Based on the information you have provided, you may be able to use the Novo Nordisk Immediate Supply Card, which can be used to get a short-term supply of insulin (up to 3 vials, 2 packs of pens, or a combination of 1 pack of pens and two vials). You pay $0 for this offer.

  • Click here: https://www.novocare.com/insulin/immediate-supply.html to download this Immediate Supply Savings Card.
  • You will be asked to fill out a form with your first and last name. You will need to check the boxes agreeing to the terms. Once filled out, you will be able to email, print, or download the card.

  • Give this information to the pharmacy (in person or by telephone) so they can add the this Novo Nordisk Immediate Supply Savings Card into their payment system before you pick up your prescription.
  • If you have questions about this card, you can call 1-844-NOVO4ME Monday-Friday, 8:00am-11:00pm, and Saturday, 11:00am-7:00pm.

Based on the information that you provided, you may be eligible for the Novo Nordisk Patient Assistance Program under the Minnesota Continuing Need Program. If you have insurance that requires you to pay more than $75 out-of-pocket for a 30-day prescription, you can still fill out the application. Because you are a resident of Minnesota, you may qualify, even though the current form states you must not be insured. Novo Nordisk will verify eligibility through your insurance.

Under the Novo Nordisk Patient Assistance Program, your insulin will be for free for up to 12 months. If you have any questions about this program, you can call 1-866-310-7549 (M-F 8AM to 8PM)

  • Download the Novo Nordisk Patient Assistance Program application here: https://www.novocare.com/diabetes-overview/let-us-help/pap.html.
  • You can also have an application mailed to you by calling 1-866-310-7549 (M-F 8AM to 8PM).
  • Collect your documents needed to complete the application. To speed up the process, include a copy of your current insurance card (front and back), if you have insurance, as part of your documentation.
  • Your healthcare provider must complete all prescriber sections and sign when appropriate.

Once the application is sent in by your healthcare provider, it takes approximately 1 to 2 business days to make a decision. You will be notified by a phone call at the telephone number listed on the application and a letter to the address listed on the application form. Your healthcare provider will also receive a copy of the letter.

If your application is approved, a 120-day supply of insulin will be shipped directly to your residence. If you want to call about the status of your application, you can call 1-866-310-7549 (M-F 8AM to 8PM).

If your application is denied, you can call 1-844-NOVO4ME to ask about other assistance options.

Based on your information, you may be eligible for A free one-time, short-term supply of up to 3 vials or 2 packs of pens of Novo Nordisk insulin.

For who:

  • Eligible patients with a valid prescription who are at risk of rationing and can’t wait the time it may take for other affordability offerings to process while exploring a longer-term solution.

How:

  • By visiting NovoCare.com or calling 1.844.NOVO4ME. For additional details about eligibility and other restrictions, please see NovoCare.com

If you are denied Medicaid in your state, your next step will be to apply for the Novo Nordisk Patient Assistance Program. You must apply for Medicaid in your state and receive a response from the state about your eligibility status. You must show that you applied and were denied Medicaid/CHIP in the Novo Nordisk Patient Assistance Program application documentation. 

Under the Novo Nordisk Patient Assistance Program, if your application is accepted, your insulin will be for free for up to 12 months.

  • Download the Novo Nordisk Patient Assistance Program application here: https://www.novocare.com/diabetes-overview/let-us-help/pap.html. You can also have an application mailed to you by calling 1-866-310-7549 between 8am and 8pm Eastern Time, Monday to Friday.
  • Collect your documents needed to complete the application. This includes proof of income or loss of income. Fill out and sign the patient sections on the application.
  • Your healthcare provider must complete all prescriber sections and sign where appropriate.
  • Once the completed application and relevant documentation is sent in by your healthcare provider, it takes approximately 1 to 2 business days to make a decision, which is sent by mail to you and your healthcare provider.

If your application is approved, a 120-day supply of insulin will be shipped to your healthcare provider’s office within 10 to 14 business days from approval.

Based on the information you have provided, you may be eligible to use the Fiasp Savings Card. This card may help you pay as little as $25 per 30-day prescription for up to a maximum savings of $100, based on your insurance.

Co-pay cards can help lower the out-of-pocket amount you pay at the pharmacy counter because you have commercial insurance. You must have a valid prescription for this product. Your insurance may choose to not count anything beyond what you pay out-of-pocket towards your deductible, if you have one.

  • Click here: https://www.novocare.com/fiasp/savings-card.html to download this Fiasp Savings Card.
  • You will be asked to fill out a form that includes your name, address, email address, and date of birth. Once filled out, you will be able to email, print, or download the card.
  • Give this information to the pharmacy (in person or by telephone) so they can add the this Fiasp Savings Card into their payment system before you pick up your prescription.

If you have questions about the Novo Nordisk Savings Card Program, you can call 1-844-Novo4Me (1-844-668-6463) from Monday to Friday 8am to 11pm and Saturdays 11am to 7pm Eastern Time.

Based on the information you have provided, you may be eligible to use the Levemir Savings Card. This card may help you pay as low as $45, for up to a maximum savings of $100 per 30-day supply.

Co-pay cards can help lower the out-of-pocket amount you pay at the pharmacy counter because you have commercial insurance. You must have a valid prescription for this product. Your insurance may choose to not count anything beyond what you pay out-of-pocket towards your deductible, if you have one.

  • Click here: https://www.novocare.com/levemir/savings-card.html to download this Levemir Savings Card.
  • You will be asked to fill out a form that includes your name, address, email address, and date of birth. Once filled out, you will be able to email, print, or download the card.
  • Give this information to the pharmacy (in person or by telephone) so they can add this Levemir Savings Card into their payment system before you pick up your prescription.

If you have questions about the Novo Nordisk Savings Card Program, you can call 1-844-Novo4Me (1-844-668-6463) from Monday to Friday 8am to 11pm and Saturdays 11am to 7pm Eastern Time.

Based on the information you have provided, you may be eligible to use the MyInsulinRx Card. This card may help you pay a monthly supply of up to 3 vials or 2 packs of pens (up to 35 mL)

For Who:

Eligible patients with a valid prescription. This program primarily benefits ts those who are uninsured; however, it is available to those with commercial insurance if they choose to go outside the system.

How:

By visiting NovoCare.com or calling 1.844.NOVO4ME. Once enrolled, patients will receive an online offer to be redeemed at their pharmacy. For additional details about eligibility and other restrictions, please see NovoCare.com.

You will be asked to fill out a form that includes your name, address, email address, and date of birth. Once filled out, you can email, print, or download the card.

Give this information to the pharmacy (in person or by telephone) so they can add this MyInsulinRx Card into their payment system before you pick up your prescription.

If you have questions about the Novo Nordisk Savings Card Program, call 1-844-Novo4Me (1-844-668-6463) from Monday to Friday, 8 am to 11 pm, and Saturdays, 11 am to 7 pm Eastern Time.

Based on the information you have provided, you may be eligible to use the NovoLog Mix 70/30 Savings Card. This card may help you pay as low as $25 with up to a maximum of $100 savings per 30-day supply.

Co-pay cards can help lower the out-of-pocket amount you pay at the pharmacy counter because you have commercial insurance. You must have a valid prescription for this product. Your insurance may choose to not count anything beyond what you pay out-of-pocket towards your deductible, if you have one.

  • Click here: https://www.novocare.com/novologmix70-30/savings-card.html to download this NovoLog Mix 70/30 Savings Card.
  • You will be asked to fill out a form that includes your name, address, email address, and date of birth. Once filled out, you will be able to email, print, or download the card.
  • Give this information to the pharmacy (in person or by telephone) so they can add this NovoLog Mix 70/30 Savings Card into their payment system before you pick up your prescription.

If you have questions about the Novo Nordisk Savings Card Program, you can call 1-844-Novo4Me (1-844-668-6463) from Monday to Friday 8am to 11pm and Saturdays 11am to 7pm Eastern Time.

Based on the information you have provided, you may be eligible to use the Tresiba Instant Savings Card. This card may help you pay as low as $5 with up to a maximum of $150 off for a 30-day prescription, depending on insurance coverage.

Co-pay cards can help lower the out-of-pocket amount you pay at the pharmacy counter because you have commercial insurance. You must have a valid prescription for this product. Your insurance may choose to not count anything beyond what you pay out-of-pocket towards your deductible, if you have one.

  • Click here: https://www.novocare.com/tresiba/savings-card.html to download this Tresiba Instant Savings Card.
  • You will be asked to fill out a form that includes your name, address, email address, and date of birth. Once filled out, you will be able to email, print, or download the card.
  • Give this information to the pharmacy (in person or by telephone) so they can add this Tresiba Instant Savings Card into their payment system before you pick up your prescription.

If you have questions about the Novo Nordisk Savings Card Program, you can call 1-844-Novo4Me (1-844-668-6463) from Monday to Friday 8am to 11pm and Saturdays 11am to 7pm Eastern Time.

Based on the information you have provided, you may be eligible for the Novo Nordisk My $99Insulin cash program. Pay $99 for your monthly supply of any combination of Novo Nordisk insulin products (up to 3 vials or 2 packs of pens).

Offer is available each month during a calendar year. This cost does not apply to any insurance deductible you may have. Medicare Part D beneficiaries (and Medicare Part D-eligible participants) will be automatically re-enrolled each month and must agree to obtain their Covered Insulins subject to this offer throughout the entire applicable Part D coverage year, if Part D coverage would otherwise be available.

  • Click on this link: https://www.novocare.com/insulin/my99insulin.html
  • After answering the questions on the webpage, you will download the My$99Insulin card.
  • Give this card to the pharmacy when you go to pick up your Novo Nordisk insulin prescriptions. (Remember to fill all of the Novo Nordisk insulin prescriptions at one time each month to maximize the $99 payment offer.)
  • If you want to call the pharmacy to give this information ahead of time, you can call the pharmacy with the information on the card.

If you have questions about the My$99Insulin program, you can call 1-844-Novo4Me (1-844-668-6463) from Monday to Friday 8am to 11pm and Saturdays 11am to 7pm Eastern Time.