The Novo Nordisk Instant Savings Card
Details of Offer Including Restrictions on Eligibility and Other Limitations
Offer Details: Pay no more than $25 (maximum savings up to $100 per fill) when you start on a Novo Nordisk product and for each refill for up to 2 years. In addition, pay no more than $20 (maximum savings up to $100 per fill) for the next prescribed product and each refill for up to 2 years. Offer available for a 30-day supply of Victoza® (liraglutide) injection, Levemir® (insulin detemir [rDNA origin] injection), NovoLog® (insulin aspart [rDNA origin] injection), and NovoLog® Mix 70/30 (70% insulin aspart protamine suspension and 30% insulin aspart, [rDNA origin] injection). Offer is valid for a maximum of $100 off your co-pay for each 30-day supply of Victoza®, Levemir®, NovoLog®, and NovoLog® Mix 70/30. Offer is valid for a maximum of 24 refills per product over 2 years. Novo Nordisk reserves the right to modify or cancel this program at any time.
Restrictions & Limitations: You are not eligible if prescriptions are paid by any state or federally funded programs, including, but not limited to, Medicare, Medicaid, Medigap, VA, DOD, or TRICARE, or where prohibited by law. Offer not valid for prescriptions reimbursed in full by any third party payor. Offer limited to 1 card per patient. Offer void where taxed, restricted, or prohibited. Offer only good in the U.S.A. Eligibility is restricted to individuals; no clubs, groups, or organizations. This savings card is not transferable and is not insurance. When you use the Novo Nordisk Instant Savings Card, you are certifying that you understand the program rules, terms, and conditions and that you will comply with them.
Offer excludes full cash-paying customers. Patients must be enrolled in a commercial insurance plan.
Needle Offer: Get 1 free box of Novo Nordisk needles when you activate your Instant Savings Card and enroll in the program. Limit 1 box of needles per person. The Restrictions & Limitations apply to the Needle Offer. Needles are sold separately and may require a prescription in some states. Needles must not be shared. Novo Nordisk reserves the right to modify or cancel this program at any time.
How to use the Novo Nordisk Instant Savings Card: You must present the card to the pharmacist along with your prescription to participate in this program. You are not eligible for these savings offers if prescriptions are paid by any state or federally funded programs, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, or TRICARE, or where prohibited by law. Each time you use this card, you are certifying that you understand the program rules, terms, and conditions and that you will comply with them. Please deduct the amount of the discount from any claim for reimbursement submitted to your insurance company or plan. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the Novo Nordisk Instant Savings Card Program at 1-855-292-5966 (8:00 AM-8:00 PM ET, Monday-Friday).
To activate your card, call 1-855-292-5966 or visit www.novonordisksavingscard.com.