This limited program provides hemophilia therapy to qualifying patientsf during a coverage gap. Contact a NovoSecure™ Specialist by calling 1-844-NOVOSEC (1-844-668-6732).
PRODUCT SUPPORT FOR PATIENTS

Novo Nordisk offers services through NovoSecure™, a support program designed to assist your patients throughout the reimbursement process.


PRODUCT SUPPORT FOR PATIENTS

Novo Nordisk offers services through NovoSecure™, a support program designed to assist your patients throughout the reimbursement process.


INSURANCE COORDINATION


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QuickCheck™
QuickCheck™ offers benefits verification. Download the form, then fax to NovoSecure™ at 1-866-488-6576 or email to mynovosecurespecialist@mynovosecure.com. Generally, a Summary of Benefits will be provided within 4 hours.a

Prior Authorizations
NovoSecure™ helps determine whether insurance providers require prior authorizations and what you will need to submit one.
Appeals
If initial insurance claims are denied, NovoSecure™ can assist physicians and qualifying patients through the appeal process.b
aAvailable from 9:00 am to 4:00 pm ET.
bAppeal support is available only for commercially insured patients with an FDA-approved Novo Nordisk product indication. Patients who participate in any government, state, or federally funded medical or prescription benefit programs, including Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, including patients who participate in a managed Medicaid program or have Medicaid as secondary insurance, are not eligible for appeal support.
PRODUCT ASSISTANCE


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Co-pay Assistance Program
Your qualifying patients can get help with co-pay costs for Rebinyn®.c
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Product Assistance Program
Qualifying patients can apply for the Product Assistance Program by downloading and completing the form, or call 1-844-NOVOSEC (1-844-668-6732) for more information.d
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Trial Prescription Program
Qualifying patients can receive a trial prescription for 1 month of Rebinyn®.e
cNovo Nordisk Hemophilia and Rare Bleeding Disorders Copay/Coinsurance Terms and Conditions:
Enrolled patients are eligible for up to $12,000 in co-pay/coinsurance assistance per calendar year for each NNI hemophilia or rare bleeding disorder product. Assistance is retroactive to 60 days. Patients must be commercially insured and may not be participating in any government, state, or federally funded medical or prescription benefit programs, including Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, including patients who participate in a managed Medicaid program or have Medicaid as secondary insurance. Uninsured, cash-paying patients are not eligible to participate. Patients are eligible to receive co-pay/coinsurance assistance on an annual basis (12 months). Offer good only in the USA, Puerto Rico, Guam, Saipan, and Virgin Islands with participating pharmacies and cannot be redeemed at government-subsidized clinics. Void where taxed, restricted, or prohibited by law. Absent a change in Massachusetts law, effective July 1, 2019, the Savings Card will no longer be valid for residents of Massachusetts. Patient is responsible for complying with any insurance carrier co-payment disclosure requirements, including disclosing any savings received from this program. Re-confirmation of information may be requested periodically to ensure accuracy of data and compliance with terms. This is not an insurance program. Novo Nordisk reserves the right to rescind, revoke, or amend this offer without notice at any time. Non-medication expenses, such as ancillary supplies or administration-related costs, are not eligible. Must have a current prescription for an FDA-approved indication.
dThe Novo Nordisk Patient Assistance Program (PAP) is administered by NovoSecure™. To qualify for the PAP, patients must demonstrate financial need and must have attempted to find alternative reimbursement. Several factors are considered in evaluating financial need, including cost of living, size of household, and burden of total medical expenses. If the applicant qualifies under the PAP guidelines, a limited supply of the requested medication(s) will be shipped to the patient. Patients who qualify for PAP may be eligible to receive the prescribed Novo Nordisk product, for up to 1 year from the approval date. Product limits vary.
ePatients who have been prescribed a Novo Nordisk hemophilia and rare bleeding disorder product for an FDA-approved indication, and who have commercial insurance, may be eligible to receive a limited supply of free product. Patients who participate in any government, state, or federally funded medical or prescription benefit program, including Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, including patients who participate in a managed Medicaid program or have Medicaid as secondary insurance, are not eligible to receive product support. Product is provided at no cost to the patient or the HCP, is not contingent on any product purchase, and the patient and HCP must not: (1) bill any third party for the free product, or (2) resell the free product.

Interim Product Program
fPatients who have been prescribed a Novo Nordisk hemophilia and rare bleeding disorder product for an FDA-approved indication, and who have commercial insurance, may be eligible to receive a limited supply of free product. Patients who participate in any government, state, or federally funded medical or prescription benefit programs, including Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, including patients who participate in a managed Medicaid program or have Medicaid as secondary insurance, are not eligible to receive product support. Product is provided at no cost to the patient or the HCP, is not contingent on any product purchase, and the patient and HCP must not: (1) bill any third party for the free product, or (2) resell the free product.


A NOVOSECURE™ SPECIALIST
When therapy begins, NovoSecure™ assigns a NovoSecure™ Specialist to assist with reimbursement support, including benefits investigations and insurance coordination.
Call 1-844-NOVO-SEC (1-844-668-6732) to speak with a NovoSecure™ Specialist.
GET TO KNOW NOVOSECURE™



Novo Nordisk offers services through NovoSecure™, a support program designed to assist your patients throughout the reimbursement process.
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NovoSecure™ Site
Access the product support programs Novo Nordisk offers for qualified patients through NovoSecure™.
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NovoSecure™ Overview Guide
This guide provides HCPs with an overview of NovoSecure™, a support program designed to assist your patients throughout the reimbursement process.
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