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Novo Nordisk

Xultophy 100/3.6 NovoCare Coverage & PAP

No standalone commercial copay card found on the current Xultophy savings page — Novo only offers (1) an insurance coverage lookup tool, and (2) free Xultophy via the Novo PAP for uninsured / Medicare-no-LIS patients ≤400% FPL.

Instant card

What you need to enroll

Instant card — no doctor needed to enroll

Sign up on the manufacturer's site in about 2 minutes. You don't need a doctor visit to get the card itself — just bring it to your pharmacy with your prescription at fill time.

Your copay

Varies

Final cost depends on your plan and the variant you qualify for — see the details below.

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Covered medications

  • Xultophy 100/3.6 (insulin degludec + liraglutide) Pre-filled pen·5 pens × 3 mL/pen

Am I eligible?

Need a prescription?
Yes — written by a licensed prescriber for the medications below.
Insurance required?
Open to insured and uninsured patients.
State restrictions?
Available nationwide.
Income limits?
No income test.

Accepted

  • Prescribed Xultophy 100/3.6 (insulin degludec + liraglutide)
  • Insurance coverage check available for commercial OR Medicare patients
  • PAP available for uninsured OR Medicare-no-LIS patients ≤400% FPL
  • US resident, age 18+

Not accepted

  • Status of standalone commercial copay card is uncertain — confirm by calling 1-866-310-7549
  • PAP path: not for commercially-insured patients
  • PAP path: not for Medicare beneficiaries enrolled in Extra Help / LIS
  • PAP path: not for Medicaid, TRICARE, VA, DoD

How to apply

  1. Use the insurance coverage lookup at novocare.com/diabetes/products/xultophy10036.html to confirm your out-of-pocket cost
  2. If uninsured or Medicare-without-LIS at ≤400% FPL: apply to the Novo Nordisk PAP at diabetespap.novocare.com (Xultophy is covered)
  3. Contact: 1-866-310-7549 (PAP)

Using it at the pharmacy

Verify with the patient whether they have a current Xultophy savings card before processing. If not, the patient's best paths are insurance coverage support (via novocare.com lookup) or the Novo PAP (free Xultophy for income-qualified uninsured / Medicare-no-LIS patients).

Terms & limits

Fills per year
12 fills per year, per covered drug
Renewal
Renew every year
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IMPORTANT — verification gap. Our prior data showed a $30/mo commercial savings card with $400/mo cap and SaveOnXultophy10036.com enrollment. As of 2026-05-11, SaveOnXultophy10036.com no longer resolves (connection failure) and the live Xultophy savings page on novocare.com does NOT mention this card. Novo may have discontinued the standalone commercial copay card and consolidated affordability into (a) insurance coverage support and (b) the PAP. Xultophy IS still on the Novo PAP product list (PDF NNIPAP_11_01012026) for uninsured / Medicare-no-LIS at ≤400% FPL. If a commercial-insured patient wants to confirm any remaining savings card, call Novo NovoCare at 1-866-310-7549.

Be first when we launch — we'll save these matches and remind you to renew.

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