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.