Understanding Ozempic and Its Cost
Ozempic (semaglutide) is an injectable prescription medication used to improve blood sugar levels in adults with type 2 diabetes. It belongs to a class of drugs called GLP-1 receptor agonists that work by stimulating the release of insulin when blood sugar levels are high.
Ozempic is a once-weekly injection that comes in a prefilled pen device. It was approved by the FDA in 2017 and is made by Novo Nordisk.
The cost of Ozempic can be quite high without insurance coverage. The list price for a package of 4 Ozempic pens is typically over $900. Most patients pay between $500-800 for their monthly prescription.
Reasons Why Ozempic is Expensive
There are several reasons why Ozempic is priced higher than other type 2 diabetes medications:
- It's a newer, brand-name medication still under patent exclusivity.
- The development and research costs required by the pharmaceutical company are factored into the pricing
- Ozempic is a biologic therapy, which is more complex to manufacture than small molecule drugs.
- As an injectable GLP-1 agonist, it provides proven A1C lowering ability and weight loss benefits.
Due to its high retail pricing, many patients struggle to afford their Ozempic prescription each month. Even those with health insurance may require prior authorization or have copays above their budget.
Applying for Ozempic Patient Assistance
To expand access and affordability, the maker of Ozempic - Novo Nordisk - offers a patient assistance program. The key details of the Ozempic savings program are highlighted below:
Eligibility Requirements
The Novo Nordisk Diabetes Patient Assistance Program has requirements to qualify for medication assistance:
- You must be a U.S. resident and have a valid prescription for an eligible Novo Nordisk diabetes medication like Ozempic.
- Your total household income must be at or below a specified limit - currently set at 500% of the Federal Poverty Level.
- You cannot have any government prescription drug coverage such as Medicaid, Medicare or VA benefits.
- You will need to provide documentation to validate income, prescription information, and residency if approved.
Eligible patients can receive up to a 120-day supply per calendar year. You'll need to reapply annually or when you have reached your 120-day allotment.
How to Apply
Applying to the Novo Nordisk patient assistance program involves a few key steps:
- Start your application process online or print the application form to mail in.
- Include the required documentation that verifies identity, income, prescription details and residency.
- A response with the approval decision will be sent typically within 5-7 business days.
- If approved, your authorized prescriber will receive a Saxenda Savings Card by fax to give you savings on Ozempic.
A Help Desk run by Novo Nordisk is also available by phone or email if any assistance is needed with completing the savings program application.
Covered Savings Amount
For eligible patients under the Novo Nordisk assistance program, the Saxenda Savings Card provides Ozempic for free for up to 120-days supply annually. This leads to considerable savings of up to $1200+ per year for patients struggling with affordability.
The card can be used whether you have commercial insurance or no insurance coverage. It works by covering up to a $150 per Ozempic prescription fill that would normally be owed as a copay or full cost.
Other Ways to Save on Ozempic
Along with the patient assistance program, there are a few other options that may help reduce your out-of-pocket costs for Ozempic:
Generic Semaglutide Future Availability
Once the patent expires in 2031, cheaper generic versions of semaglutide will become available in the US. This will significantly lower cost barriers to GLP-1 agonists like Ozempic for managing type 2 diabetes.
Manufacturer Copay Coupons
For commercially insured patients, the Novo Nordisk co-pay card provides up to $150 off per 28-day Ozempic prescription. There are typically no income requirements for copay coupon eligibility.
Lower-Cost GLP-1 Receptor Agonist Alternative
Another GLP-1 drug called Rybelsus is available in tablet form, unlike the injectable Ozempic. While not exactly equivalent, it can provide another affordable option for getting GLP-1 receptor agonist benefits.
Discuss these various money-saving possibilities for Ozempic treatment with your doctor and insurance carrier to identify the most suitable approach based on your health coverage situation.
Frequently Asked Questions
Is there an Ozempic savings card?
Yes, the Saxenda Savings Card allows eligible patients to obtain Ozempic from Novo Nordisk for free until they reach the maximum 120-days of medication over a calendar year. It can lower copays or full prescription costs by up to $150 per fill.
How can I get Ozempic for free?
The main avenue for getting Ozempic for free is the Novo Nordisk patient assistance program. If you meet the eligibility rules for income, residency and lacking prescription coverage, you can qualify to receive a year's supply of free Ozempic pens.
Are there any coupons for Ozempic?
The Novo Nordisk co-pay savings card acts as a reusable coupon for commercially insured Ozempic patients. It can be used to save up to $150 off per 28-day refill at the pharmacy for a total savings of $1800 per calendar year.
FAQs
What if my income exceeds the patient assistance program limit?
Those with household incomes greater than 500% of the Federal Poverty Level do not qualify for the free medication program. However, the Novo Nordisk copay card can provide some prescription savings if you have private or commercial health insurance.
Do I need to reapply every year?
Yes, the Ozempic patient assistance program requires that you reapply annually after using up your 120-day allotment or when entering a new calendar year. This ensures your situation still meets eligibility criteria.
What options are there for Medicare patients?
Unfortunately, people with Medicare Part D or Advantage coverage cannot participate. Look into Medicare-approved manufacturer discount programs or apply for Extra Help through Social Security to save on prescription drug plan costs.
Where can I find an application form?
You start your patient assistance application either online at www.novocare.com or can call 1-866-474-6683 to request a printed form be mailed out to you to complete instead.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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