Get Prescription Savings

Novo Nordisk can help patients pay for their prescriptions by offering the Novo Nordisk Instant Savings card, which can be used for all Novo Nordisk diabetes products. Additionally, we can provide a free, 90-day supply of medicine to qualifying patients through our Cornerstones4Care® Patient Assistance Program.

Novo Nordisk Instant Savings Card

To help make treatment more affordable, encourage your patients to sign up for the Novo Nordisk Instant savings Card, which allows patients to pay no more than:

  • $25 for many Novo Nordisk products and each refill for up to 2 years*
  • $20 for select other Novo Nordisk products and each refill for up to 2 years
  • and be eligible to receive 1 FREE box of Novo Nordisk needles

All you have to do is:

  • Direct your patients to sign up at Cornerstones4Care® to receive an Instant Savings Card so they can take full advantage of all the savings. Patients can activate their card at NovoNordiskSavingsCard.com or by calling 1-855-292-5966
    OR
  • Obtain a supply of Novo Nordisk Instant Savings Cards by contacting your Novo Nordisk Sales Representative.

There is a maximum of savings of $100 per prescription for each analog prescription. Should you or your patients have questions regarding setup, claim transmission, patient eligibility, or other issues, call the Novo Nordisk Instant Savings Card Program at 1-855-292-5966 from 8 AM – 8 PM EST Monday - Friday

 

 

*Eligibility and other restrictions apply. See below for details. Offer valid for select Novo Nordisk products. Offer not valid for patients enrolled in any government, state, or federally-funded medical or prescription benefit program, including Medicare, Medicaid, VA, DOD, and Tricare. Offer is valid for a maximum of 24 refills per product over 2 years. Complete details are provided with the card.
 

 

Cornerstones4Care® Patient Assistance Program

The Cornerstones4Care® Patient Assistance Program (PAP) is based on our commitment to people living with diabetes and on our philosophy, known as the Novo Nordisk Triple Bottom Line.

If approved, a free 90-day supply of the requested medicine or device will be shipped to the prescribing health care provider's office to be picked up at the patient’s convenience.  Novo Nordisk will automatically contact the health care provider every 90 days to approve the medication refill.

 

If your patients are in need of assistance, they will need to follow these 3 simple steps to see if they qualify for free diabetes medication from Novo Nordisk:

  1. Fill out the patient section of the application
  2. Gather proof of income
  3. Bring the application and proof of income to your office in order to complete the Health care Practitioner and Prescribing sections

Patients and caregivers can also obtain more information and access to the program by calling the Cornerstones4Care® Patient Assistance Program toll free at 1-866-310-7549.

Patient Assistance Program Forms

PAP Application Form (English)

PAP Application Form (English)

PAP Application Form (Spanish)

PAP Application Form (Spanish)

PAP Refill Request Form (English)

PAP Refill Request Form (English)

PAP Refill Request Form (Spanish)

PAP Refill Request Form (Spanish)