The Ozempic savings card is Novo Nordisk's copay offer for Ozempic, the brand-name semaglutide pen and pill for type 2 diabetes. It lowers what you pay on top of a commercial plan that already covers Ozempic[2]. It does not replace coverage, and it does not reach government drug plans[2].
The headline on the Ozempic site reads “pay as little as $25” for any dose of the pen or pill[1]. The full terms add the conditions that decide whether you get there[2]. Prices without any coverage are in the Ozempic cost guide.
| Your drug coverage | Card? | You pay |
|---|---|---|
| Commercial plan that covers Ozempic | Yes | From $25; up to $100 off a month |
| Commercial plan that does not cover Ozempic | No | The self-pay price |
| No insurance | No | The self-pay price |
| Medicare, Medicaid, VA, DoD or TRICARE | No | Your plan's cost, or self-pay |
| Federal employee, marketplace or state employee plan | Yes | As a commercial plan |
The $25 floor and the $100 ceiling
Two numbers set the card. The floor is $25[2]. The cap on savings is $100 for a 1-month prescription, $200 for two months and $300 for three[2].
A month is 28 days for the pen, which is one box of one pen[2]. For the pill it is 30 days, one bottle of 30 tablets[2].
- Plan copay $6025 dollars
- Plan copay $12525 dollars
- Plan copay $250150 dollars
- Plan copay $500400 dollars
Up to a $125 monthly copay, the card closes the gap to $25. Past that point it simply takes $100 off. A $500 deductible charge becomes $400, not $25.
A 3-month fill can also cost $25 in total[1]. The prescription must be written and dispensed for 3 months, and the plan must cover a 3-month fill[2]. With a $300 cap, that works up to a $325 copay for the three months.
The prescription has to match the label
The terms allow the offer only when Ozempic is prescribed for an FDA-approved indication within its labeling[2]. The label lists three uses[3]. Each is for adults with type 2 diabetes: blood sugar control, and lowering cardiovascular and kidney risk[3].
So a prescription written for weight loss alone falls outside the offer’s terms. The semaglutide brand approved for weight is Wegovy, which has its own card, set out in Wegovy savings card. The compounded route is on the semaglutide price board.
Who cannot use it
You are not eligible if you are enrolled in any federal or state program with prescription drug coverage[2]. The terms name Medicaid, Medicare, VA, DoD and TRICARE[2]. Federal employee plans, marketplace plans and state employee plans do not count as government programs here[2].
That line traces to federal law. The HHS Office of Inspector General says a copay coupon on a drug a federal program may pay for implicates the anti-kickback statute[4]. It notes coupons typically state that federal program beneficiaries may not use them[4].
Medicare Part D enrollees cannot use the $25 offer[1]. The Ozempic site says they are eligible for self-pay options[1]. A self-pay purchase cannot be claimed from the plan or counted toward a deductible or out-of-pocket limit[2]. Part D coverage is worked through in does Medicare cover Ozempic.
How to get the card
NovoCare takes requests by text or by an online form[5]. The offer you receive has a 10-digit group number and an 11-digit ID, which activate it[5]. The form asks whether your pharmacy may share health data with the maker. You do not need to agree to get the offer[5].
Step 1
Confirm coverage
Ask your plan whether Ozempic is on its formulary and whether a prior authorization applies.
Step 2
Request the offer
Text to enroll or use the NovoCare form; the offer carries a 10-digit group number and an 11-digit ID.
Step 3
Fill at the pharmacy
The pharmacy bills your plan first, then the card as secondary payer.
Step 4
Mail order instead
Send the reimbursement form within 180 days of the fill.
Mail-order fills are paid back by claim, sent within 180 days of the fill[2]. Anything filled before you enrolled is not reimbursed[2]. The terms must be met each time the card is used, and the maker may change or end the offer at any time[2].
If your plan does not cover Ozempic
The card cannot lower a copay that does not exist. The program instead offers self-pay prices outside insurance[2]. The pen is $349 a month at 0.25 mg, 0.5 mg or 1 mg, and $499 at 2 mg[2]. The pill runs from $149 at 1.5 mg to $299 at 9 mg[2].
New patients pay $199 a month for their first 2 pen fills at 0.25 mg or 0.5 mg, through the end of 2026[2]. The self-pay offer cannot be combined with the copay card[2]. Paying from a health account is covered in can you use an HSA for peptides.
Before you enroll
- Is the prescription for type 2 diabetes, and does your plan cover Ozempic?
- What is your copay for one month before any coupon, and is a deductible due first?
- Does your plan run an accumulator, maximizer or alternate funding program?
- Is a 3-month fill covered, so the $25 floor applies to 3 months at once?
Plan coverage rules in general are in does insurance cover Ozempic.