Diabetes

Fiasp (insulin aspart)

Patient Assistance Program Guide — Novo Nordisk Patient Assistance Program (PAP)

Verified: February 27, 2026
Novo Nordisk Patient Assistance Program (PAP)
Program name
7-10 business days
Processing time
shipped to patient
Medication delivery
$60,240
1-person income limit

Do You Qualify?

Income

Up to $60,240 for a single person

Insurance

Applicants must be uninsured or have Medicare Part D. Patients with Medicaid, Low-Income Subsidy (LIS), or VA benefits are generally ineligible.

Residency

U.S. citizen or legal resident

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Income Limits (400% FPL)

Household SizeMax Annual Income
1 person$60,240
2 persons$81,760
3 persons$103,280
4 persons$124,800

Income threshold is 400% of the Federal Poverty Level.

Based on 2025 HHS Federal Poverty Level guidelines.

# How to Get Fiasp (Insulin Aspart) for Free Through the Novo Nordisk Patient Assistance Program

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Who Qualifies for the Novo Nordisk Patient Assistance Program (PAP)?

If you need Fiasp (insulin aspart) but cannot afford it, the Novo Nordisk Patient Assistance Program (PAP) may be able to provide it to you at no cost. This program is designed for people living with Type 1 or Type 2 Diabetes who meet specific income and insurance requirements. For a single-person household, your annual income must be at or below $60,240 to qualify. On the insurance side, you must either be uninsured or have Medicare Part D — patients covered by Medicaid, a Low-Income Subsidy (LIS), or VA benefits are generally not eligible for this program. If you meet these basic criteria, you may be able to receive Fiasp shipped directly to your home at no charge.

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About Fiasp (Insulin Aspart)

Fiasp is a rapid-acting insulin analog manufactured by Novo Nordisk. It is FDA-approved to help manage blood sugar levels in adults and children with Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus. As a mealtime insulin, it is designed to be taken around mealtimes as part of a broader diabetes management plan prescribed by your doctor. Without insurance or financial assistance, Fiasp can cost several hundred dollars per month, placing it out of reach for many patients. Novo Nordisk created its Patient Assistance Program specifically to help uninsured and underinsured patients access this medication without paying full price.

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Income Eligibility: Full Breakdown

The Novo Nordisk PAP uses income limits set at 400% of the Federal Poverty Level (FPL). The thresholds below apply to your total annual household income:

| Household Size | Maximum Annual Income |

|---|---|

| 1 person | $60,240 |

| 2 persons | $81,760 |

| 3 persons | $103,280 |

| 4 persons | $124,800 |

Your income is typically verified using your prior year federal tax return (Form 1040), a W-2, or three months of recent pay stubs. Novo Nordisk will use whichever document best reflects your current financial situation.

If your household income is above these limits, you will not qualify for the PAP under standard guidelines. However, you are not without options — see the "Alternatives If You Don't Qualify" section below for other ways to reduce your costs.

Keep in mind that "household income" includes all sources of income for everyone living in your home, not just your own earnings. If your household size is larger than four people, contact Novo Nordisk directly at (866) 310-7549 to ask about thresholds that may apply to your specific situation.

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Insurance Requirements Explained

Your insurance status plays a major role in whether you qualify. Here is how each situation is handled:

If you are uninsured: You are eligible to apply for the PAP. Having no insurance coverage is one of the primary qualifications for this program.
If you have Medicare Part D: You may still qualify. The Novo Nordisk PAP does accept Medicare Part D beneficiaries, which is less common among manufacturer assistance programs. You will need to provide your Medicare information as part of your application.
If you have private insurance that covers less than 50% of the cost: Private insurance coverage typically disqualifies you from the PAP. The program is not designed for patients who have commercial insurance, regardless of how high your out-of-pocket costs may be. If you have private insurance, consider the Fiasp Savings Card instead (see "Alternatives" section below).
If you have Medicaid: You are generally not eligible for the Novo Nordisk PAP. The same applies if you receive a Low-Income Subsidy (LIS) or VA benefits. These federal and state programs are considered active coverage, which disqualifies applicants.

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Step-by-Step: How to Apply

Step 1: Gather your documents.

Before starting your application, collect the following: a completed application form (with your physician's signature), proof of income (Form 1040, W-2, or three months of pay stubs), and a valid prescription for Fiasp.

Step 2: Choose your application method.

You can apply in one of three ways:

Online: Visit https://www.novocare.com/diabetes/help-with-costs/pap.html to start a digital application.
By phone: Call (866) 310-7549 to speak with a program representative who can guide you through the process.
By fax: Fax your completed application and supporting documents to (866) 441-4190.

Step 3: Have your doctor sign the application.

The program requires a physician signature. Coordinate with your prescriber's office in advance so this step does not delay your submission.

Step 4: Submit your application.

Send all documents together through your chosen method. Incomplete applications may be returned, so double-check that every required item is included.

Step 5: Wait for a decision.

Processing typically takes 7 to 10 business days after Novo Nordisk receives your complete application.

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What to Expect: Timeline and Delivery

Once your application is reviewed, Novo Nordisk will notify you — and typically your prescriber — of the approval decision. Processing usually takes 7 to 10 business days from the date your complete application is received. If approved, your Fiasp will be shipped directly to your home address at no cost to you. You do not need to pick up the medication at a pharmacy or prescriber's office. Your enrollment is valid for one year, after which you will need to reauthorize annually by resubmitting updated income documentation and a renewed physician signature to continue receiving the medication.

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Alternatives If You Don't Qualify

If you do not meet the PAP's requirements, these options may still help reduce your costs:

1. Biosimilar alternatives: Ask your doctor about Insulin Aspart, a biosimilar version of Fiasp that may be available at a lower cost through your pharmacy.

2. Fiasp Savings Card (for insured patients): If you have commercial or private insurance, you may be eligible for the Fiasp Savings Card, which can lower your out-of-pocket costs at the pharmacy. Learn more at https://www.fiasp.com/savings-and-support/fiasp-savings-card.html.

3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own prescription assistance programs for residents who do not qualify for federal programs. Contact your state's department of health or aging to find out what is available where you live.

4. NeedyMeds.org: This free, nonprofit database lists hundreds of assistance programs by drug name, diagnosis, and state. Visit www.needymeds.org to search for additional options that may fit your situation.

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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Novo Nordisk. Program terms may change — verify current requirements at [https://www.novocare.com/diabetes/products/fiasp/let-us-help/pap.html](https://www.novocare.com/diabetes/products/fiasp/let-us-help/pap.html) before applying.*

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Documents You'll Need

Completed application form with physician signature
Proof of income (e.g., 1040 Tax Return, W2, or pay stubs)
Valid prescription

If You Don't Qualify for the Assistance Program

Biosimilar / Generic Alternatives

FDA-approved alternatives to Fiasp: Insulin Aspart. Ask your prescriber if one of these is clinically appropriate for your condition.

Manufacturer Savings Card (for insured patients)

Novo Nordisk offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.

Common Questions

After Novo Nordisk receives your complete application, processing typically takes 7 to 10 business days. Once approved, your medication will be shipped directly to your home. Make sure your application includes all required documents — missing items can delay the review.

Yes. The Novo Nordisk PAP does accept applicants who have Medicare Part D coverage, which is less common among manufacturer programs. You will need to provide your Medicare information as part of your application. Patients with Medicaid or a Low-Income Subsidy (LIS) are not eligible.

Yes. The Novo Nordisk PAP requires annual reauthorization. Before your enrollment period ends, you will need to submit updated proof of income and a renewed physician signature to continue receiving Fiasp through the program. Novo Nordisk may notify you when your renewal is due.

If your income exceeds the program's threshold, you will not qualify for the standard PAP. However, you may still have options. Ask your doctor about biosimilar alternatives like Insulin Aspart, look into the Fiasp Savings Card if you have insurance, or search NeedyMeds.org for other assistance programs in your area.

Yes. You can start the application process online at https://www.novocare.com/diabetes/help-with-costs/pap.html. However, the completed application will still require your physician's signature before it can be submitted. Coordinate with your prescriber's office early so this step does not slow down your application.

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