If you have diabetes and are having trouble affording your diabetes medication, Novo Nordisk offers assistance through its Patient Assistance Program (PAP). This program provides free help with certain Novo Nordisk diabetes medications to eligible U.S. residents. Here is everything you need to know about the Novo Nordisk Patient Assistance Application 2025, including who is eligible, what documents are needed, how to apply, and how to check your application status.
What is the Novo Nordisk Patient Assistance Program?
The Novo Nordisk Patient Assistance Program (PAP) helps people who cannot afford their diabetes medications. It provides free medications to patients who meet income and eligibility requirements. There are no fees or monthly charges to apply or participate in the program. The program is also designed for uninsured patients or those who have Medicare but still face high out-of-pocket costs for their prescriptions.
Eligibility Requirements for Novo Nordisk Patient Assistance Program 2025
To qualify for the Novo Nordisk PAP in 2025, you must meet all of the following conditions:
- Residency: You must be a U.S. citizen or legal resident.
- Income Limit: Your total household income must be at or below 400% of the Federal Poverty Level (FPL) guidelines.
- Insurance Status:
- You must not be insured (have no prescription drug coverage) or
- You have Medicare but still need help paying for Novo Nordisk medications.
- Other Assistance Program: You cannot be enrolled in or eligible for other federal or state programs, such as Medicaid or Veterans Affairs (VA) benefits.
Note: If you are eligible for Medicaid but are not enrolled, you must sign the Patient Declaration section of the latest version of the PAP application stating that you do not plan to enroll.
Documents Required for Novo Nordisk Patient Assistance Program 2025 Application
When applying for the PAP Application, make sure you have the following documents available to provide:
1. Proof of Income
You must demonstrate that your household income meets the program’s income limits. Acceptable documents include:
- Recent paycheck stubs for all working family members
- Federal tax return (Form 1040)
- W-2 or 1099 forms
- Social Security, pension, or unemployment statements
2. Identification and Insurance
- A copy of your Medicare card (if applicable)
- Basic identification, such as a driver’s license or state ID
3. Healthcare Provider Information
Your doctor or healthcare provider will need to fill out and sign part of your application.
How to Apply for Novo Nordisk PAP Application Form 2025
There are two easy ways to apply for the Novo Nordisk Patient Assistance application: online or by paper form (PDF).
Option 1: Apply Online
- Visit the official site NOVOCARE: https://www.novocare.com/diabetes/help-with-costs/pap.html
- Click “Start Application.”
- Fill in your personal details and also include your healthcare provider’s email address so they can complete their section.
- Submit your application online.
Note: The Novo Nordisk Patient Assistance Application online form is available in English and is not available to residents of Maine or Minnesota (who must apply via paper).
Option 2: Apply by Mail (Paper Form)
- Download the Novo Nordisk patient assistance form PDF in English or Spanish from the NovoCare website.
- Fill out all the required sections.
- Attach proof of income and other essential documents.
- Your doctor must fill out and sign the prescriber’s section.
- Mail or fax your application to:
Novo Nordisk Inc.
P.O. Box 370, Somerville, NJ 08876
Fax: 1-866-441-4190
After submitting, you need to wait up to 10 business days for processing and updating your application status.
How to Check Application Status
After completing the application form, you and your doctor will be notified whether your application has been approved or rejected.
If approved:
- Your medication will be sent directly to your doctor’s office, not to a retail pharmacy.
- Delivery typically takes 10-14 business days after approval.
If you want to check your application status or update your information (such as address or doctor), call 1-866-310-7549.
How to Renew Novo Nordisk Patient Assistance Program (PAP)
- Start Early: Start your renewal at least 30 days before your current assistance ends to avoid missing medication.
- Fill Out a New Form: Fill out a new application form with your updated personal and prescription information.
- Update Your Documents: Provide proof of your income and proof of any changes to your insurance coverage.
- Ask Your Doctor: Have your healthcare provider fill out and sign the medical portion of the application.
- Send Your Application: Submit the renewal form and documents by:
- Fax: 1-866-441-4190
- Mail: Novo Nordisk Inc., PO Box 370, Somerville, NJ 08876
- Email (if available): Check the Novo Nordisk official website
- Wait for Approval: This process typically takes 7 to 10 business days. You’ll receive notification by mail, phone, or fax.
- Take your Medicine: Once your application is approved, the medication will be sent to your healthcare provider’s office, not your home. Coordinate with them.
- Keep Track: Renew annually or after the benefit period ends to keep your assistance active.
Program Duration and Reapplication
- If you are uninsured, your approval will be valid for 12 months.
- If you have Medicare, your enrollment is valid for the entire calendar year.
- You can reapply up to 30 days before your coverage ends to avoid any interruptions.
Medicare patients can also reapply starting October 15 for the following year.
Conclusion
The Novo Nordisk Patient Assistance Program is a valuable opportunity for people struggling with the cost of diabetes medications through 2025. If you meet its eligibility requirements and fill out your application carefully, you can receive your medications free of charge for up to a year.
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