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Ozempic Patient Assistance: Novo PAP Income Limits

Novo Nordisk PAP gives Ozempic free to people who qualify: household income may be no more than 200% of the federal poverty level. With commercial insurance that covers it, the savings card brings the copay to $25 a month for up to 3 months.

Patient assistance
Income up to 200% of poverty level
Self-pay from
$149 a month
Savings card copay
For up to 3 months, your monthly cost may be as little as $25

Which Ozempic savings program are you eligible for?

A quick look at Ozempic

How long it remains in the body
100%50%25%0%07 d14 d21 d28 d35 d50%25%12.5%time after the dose

Its half-life is about 1 week. At 7 d, half has gone; after five half-lives (35 d), about 3% remains.

Weight loss in its main trial
Ozempic (SUSTAIN 1)4.7 kgPlacebo1.2 kg

The 30-week SUSTAIN 1 study involved type 2 diabetes. Weight loss was 4.7 kg, compared with 1.2 kg on placebo.

Prices over time
202520262027$1,027.51$0List priceSelf-pay

In US dollars, monthly price points include the list price and self-pay offers. Each comes from the maker's price page.

Sources: FDA label (DailyMed), healthsystemtracker.org, prnewswire.com 1 2.

Which program applies to you

Ozempic savings by insurance type
How you payWhat applies
Insurance through work or the MarketplaceWhen you use the Ozempic Savings Offer, coverage can mean a fill costs as little as $25. Commercially insured with Ozempic coverage; government plans excluded. Maximum savings $100 per 1-month fill.
MedicareYou cannot use savings cards with Medicare, so the Part D copay for Ozempic still applies to you. Card terms exclude government plans. The Novo Nordisk Patient Assistance Program provides free medicine to people who qualify by income.
MedicaidYou cannot use savings cards with Medicaid. Whether Ozempic is covered depends on the Medicaid drug list for your state. Coverage for weight loss varies by state; the use most often covered is type 2 diabetes.
No insurance, paying myselfIf you have no insurance, the lowest price you pay yourself for Ozempic each month is $149. That amount is the price of the Ozempic pill, starting at 1.5 mg, paid directly to the manufacturer's pharmacy. The Novo Nordisk Patient Assistance Program provides free medicine to people who qualify by income.

Sources: NovoCare 1 2.

Every Ozempic savings program

Ozempic savings programs at a glance
RouteWho it is forWhat you payLimits and dates
Ozempic Savings OfferCommercially insured with Ozempic coverage; government plans excludedFor up to 3 months, your monthly cost may be as little as $25Each 1-month fill can save up to $100. Not for Medicare, Medicaid or any government plan
NovoCare Pharmacy: Ozempic pill (from 1.5 mg)Self-pay, no insurance needed$149 a monthNot listed
NovoCare Pharmacy has an Ozempic pen intro covering 0.25 mg and 0.5 mg for the first 2 fillsSelf-pay, no insurance needed$199 a monthNot listed
NovoCare Pharmacy stocks Ozempic pens at 0.25 mg and 0.5 mg, as well as 1 mgSelf-pay, no insurance needed$349 a monthNot listed
NovoCare Pharmacy: Ozempic pen 2 mgSelf-pay, no insurance needed$499 a monthNot listed
TrumpRx listing (pen, starting)Self-pay only, not with insurance$199 a monthThe offer runs from November 17, 2025 through December 31, 2026
Novo Nordisk PAPHousehold income may be no more than 200% of the federal poverty levelFree if approvedIncome limit: 200% of poverty level. Not eligible: anyone with Medicare drug coverage
GoodRx: GoodRx lowest pricepill, 1.5 mg (30 tablets)$149 a monthNot listed
SingleCare: SingleCare coupon pricepen (2 mg/3 mL), each dose 0.25 mg or 0.5 mg$791.97 per penNot listed

Prices checked November 2026. Every price takes you to the page where that price comes from.

Ozempic: The Novo Nordisk Patient Assistance Program

Source: NovoCare.

Who is excluded, and what are the reasons?

  • The Ozempic savings card is not accepted by Medicare, Medicaid, TRICARE, VA or any other government plans.
  • Medicare Part D coverage prevents you from getting Ozempic through Novo Nordisk PAP.
  • Commercial insurance holders cannot receive Novo Nordisk PAP.
  • People who pay out of pocket, rather than through insurance, can use TrumpRx prices.
Ozempic patient assistance: an insurance card and a form

Sources: NovoCare, TrumpRx.

Steps for activation

  1. Answer the two questions above, or look at the table for your situation, to find which program fits you.
  2. For commercial insurance, sign up on the manufacturer's page (NovoCare) for the Ozempic Savings Offer. You receive a card number, which you give to the pharmacy with your insurance card.
  3. Without insurance, ask your prescriber to have the prescription sent to NovoCare Pharmacy (NovoCare).
  4. Apply to the patient assistance program with proof of income. Your prescriber signs part of the form.

Dates and changes to keep an eye on

Sources: Novo Nordisk pricing, NovoCare, TrumpRx, rx.costco.com.