Ozempic

Indicated For

Type 2 Diabetes

About This Medication

# Novo Nordisk Patient Assistance Program Patient Guide: How to Get Ozempic (semaglutide) at Low or No Cost ## About Ozempic (semaglutide) **Ozempic** is a prescription injectable medication used in adults with **type 2 diabetes** to improve blood sugar control alongside diet and exercise. It also reduces the risk of major cardiovascular events like heart attack, stroke, or death in those with known heart disease, and helps prevent worsening kidney disease, kidney failure, or cardiovascular death in adults with chronic kidney disease.[7][9] Administered as a weekly subcutaneous injection via a pre-filled pen (doses like 0.25 mg, 0.5 mg, 1 mg, or 2 mg), it mimics a hormone that regulates blood sugar and appetite.[1][2] **Common side effects** include nausea, vomiting, diarrhea, abdominal pain, and constipation. Serious risks involve low blood sugar (especially with insulin or sulfonylureas), pancreatitis, gallbladder issues, kidney problems, or thyroid tumors (boxed warning). Always discuss risks with your healthcare provider (HCP).[7][9] Do not share pens, even with new needles, to avoid infections.[1] ## Who Qualifies for the Program? The **Novo Nordisk Patient Assistance Program (PAP)** offers **Ozempic at no cost** to eligible uninsured or underinsured patients meeting strict financial and insurance criteria. There are **no registration or monthly fees**.[1][2] Key requirements include: - U.S. residency with proof. - Household income at or below **400% of the Federal Poverty Level (FPL)** (program data notes approx. $62,400 for individuals, $84,300 for couples in 2026).[provided] - Uninsured or underinsured; **most Medicare Part D patients ineligible in 2026** (existing enrollments through 2025).[1][3][provided] - Valid prescription for Ozempic from an HCP. - Not enrolled in government programs like Medicaid (denial letter required if applicable).[1][2] Some sources conflict on uninsured income limits (e.g., 200% FPL or ~$31,300 individual), but official program aligns with 400% FPL.[3][5][provided][1] ## Income Eligibility Breakdown Eligibility hinges on household income ≤**400% FPL**. Use current FPL charts (e.g., via NeedyMeds) as values adjust yearly. Approximate 2026 thresholds:[provided][3] | Household Size | Max Annual Income (400% FPL) | |----------------|------------------------------| | 1 (Individual) | $62,400 | | 2 (Couple) | $84,300 | | 3 | ~$106,000 | | 4 | ~$127,600 | *Notes: Add ~$21,400 per additional person. Verify exact FPL at application. Medicare Part D generally disqualifies in 2026.[provided][1][3]* ## Insurance Requirements - **Uninsured or underinsured** patients qualify if income-eligible. - **Medicare Part D beneficiaries mostly ineligible starting 2026** (98% have coverage; existing through 2025). No $1,000 out-of-pocket spend required.[1][3][provided][5] - Provide **Medicare/Medicaid denial letter** if applicable.[provided][1] - Program verifies insurance; government program enrollees typically excluded.[2] ## Step-by-Step Application Process 1. **Discuss with your HCP**: Get a prescription specifying Ozempic dose, sig/directions, formulation (e.g., 3 mL pen for 0.25/0.5 mg), and quantity (up to 120-day supply).[2] 2. **Start application**: Call **(866) 310-7549** or use online portal at NovoCare.com (multiple methods).[provided][1] 3. **Complete patient section**: Provide personal info, income, insurance details. Opt for auto-refill (not for Ozempic in ME/MN).[2] 4. **HCP completes portion**: They receive secure email link.[1] 5. **Upload documents**: Proof of income (tax returns, pay stubs), residency (ID/utility bill), prescription, denial letters.[provided][1] 6. **Submit**: Applications with all info process in **2 business days**.[1] New or re-enrollment options available.[2] ## Timeline and Delivery - **Processing**: 2 business days if complete; delays for missing info.[1] - **Approval notice**: Mailed letter; optional phone/text alerts.[1] - **Delivery**: Shipped free to your home via **Neovance Specialty Pharmacy** (up to 120-day supply). Dispensed by licensed HCP if needed.[provided][2] - **Refills**: **Reauthorization required**; auto-refill for eligible (Ozempic excluded in some states).[provided][2] ## Alternatives if Denied or Ineligible - **Savings Card**: Insured pay as low as $25/month (limits apply; check NovoCare).[7] - **Medicare Payment Plan**: Spread Part D costs.[5] - **Cash discounts**: Uninsured options via pharmacies.[5] - **Other programs**: Simplefill, NeedyMeds, or state assistance. - **Biosimilars**: None currently listed.[provided] - Appeal denial or reapply with updated info; contact (866) 310-7549.[1] If doctor changes, call for guidance.[1] ## Important Disclaimer This guide summarizes the Novo Nordisk PAP based on available data as of 2026. Eligibility, coverage, and rules can change; always verify directly with Novo Nordisk at (866) 310-7549 or NovoCare.com. Not medical/financial advice—consult your HCP and advisor. Product availability limited. Novo Nordisk not liable for issues. Ozempic has risks; use as prescribed.[1][2][provided]

Program information last verified: March 30, 2026