Ozempic Assistance Programs & Grants

How to apply for Ozempic assistance

1. 1

   Step 1 — Find the applicable assistance program

   For Ozempic on Medicare in 2026 the manufacturer's patient assistance program is closed to you and no charity fund is open, so the realistic order is: confirm your Part D coverage, check Extra Help, then weigh Novo's self-pay price.

   • Confirm your Part D plan covers Ozempic for type 2 diabetes and whether prior authorization is needed.
   • Limited income and resources → Medicare Extra Help through Social Security.
   • High copay and not near the $2,100 cap → compare NovoCare Pharmacy's self-pay price ($199 for the first two fills, then $349–$499) against your plan cost.
   • Uninsured, not Medicare, income at or below 200% FPL → Novo Nordisk PAP.
   • Type 2 diabetes → sign up for TotalAssist and HealthWell diabetes-fund alerts; both were closed when checked.
2. 2

   Step 2 — Check whether applications are currently open

   Ozempic is on the Novo PAP product list and on the TotalAssist and HealthWell fund lists — but for Medicare beneficiaries the PAP is closed for Ozempic in 2026, and both diabetes funds were closed when we checked. Being listed is not the same as being open.

   • Novo Nordisk PAP: the eligibility page states the current Medicare rule; Part D patients may apply for next year after October 15, 2026.
   • TotalAssist: totalassist.org/funds shows "Open" or "Closed" for the Type 2 diabetes (T2DM) fund.
   • HealthWell: the Disease Funds page shows the Type 2 Diabetes fund status; closed funds reopen as money is replenished.
3. 3

   Step 3 — Check eligibility

   For the routes that were open:

   • Extra Help: income below about $23,940 a year (one person) or $32,460 (couple) and countable resources limited to $18,090 or $36,100 in 2026; automatic if you have Medicaid, SSI or a Medicare Savings Program.
   • NovoCare Pharmacy self-pay: a valid Ozempic prescription for an FDA-approved use; Medicare enrollees may self-pay but must not seek reimbursement or count the cost toward their plan.
   • TotalAssist (when open): government insurance covering Ozempic; income at or below 500% FPL, cost-of-living adjusted; type 2 diabetes in treatment.
   • HealthWell (when open): insurance covering part of the drug; income up to 300% FPL; provider-verified diagnosis.
4. 4

   Step 4 — Gather your information

   Have these ready so you can act quickly when a fund opens — TotalAssist applications are decided instantly, and closed funds reopen without a queue.

   • Medicare card and your Part D / Medicare Advantage drug-plan card (carrier, plan type, policy ID, group number).
   • Your Ozempic prescription: strength and dose, plus your prescriber's name, phone and address.
   • Type 2 diabetes diagnosis and the date of diagnosis if within the past 6 months.
   • Household size and annual household income, with proof (tax return, Social Security or pension statements, pay stubs).
   • Your copay or coinsurance amount for Ozempic.
   • Social Security number (TotalAssist and HealthWell both ask for it).
5. 5

   Step 5 — Complete the application

   Who fills out what:

   • Extra Help: you (or someone helping you) apply through Social Security — online, by phone at 1-800-772-1213, or in person. It is free.
   • NovoCare Pharmacy: your prescriber sends the prescription to NovoCare Pharmacy; you complete the purchase online.
   • Novo Nordisk PAP (uninsured patients): you submit the patient portion online, then your prescriber completes the provider portion.
   • TotalAssist (when open): you apply online in about 15 minutes; Patient Advocate Foundation verifies your diagnosis with your provider and verifies income automatically.
   • HealthWell (when open): you apply online or by phone; your provider verifies the diagnosis by signature.
6. 6

   Step 6 — Submit and wait for a determination

   What to expect:

   • Extra Help: Social Security notifies you by mail; if approved, your Part D plan applies the lower copays.
   • Novo Nordisk PAP: complete applications are processed within 2 business days, and approved medicine ships within about 5 business days.
   • TotalAssist: an instant decision when you submit; proof of income due within 30 days.
   • HealthWell: a decision after your provider verifies the diagnosis; assistance is issued as a pharmacy card.
7. 7

   Step 7 — If the program is closed or you don't qualify

   Do not stop at "closed":

   • Sign up for TotalAssist and HealthWell fund alerts — there is no waitlist, so being notified first matters.
   • Ask your doctor whether a covered alternative is appropriate, or request a formulary exception or tier reduction.
   • Apply for Extra Help even if you think you earn too much — the limits are higher than many people expect.
   • Use the Medicare Prescription Payment Plan to spread this year's costs over monthly payments.
   • Compare Part D plans in the fall — and note that the negotiated Ozempic price takes effect January 1, 2027.
   • Call AltaMedicare — we'll check every route above with you, free.