How To Apply to the Novo Nordisk Patient Assistance Program

Chances are if you’re reading this article, you’re having trouble affording insulin. You may have come across the Novo Nordisk Patient Assistance Program in your research, but you don’t know where to start or how to apply.

Don’t worry — you’re not alone. Most people don’t hear about Patient Assistance Programs (PAPs) until they’re faced with high out-of-pocket costs. NeedyMeds was originally founded to raise awareness of PAPs, helping people like you access medications they might otherwise be unable to afford.

By the end of this guide, you’ll know if you qualify for the Novo Nordisk PAP, what’s covered, and how to apply step-by-step.

What is a Patient Assistance Program?

A Patient Assistance Program (PAP) is a resource offered by pharmaceutical companies to help people afford expensive medications. It’s like a safety net for those who are uninsured or can’t get enough coverage through government programs like Medicaid. Novo Nordisk, for example, has a PAP that provides free insulin and other diabetes treatments to eligible individuals. To learn more about how to use our website to find PAPs, check out this article.

Sounds promising, right? Let’s get into who qualifies and what you need to know.

Who is Eligible for the Novo Nordisk PAP?

Size of Family Unit	48 Contiguous States and D.C.	Alaska	Hawaii
1	$15,060	$18,810	$17,310
2	$20.440	$25,540	$23,500
3	$25,820	$32,270	$29,690
4	$31,200	$39,000	$35,880
5	$36,580	$45,730	$42,070
6	$41,960	$52,460	$48,260
7	$47,340	$59,190	$54,450
8	$52,720	$65,920	$60,640
For each additional person, add	$5,380	$6,730	$6,190

To qualify for the Novo Nordisk PAP, there are a few key boxes you’ll need to check:

• You must be a U.S. citizen or a legal resident.
• Your total household income must be at or below 400% of the Federal Poverty Level (FPL). To understand where you stand, you can calculate your percentage with our FPL Calculator tool.
• You must either be uninsured or have Medicare. If you have private or commercial insurance, you won’t be eligible.
• You can’t be enrolled in or eligible for government programs like Medicaid, the Low Income Subsidy (LIS), or Veterans Affairs (VA) benefits. If you are eligible for Medicaid, you must sign a statement confirming that you are not enrolled and don’t plan to enroll. Proof of denial from these programs may also be required.
• If you have Medicare Part D, you can still qualify, but you’ll need to stay enrolled in the PAP through the end of the calendar year.

If any of these sound like your situation, the Novo Nordisk PAP might be a good option for you. So, what does the program actually cover?

What’s Covered Under This PAP?

The Novo Nordisk PAP primarily focuses on insulin, but it also includes other diabetes-related medications and even some medical devices. Here’s a snapshot:

Insulins:

• Insulin degludec (Tresiba®)
• Insulin aspart (Fiasp®, NovoLog®)
• Human Insulin (Novolin®)
• Insulin Aspart Protamine and Insulin Aspart (NovoLog® Mix 70/30)
• Insulin Isophane Human and Insulin Human (Novolin 70/30)
• Insulin Degludec & Liraglutide (Xultophy® 100/3.6)

Other Medications:

• Dasiglucagon (Zegalogue®)
• Semaglutide (Ozempic®, Rybelsus®)
• Liraglutide (Victoza®)

Devices:

• NovoFine® 32G needles (100 needles/box)
• Disposable needles for FlexPen®, FlexTouch®, Victoza®, and Xultophy® 100/3.6

With the coverage list down, here’s how to get started with the application.

How Do I Apply for the Novo Nordisk PAP?

Applying for the Novo Nordisk PAP is fairly straightforward, though you’ll need some help from your healthcare provider. Let’s walk through the steps to make it easier.

Preparing Your Application

Start by gathering all the required information:

• Your healthcare provider’s name, state, and email address. You must verify your healthcare provider’s email address before starting the application.
• If you have Medicare, your insurance card(s).
• Tax documents from the most recent year you filed taxes.
• You may need a copy of your two most current paycheck stubs, your last year’s federal income tax return, Social Security income statements, or other proof of income.

Submitting the Application

You can apply online or download the application. The online application is only available in English, but paper applications are in both English and Spanish. You will not be able to complete the application without the assistance from your healthcare provider.

• Online: Your healthcare provider can complete their sections online. Once they’re done, you’ll receive a code by email to complete your part.
• Paper: Download the application, fill in your sections, and bring it—along with your proof of income—to your healthcare provider. They’ll need to complete the Prescriber and Rx sections, sign, and either fax or mail it directly to Novo Nordisk.

It might sound complicated, but once you have everything gathered, it’s a smooth process. Let’s look at what to expect after you submit your application.

I submitted the application. What happens Next?

After you submit the application, Novo Nordisk will process it within 10 business days. Both you and your healthcare provider will receive a decision by mail, with an option for an automated phone notification if you opt-in.

If you’re approved, you’ll be officially enrolled.

• If you’re uninsured, enrollment lasts for 12 months. If you have Medicare, you’ll be enrolled until December 31st, so make sure to apply by November 30th each year for continuous coverage.
• When your enrollment period ends, reapply if you want to keep receiving assistance. Medicare Part D patients can reapply for the next year’s program starting October 15th.

How Will I Get My Medication?

Once approved, Novo Nordisk will send your medication directly to your healthcare provider’s office within 10–14 business days. You’ll pick it up there, as the program doesn’t allow for home delivery.

For convenience, most medications come with automatic refills, which are managed by your prescriber. Just note that some exclusions apply, such as NovoPen Echo®, Zegalogue®, and certain Ozempic® and Rybelsus® prescriptions. Your provider can opt-out of automatic refills if needed.

Still Need Help?

If you have questions about the program or aren’t sure where to start, here’s what we recommend:

• On their website, you’ll find detailed information about eligibility requirements, covered medications, and a FAQ. We also have an entry about this PAP on our website, which includes everything you need to know before applying.
• Call the Novo Nordisk helpline at 1-866-310-7549 for assistance with your application, eligibility questions, or guidance on completing each section.
• Since your healthcare provider is part of the application process, they may be able to answer questions or assist with the documentation requirements.
• NeedyMeds offers a database of programs covering many medications and conditions. Use our search tool to find the one that best fits your needs.

You don’t have to navigate these options alone — NeedyMeds is always available to help. Call our helpline at 800-503-6897 or visit our website for more assistance options.