and free/low-cost community health programs may offer lower-cost prescriptions or can help guide you through assistance processes.

Common problems and troubleshooting checklist

Here are some of the most frequent issues people run into during the PAP process and simple ways to solve them:

Problem: My prescriber won’t fax or submit the form.
Fix: Ask the clinic staff (nurses or medical assistants) to send it. They often handle PAP paperwork. If they still can’t, ask whether your prescriber can use the online application, which is often quicker and avoids faxing altogether.

Problem: I’m missing income documents.
Fix: You can substitute with a tax transcript, a Social Security benefit letter, or a recent pay stub. If you’re unsure what counts as proof, call the NovoCare helpline. They will tell you which documents are acceptable for your situation.

Problem: My medication isn’t on the product list.
Fix: Double-check the official PAP product list to confirm whether your specific medication and dose are covered. If it’s not listed, talk to your prescriber about alternatives or ask about other assistance programs.

Problem: I have Medicare or Medicaid, am I just automatically disqualified?
Fix: Not always. While most Medicare/Medicaid patients are typically not eligible, there are limited, product-specific exceptions and evolving rules (including updates coming in 2026). Check the current eligibility guidance and, if applicable, provide documentation such as denial of Extra Help or proof of unaffordable out-of-pocket costs.

FAQ’s

Who is the PAP for?

The patient assistance program (PAP) is for U.S. citizens or legal residents who have low income and do not have private prescription insurance coverage for the medication they need. Eligibility can vary depending on the specific medication. Always review the product-specific requirements in the application.

I have Medicare Part D. Can I apply for the PAP?

Yes, you can still apply if you have Medicare Part D. You will be required to have spent at least $1,000 out-of-pocket on your medications in the current calendar year.

How long does the application approval take?

Approval times can vary. Online applications are typically processed faster, while paper or fax submissions may take longer, usually around 10 business days. If you need an update, you can call the NovoCare helpline to check the status of your application.

What if my drug isn’t on the product list?

If your medication isn’t listed, the PAP unfortunately cannot assist with it. You can ask your prescriber whether there is a covered alternative that may be appropriate, or explore other financial assistance programs, such as pharmacy discount cards, non-profit foundations, or manufacturer coupons, if available.

Is PAP guaranteed free medication forever?

No, PAPs do not guarantee free medication indefinitely. Most approvals are granted for a set time period, and you’ll need to reapply or renew to continue receiving assistance. Product availability and eligibility requirements can also change. Ongoing approval is not guaranteed.

What if my income is slightly above 400% of the FPL?

If your income is slightly above 400% of the Federal Poverty Level, you should still consider applying or call NovoCare to discuss your situation. In some cases, there may be flexibility, exceptions, or alternative support options available based on individual circumstances. It’s always worth checking rather than assuming you’re ineligible.

Can I use this program for Wegovy for weight loss?

No, Wegovy is not currently listed in the PAP. However, Ozempic is listed and you could possibly get it for free if you have a type 2 diabetes diagnosis.

Where can I get the application form?

You can get the application form directly from the official NovoCare website. You can also find the same form through trusted assistance resources like NeedyMeds or RxAssist, which often link to the most current PDF version. Always be sure you’re downloading it from an official or reputable site.

Conclusion: Getting free medications from Novo Nordisk

The Novo Nordisk Patient Assistance Program is a vital support resource that helps remove financial barriers for people who cannot afford their medication and lack adequate prescription coverage.

Its primary eligibility requirement is being uninsured or without adequate prescription coverage, combined with meeting the program’s income requirements (400% FPL).

For those who qualify, the PAP can dramatically reduce financial stress by providing certain medications at no cost.

You have the right to access the medication you need. These programs exist to support patients in exactly your situation. Use the available resources, stay organized, and partner with your healthcare provider to secure your treatment at the lowest possible cost.