Eligibility and Restrictions
In order to participate in this program, patient must have a valid prescription for the brand being filled. A valid Prescriber ID# is required on the prescription. Patient is not eligible if enrolled in any federal or state health care program with prescription drug coverage, such as Medicaid, Medicare, Medigap, VA, DOD, TRICARE, or any similar federal or state health care program (each a Government Program), or where prohibited by law.
Patients may participate in this program if they are uninsured or have commercial insurance. If the patient has commercial insurance and fulfills their prescription through this program, the transaction will process outside of any insurance. Patient payments will not count toward any deductibles and cannot be applied to a patient’s maximum out-of-pocket costs.
By using this program, patients certify that he/she meets the eligibility criteria and will comply with the terms and conditions described herein and will not seek reimbursement for any medication received through this program.
Novo Nordisk’s Eligibility and Restrictions, and Program Details, may change from time to time, and for the most recent version, please visit this webpage. Reconfirmation of patient information may be requested periodically to ensure accuracy of data and compliance with terms. Patients with questions about the program may call 1‑888‑809‑3942.
This offer is valid only in the United States and its territories, unless prohibited by law.
