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Annual Adjusted Gross Income Limit Medication Groups1 Person Household*5 Person Household* Group 2 Medications 1 Person Household*: $62,600 5 Person Household*: $150,600 Group 3 4 Medications 1 Person Household*: $78,250 5 Person Household*: $188,2501 more row
For Novo Nordisk product inquiries: 1-800-727-6500. For information about our diabetes Patient Assistance Program: 1-866-310-7549 Monday-Friday, 8 AM - 8 PM ET.
Ozempic offers a variety of support programs to help you manage your type 2 diabetes. Novo Nordisk provides patient assistance for those who qualify. Call 1-866-310-7549 or visit our Let Us Help page to learn more about Novo Nordisk assistance programs.
Reorders can be requested by completing and submitting the Refill Request Form below or by calling Novo Nordisk toll-free at 1-866-310-7549. Patients can renew each year for as long as they qualify. For uninsured patients, an approved application is valid for 12 months.
How do I check the status of my Lilly cares application? I may call Lilly Cares at 1-800-545- 6962 for this information.
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Have a total household income at or below 400% of the federal poverty level. Must be uninsured, or have Medicare. Note: if you have private or commercial insurance, you are not eligible for the PAP.

lilly cares re enrollment form pdf