Metabolic

Wegovy (semaglutide)

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

Must be uninsured or have no coverage for the medication through any private or government-sponsored program (some Medicare restrictions apply; Wegovy is generally excluded from PAP if not covered by the specific Medicare plan).

Residency

U.S. resident or legal resident with a valid address

Apply Through RX Advantages

Income Limits (400% FPL)

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

Calculated based on 400% of the 2025 Federal Poverty Level. Total household income must be at or below this amount.

Based on 2025 HHS Federal Poverty Level guidelines.

# Wegovy (Semaglutide) Patient Assistance Program Guide

Novo Nordisk Patient Assistance Program (PAP) — Powered by RX Advantages

---

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

If you need Wegovy but cannot afford it, the Novo Nordisk Patient Assistance Program (PAP) may be able to get it to you at no cost. This program is designed for people who meet income and insurance requirements set by Novo Nordisk, the drug's manufacturer.

To start, your total household income must be at or below $60,240 per year if you live alone. Higher limits apply for larger households.

On the insurance side, you must be uninsured or have no coverage for Wegovy through any private or government-sponsored insurance plan. If your insurance covers Wegovy — even partially — you may not qualify for this program, though other savings options may still be available to you.

---

About Wegovy (Semaglutide)

Wegovy is an injectable prescription medication made by Novo Nordisk. It belongs to a class of drugs called GLP-1 receptor agonists. The U.S. Food and Drug Administration (FDA) has approved Wegovy for two uses in adults: chronic weight management and reducing the risk of serious heart events in people who have established cardiovascular disease and are living with obesity or overweight.

Without insurance or financial assistance, Wegovy carries a high list price that puts it out of reach for many patients. The Novo Nordisk PAP exists specifically to help people who need this medication but lack the coverage or income to pay for it on their own.

---

Income Eligibility: Full Breakdown

The Novo Nordisk PAP uses income limits based on 400% of the 2025 Federal Poverty Level. Your total household income must be at or below the limit for your household size:

| Household Size | Max 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. Contact the program directly at (866) 310-7549 to confirm the threshold for your household size.

To verify your income, you will typically need to provide your most recent federal tax return (Form 1040), a W-2, or three consecutive recent pay stubs. If you are self-employed or have irregular income, Novo Nordisk may ask for additional documentation.

If your income is slightly above the limit, you may not qualify for this program. However, you should still explore the savings card and other options described in the final section of this guide — being just over the threshold does not mean you have no options.

---

Insurance Requirements Explained

Understanding how your insurance affects eligibility is important before you apply.

If you are uninsured: You are likely the strongest candidate for this program. Having no insurance coverage means you meet the baseline insurance requirement, and eligibility will then depend primarily on your income.
If you have Medicare Part D: Wegovy is generally excluded from the PAP if it is not covered by your specific Medicare plan. Some Medicare plan structures may create exceptions, but this is not guaranteed. Call (866) 310-7549 to discuss your specific situation before applying.
If you have private insurance that covers Wegovy at any level: You are generally not eligible for the PAP. Even partial coverage through a private plan typically disqualifies you. If your private insurance does not cover Wegovy at all, you may qualify — verify this with your insurer first.
If you have Medicaid: Patients with Medicaid coverage for Wegovy are typically not eligible for the PAP. If Medicaid does not cover Wegovy in your state, contact Novo Nordisk to discuss your options.

---

Step-by-Step: How to Apply

Follow these steps to apply for the Novo Nordisk PAP for Wegovy:

1. Gather your documents first. You will need: a completed and signed application (both the patient section and the prescriber section), proof of income (most recent Form 1040, W-2, or three consecutive pay stubs), and a valid prescription for Wegovy from your healthcare provider.

2. Choose your application method. You can apply online, by phone, or by fax.

- Online: Visit https://www.novocare.com/elp/pap/wegovy to complete and submit your application digitally.

- By phone: Call (866) 310-7549 to get help completing your application or to ask questions about eligibility.

- By fax: Submit completed forms to (866) 441-4190.

3. Have your prescriber complete their section. Your doctor or their office staff must fill out and sign the prescriber portion of the application. Many offices are familiar with this process — ask them to complete it as soon as possible to avoid delays.

4. Submit all documents together. Incomplete applications are a common reason for delays. Make sure income documentation and the prescription are included with your application.

5. Wait for confirmation. After submission, Novo Nordisk will review your application and contact you or your prescriber with a decision.

---

What to Expect: Timeline and Delivery

Once your complete application is submitted, processing typically takes 7 to 10 business days. Novo Nordisk will notify you or your prescriber of the approval decision.

If approved, Wegovy will be shipped directly to your home address — you do not need to pick it up at a pharmacy. Make sure someone is available to receive temperature-sensitive medication if required.

Your approval is not permanent. The program requires annual reauthorization, which means you will need to reapply and submit updated income documentation once a year to continue receiving Wegovy at no cost. Set a reminder before your approval period ends so there is no interruption in your supply.

---

Alternatives If You Don't Qualify

If you do not meet the PAP requirements, you still have options.

Biosimilars: There are currently no FDA-approved biosimilar versions of Wegovy (semaglutide). This means a lower-cost generic alternative is not yet available.

Manufacturer savings card (insured patients): If you have private insurance that covers Wegovy, Novo Nordisk offers a savings card that may reduce your out-of-pocket costs. Visit https://www.wegovy.com/coverage-and-savings/save-on-wegovy.html to check your eligibility.

State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own prescription assistance programs, particularly for residents who are seniors or have disabilities. Search for your state's program through your state health department website.

NeedyMeds.org: This free, independent database lists hundreds of assistance programs by drug name and condition. Visit https://www.needymeds.org to search for additional options that may apply to your situation.

---

*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/obesity/products/wegovy/let-us-help/pap.html](https://www.novocare.com/obesity/products/wegovy/let-us-help/pap.html) before applying.*

---

Documents You'll Need

Completed and signed application form (Patient and Prescriber sections)
Proof of income (e.g., most recent federal tax return/1040, W-2, or 3 consecutive pay stubs)
Valid prescription for Wegovy

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

Processing typically takes 7 to 10 business days after Novo Nordisk receives your complete application. Submitting all required documents — including the prescriber section and proof of income — at the same time helps avoid delays.

Yes. If you have insurance but your plan does not provide any coverage for Wegovy, you may still qualify for the PAP. You should confirm with your insurance company that Wegovy is excluded from your plan before applying.

Yes. The Novo Nordisk PAP requires annual reauthorization. Before your current approval period ends, you will need to submit a new application along with updated income documentation to continue receiving Wegovy through the program.

If your income exceeds the program threshold, you may not qualify for the PAP. However, you may still be eligible for the Novo Nordisk savings card if you have private insurance, or you can search NeedyMeds.org for other assistance programs.

If you are approved, Wegovy is shipped directly to your home address. You do not need to go to a pharmacy to pick it up.

30-Day Money-Back Guarantee

Ready to Apply for Wegovy Assistance?

RX Advantages handles the entire Novo Nordisk Patient Assistance Program (PAP) application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.

Start Your ApplicationSee How It Works

No SSN required on the web form · From $49.95/month