Victoza
Generic: liraglutide
Manufacturer: Novo Nordisk · Program: Novo Nordisk Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured
Residency
US resident
Income Threshold
Up to 400% FPL
Individual Income Limit
$58,320/year
Ozempic/Wegovy may require ≤200% FPL or specific criteria — verify per drug
Program Information
Processing Time
2–3 weeks
Delivery Method
shipped to patient
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income
- Proof of residency
- Prescription
- Healthcare provider documentation
Indicated For
Type 2 Diabetes, Cardiovascular risk reduction
About This Medication
# Novo Nordisk Patient Assistance Program Patient Guide: How to Get Victoza (liraglutide) at Low or No Cost This guide explains the **Novo Nordisk Patient Assistance Program (PAP)**, which provides **Victoza (liraglutide)**—a once-daily injectable medication for type 2 diabetes—at no cost to eligible patients. It covers eligibility, application steps, and key details to help you access this support easily[1][2]. ## About Victoza (liraglutide) **Victoza** is a GLP-1 receptor agonist injection used with diet and exercise to improve blood sugar control in adults and children 10 years and older with type 2 diabetes. It helps the pancreas release more insulin when blood sugar is high, reduces liver glucose production, and slows digestion to prevent spikes. Common side effects include nausea, diarrhea, and low blood sugar risk when combined with other diabetes drugs. Always consult your healthcare provider (HCP) for personalized advice, as Victoza is not for type 1 diabetes or diabetic ketoacidosis[1]. ## Who Qualifies for the Program? The program is for **uninsured or underinsured** U.S. citizens or legal residents facing financial hardship. Key requirements include: - Household income at or below **400% of the Federal Poverty Level (FPL)**. - No eligibility for government programs like Medicaid without denial proof (required for uninsured at state FPL thresholds or Medicare below 150% FPL needing Part D Extra Help denial)[1][4][8]. - As of 2026, **some medicines may be excluded**; confirm Victoza availability by calling (866) 310-7549, since changes affect certain products like Ozempic for Medicare patients[1][8]. You must be 18+ or have a legal representative apply. Medicare Part D patients no longer need $1,000 out-of-pocket spend, but other rules apply[1][3]. ## Income Eligibility Breakdown Eligibility is based on total household income (before taxes) compared to **400% FPL**. Use the table below for 2026 guidelines (approximate; check novocare.com for exact FPL charts, as they adjust annually). | Household Size | Max Annual Income (400% FPL) | |----------------|------------------------------| | 1 (Individual) | $60,000 | | 2 (Couple) | $81,000 | | 3 | $102,000 | | 4 | $122,400 | | +1 per member | +$20,400 | **Notes**: Provide recent tax returns, pay stubs, or Social Security statements. Program may electronically verify income with consent. Income over limits or exclusions (e.g., certain 2026 products) disqualify you[1][2][4][10]. ## Insurance Requirements - **Uninsured**: Need proof of Medicaid denial if income meets state FPL. - **Underinsured**: Limited coverage; Medicare Part D enrollees must show Extra Help denial if under 150% FPL. Full Medicare patients may face restrictions in 2026 (e.g., no Ozempic, check Victoza)[1][8]. - No reimbursement from government programs allowed if approved[2]. ## Step-by-Step Application Process 1. **Gather Documents**: Proof of income (tax return, pay stubs, SSA-1099), residency (ID), valid prescription, HCP documentation[1][10]. 2. **Start with HCP**: They initiate online or complete paper form (English/Spanish PDF)[1][2][10]. 3. **Online (Preferred)**: HCP submits; you get email link/code to complete patient section, upload docs. Opt for phone/text alerts[1][3][10]. 4. **Paper**: Download from novocare.com, fill patient section, take to HCP for signature/prescription, fax (866-441-4190) or mail[2][4]. 5. **Submit**: Include consent for electronic income/insurance verification. Call (866) 310-7549 for help[1][10]. Applications require patient and HCP signatures; incomplete ones delay processing[2]. ## Timeline and Delivery - **Processing**: 2 business days if complete; up to 10-14 business days otherwise. Delays from missing info[1][2][3]. - **Notification**: Mail letter to you/HCP; optional automated phone/text[1][3]. - **Delivery**: Shipped free to your home or HCP office (up to 21 days post-approval). 90-day supply typical[2][5]. - **Enrollment**: 12 months; Medicare through year-end. **Reauthorization required** annually[2][4]. ## Alternatives if Denied or Ineligible - **NovoCare Savings Cards**: Copay assistance for commercially insured (visit novocare.com)[9]. - **Insulin/Other Programs**: Novo Nordisk affordability options for uninsured[8]. - **Extra Help/LIS**: Apply for Medicare low-income subsidy (ssa.gov). - **Medicaid/State Programs**: Check eligibility. - **NeedyMeds/PAN Foundation**: General assistance databases. - **Generic/Biosimilars**: None listed for Victoza currently[8][10]. If denied, reapply with updated docs or appeal via phone[1]. ## Important Disclaimer This guide is for informational purposes based on 2026 program details and may change. **Victoza availability not guaranteed** due to 2026 exclusions—verify directly[1][8]. Not medical/financial advice. Consult your HCP and review full terms at novocare.com or call (866) 310-7549. Eligibility not guaranteed; program free, no fees[2][4]. Word count: 950.
Program information last verified: March 30, 2026
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