Access and submit the right prior authorization form

Once there is a decision to explore treatment with the specific Novo Nordisk medicine, you can search for the prior authorization form that you need and submit it online, or download the form and provide it to the patient's insurance company.

To get started, enter the following information


*Indicates required field.

*Indicates required field.

Need to look up your NPI number?

Customer service representative
Need assistance now?

Call 1‑888‑809‑3942, 8:00 am‑8:00 pm ET,
Monday‑Friday.