Cornerstones4Care™ Patient Assistance Program - Insulin Novo Nordisk

Novo Nordisk

The Cornerstones4Care™Patient Assistance Program (PAP) encompasses our goal of continued commitment to people living with diabetes and the Novo Nordisk Triple Bottom Line. The Diabetes PAP provides free medicine to those who qualify. If approved, a free 90-day supply of medicine will be sent to the prescribing healthcare providers' office to be picked up at the patient's convenience. Novo Nordisk will automatically contact the healthcare provider 90 days later to approve the medication refill. If you are a patient in need of assistance or know someone in need of assistance, follow these 3 simple steps to see if you qualify for free diabetes medication from Novo Nordisk: 1) Fill out the patient section of the application 2) Gather proof of income 3) Take application and proof of income to your doctor to complete the HealthCare Practitioner and Prescribing sections Patients and care givers can also obtain more information and access to the program by calling Cornerstones4Care™ Patient Assistance Program toll free at 866-310-7549. Patients can also obtain information by visiting the “Tools and Resources” section of If you are a healthcare professional and you want additional information about Cornerstones4Care™ Patient Assistance Program, have eligible patients who are not yet enrolled, or have patients who are enrolled and want additional information about their eligibility, please visit the "For Your Patients" section on the Physician Portal at
Contact Information
Cornerstones4Care™ Patient Assistance Program, Novo Nordisk Inc.,
PO Box 181640
Louisville, KY 40261
1-(866) 310-7549 (phone)
1-(866) 441-4190 (fax)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to PPA.
Patient must be a legal US resident and must not have or qualify for any government prescription coverage such as Medicaid, Veteran's Administration or any state or local programs (with the exception of Medicare Part D) which cover the Novo Nordisk product requested. Patient cannot have nor qualify for any private prescription coverage such as an HMO or PPO.
Other Information:
Approved patients will receive a 90-day supply of medication sent to the physician's office. A new application must be submitted with each request. Income documentation is only required annually.
Product(s) covered by program:
  • GlucaGen Hypokit
  • GlucaGen®
  • GlucaGen® Hypokit
  • Levemir®
  • Levemir® FlexPen™
  • Levemir® 10 mL vials
  • NovoFine®
  • NovoFine® Disposable Needles
  • NovoFine® Disposable Needles 30G (100/box)
  • Novolin 70/30
  • Novolin N
  • Novolin R
  • Novolin®
  • Novolin® 70/30 InnoLet™ (5x3 mL)
  • Novolin® 70/30 Vials
  • Novolin® N InnoLet™ (5x3 mL)
  • Novolin® R Vials
  • Novolin® N Vials
  • Novolin® R InnoLet™ (5x3mL)
  • NovoLog
  • NovoLog Mix® 70/30 10 mL vials
  • NovoLog®
  • NovoLog® 10 mL vials
  • NovoLog® FlexPen™ (5x3 mL)
  • NovoLog® Mix
  • NovoLog® Mix 70/30
  • NovoLog® Mix 70/30 FlexPen™ (5x3 mL)
  • Prandin®
  • Prandin® 0.5 mg
  • Prandin® 1 mg
  • Prandin® 2 mg
  • Victoza®