The Patient Assistance Program provides medication at no cost to those who qualify. Patients who are approved for the PAP may qualify to receive free medication from Novo Nordisk.

To receive support through NPAF, applicants must submit all required documentation, including proof of income and evidence of Extra Help denial as deemed necessary. Only the patient or their legal …

Medicaid patients whose plans no longer provide coverage for our products may be eligible for single-source BHC pharmaceuticals through our Patient Assistance Program (PAP). To enroll, click on the …

You have the option to allow PAP to perform an electronic income verification to process your application. ☐ Please check here if you wish to choose this option and not send in your income …

AbbVie Patient Access Support offers the following access programs: PATIENT ASSISTANCE PROGRAM (PAP): myAbbVie Assist provides free medicine to qualifying patients. Participation in …

Now you can make enrolling easier with the new online application process: Begin online enrollment application. Are you already enrolled in our program? If yes, order your refill medication here.

Discuss PAP enrollment and submission of your application with your HCP. If you have checked all of the boxes above, you are ready to submit the form!

Nordisk’s Patient Assistance Program (collectively, “PAP”). This Personal Information aids PAP in administering PAP by: (i) processing this Application; (ii) verifying my information; (iii) identifying and/ …

I give permission to my health care practitioners, my health plan, and insurers to give health and other information about my use or need for medications provided under the PAP to third-party Novo …

To prevent delays, please include copies (front and back) of all insurance card(s). This includes primary, secondary, and prescription insurance. II have no prescription drug coverage. Eligibility for the NPAF …