Ozempic (semaglutide)
Patient Assistance Program Guide — Novo Nordisk Patient Assistance Program (PAP)
Do You Qualify?
Income
Up to $60,240 for a single person
Insurance
Must be uninsured or have Medicare Part D. Commercial insurance is generally excluded from PAP but eligible for savings cards. Must not be eligible for Medicaid, Low Income Subsidy (LIS), or VA benefits.
Residency
U.S. resident with valid address
Income Limits (400% FPL)
Calculated based on 400% FPL. Specific provisions apply for Medicare Part D patients.
Based on 2025 HHS Federal Poverty Level guidelines.
# Ozempic (Semaglutide) Patient Assistance Program Guide
Who Qualifies for the Novo Nordisk Patient Assistance Program (PAP)?
If you need Ozempic 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 who meet specific income and insurance requirements. For a single person, your annual household income must be at or below $60,240 to qualify. In terms of insurance, you must be uninsured or have Medicare Part D — if you have commercial (private) insurance that covers Ozempic, you are generally not eligible for this program, though a separate savings card option may be available to you. Patients who receive Medicaid, the Low Income Subsidy (LIS), or VA benefits are also not eligible. If you meet these basic criteria, you may qualify to receive Ozempic at no charge, shipped directly to your home.
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About Ozempic (Semaglutide)
Ozempic (semaglutide) is a prescription injectable medication approved by the FDA to treat Type 2 Diabetes Mellitus in adults. It also carries an FDA approval to reduce the risk of serious cardiovascular events — such as heart attack or stroke — in adults with Type 2 diabetes who also have established heart disease. Ozempic belongs to a drug class called GLP-1 receptor agonists, which work by targeting specific receptors involved in blood sugar regulation. Without insurance or assistance, Ozempic can cost well over $900 per month at retail prices, making it unaffordable for many patients. The Novo Nordisk PAP exists specifically to help bridge that gap for people who qualify.
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Income Eligibility: Full Breakdown
The Novo Nordisk PAP uses income limits based on 400% of the Federal Poverty Level (FPL). Your total household income must fall at or below the threshold for your household size. Here is a full breakdown:
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $60,240 |
| 2 persons | $81,760 |
| 3 persons | $103,280 |
| 4 persons | $124,800 |
If your household has more than four people, the income limit increases with each additional member. If your income is above these limits, you may still want to apply — some programs allow for special consideration based on high medical expenses or other financial hardships, though this is not guaranteed.
Your income is typically verified using your most recent federal 1040 tax return. If you have not yet filed or your income has recently changed, three months of recent pay stubs may also be accepted. It is important to report your full household income, including wages, retirement benefits, Social Security, and any other regular sources of income. Medicare Part D patients may be subject to specific additional provisions that differ from standard income rules.
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Insurance Requirements Explained
Understanding your insurance situation is key before you apply. Here is how different coverage types are handled:
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Step-by-Step: How to Apply
Follow these steps to apply for the Novo Nordisk PAP for Ozempic:
1. Check your eligibility first. Review the income table and insurance requirements above to confirm you likely qualify before gathering documents.
2. Gather your required documents. You will need:
- A completed and signed PAP application
- Proof of income (typically your most recent federal 1040 tax return)
- A valid prescription for Ozempic from your healthcare provider
3. Get your application. Visit the official program page at https://www.novocare.com/diabetes/help-affording-medication/pap.html to apply online or download a paper application. You can also call (866) 310-7549 to request an application by phone.
4. Have your doctor sign the application. Most PAP applications require a healthcare provider signature in addition to your own. Confirm this with your doctor's office before submitting.
5. Submit your application. You may submit online through the NovoCare portal, or send your completed application and documents by fax to (866) 441-4190. Keep copies of everything you send.
6. Wait for confirmation. Processing typically takes 7 to 10 business days after Novo Nordisk receives your complete application.
7. Watch for your approval notice. Once approved, you will receive confirmation and your medication will be shipped directly to your home address.
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What to Expect: Timeline and Delivery
After you submit a complete application — including all required documents and your doctor's signature — processing typically takes 7 to 10 business days. Novo Nordisk or the program administrator will notify you of your approval status. If approved, your Ozempic will be shipped directly to your home address, so there is nothing you need to pick up at a pharmacy. You do not need to do anything at the point of delivery other than receive the package.
PAP enrollment is not permanent. You will need to reauthorize your enrollment annually to continue receiving medication. Novo Nordisk will typically notify you when it is time to renew, but it is a good idea to track your enrollment date and begin the renewal process early to avoid any gaps in your supply.
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Alternatives If You Don't Qualify
If you do not qualify for the Novo Nordisk PAP, there are still options worth exploring:
1. Biosimilars: There are currently no FDA-approved biosimilar alternatives to Ozempic (semaglutide) available in the United States. This may change in the future, but no substitutes are currently on the market.
2. Manufacturer savings card: If you have commercial insurance, Novo Nordisk offers an Ozempic savings card that may lower your monthly cost. Visit https://www.ozempic.com/savings-and-resources/save-on-ozempic.html to learn more and enroll.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own prescription assistance programs, particularly for seniors and people with disabilities. Eligibility and benefits vary by state.
4. NeedyMeds.org: This free, independent database lists hundreds of patient assistance programs, drug discount cards, and state-level programs. It is a useful tool if you need to explore multiple options at once.
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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/ozempic/let-us-help/pap.html](https://www.novocare.com/diabetes/products/ozempic/let-us-help/pap.html) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
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
Yes, Medicare Part D patients may qualify for the Novo Nordisk PAP under specific provisions. However, you must not be receiving the Low Income Subsidy (LIS) or any other full prescription coverage benefit. It is best to call (866) 310-7549 to confirm your eligibility before applying.
Once your application is approved, processing typically takes 7 to 10 business days from the time Novo Nordisk receives your complete application. After approval, your medication is shipped directly to your home. Delivery time may vary depending on your location.
You will need a completed and signed PAP application, proof of income (usually your most recent federal 1040 tax return), and a valid prescription from your doctor. Your healthcare provider will also need to sign the application. Make sure all documents are included to avoid delays.
The Novo Nordisk PAP generally does not cover patients with commercial (private) insurance. However, you may be eligible for the Ozempic savings card, which is designed for insured patients and can reduce your out-of-pocket costs. Visit https://www.ozempic.com/savings-and-resources/save-on-ozempic.html to check your options.
Yes, PAP enrollment requires annual reauthorization. Novo Nordisk will typically let you know when your enrollment period is coming to an end. To avoid any gaps in your medication supply, it is a good idea to start the renewal process a few weeks before your current approval expires.
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