Ozempic Savings Card and Coupons: Which One You Qualify For
The Ozempic "coupon" is really three programs: a $25/month copay card for commercially insured patients (capped at $100 in savings), a $199–$499/month self-pay price, and a free-medicine Patient Assistance Program for uninsured low-income patients. Which one applies depends on your insurance.
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What people call an “Ozempic coupon” is actually three separate things, and the one that applies depends entirely on insurance status. If you have commercial or private insurance that covers Ozempic, the Novo Nordisk savings card lets you pay as little as $25 per month, subject to a maximum savings of $100 per month [1][2][5]. If you are uninsured, your plan does not cover the drug, or you choose to process the prescription outside insurance, the self-pay offer sets flat monthly prices: $199 for your first two fills as a new patient, then $349 (or $499 for the 2 mg pen) [1][7][11]. If you have no insurance and your total household income is at or below 200% of the federal poverty level, the Novo Nordisk Patient Assistance Program provides Ozempic free [9]. Medicare beneficiaries with Part D prescription coverage are no longer eligible to receive Ozempic through that program in 2026, because most Part D plans cover the drug [9][10].
GoodRx and TrumpRx coupons do not create separate prices; they deliver the same Novo Nordisk self-pay terms — the same $199 introductory and $349 standard prices — through their own channels [3][7][12]. TrumpRx’s own page tells insured patients to check their copay first, as it may be lower [7][8].
Which Ozempic discount applies to my situation?
| Your situation | Program that applies | What you pay |
|---|---|---|
| Commercial insurance that covers Ozempic | Novo Nordisk savings card | As little as $25/month, max savings $100/month [1] |
| Uninsured, or plan does not cover the drug | Self-pay offer (NovoCare, GoodRx, TrumpRx) | $199 first 2 fills (new patients), then $349; $499 for 2 mg pen [1][7][11] |
| No insurance, income at or below 200% of the federal poverty level | Patient Assistance Program | Free Ozempic, no fees [9] |
| Medicare, Medicaid, TRICARE, VA, or any government program | Copay card excluded; self-pay price available | $199/$349/$499 self-pay terms [2][7] |
The Patient Assistance Program’s general Medicare eligibility applies to Novo Nordisk’s other products, such as its insulins; for Ozempic, Medicare beneficiaries with Part D coverage are excluded as of 2026 [9][10].
How much does the Ozempic savings card save with commercial insurance?
With commercial insurance that covers Ozempic, the card lets you pay as little as $25 per month for all doses, for both the Ozempic pen and the Ozempic pill, subject to a maximum savings of $100 per month [1]. One month is defined as 1 box of 1 Ozempic pen, or 1 bottle of 30 Ozempic tablets [1]. Copay pricing is only available for local pharmacy pickup with a savings offer, not home delivery [1]. NovoCare Pharmacy lists the same $25 per month for Ozempic with insurance, for up to 3 months [11].
A November 2025 press release described the Wegovy card as $0 per month for qualifying commercially insured patients [6], but current Novo Nordisk terms for both drugs say $25 per month, subject to the $100 monthly savings cap [1][2][5].
Why does the $100 cap mean many people pay more than $25?
The card covers at most $100 of the copay each month [1][5]. The $25 result only happens when the plan’s copay is $125 or less — arithmetic from the stated terms, not a published figure: $125 minus $100 leaves $25. A higher copay means the card stops at $100 and the rest is the patient’s.
The Wegovy card works the same way, but its caps scale with the prescription: maximum savings of $100 per 1-month, $200 per 2-month, or $300 per 3-month prescription [4][3]. Ozempic’s list price is $1,027.51 per pen and Wegovy’s is $1,349.02 per package [7][3][8][4] — manufacturer list prices before discounts or rebates, which most people do not pay [4].
Who is eligible for the copay card, and who is excluded?
The offer requires users to be 18 or older, residents of the US or a US territory (Puerto Rico, Guam, the US Virgin Islands, the Northern Mariana Islands, or American Samoa), with a valid prescription [2][4][7]. The $25 copay offer requires commercial or private drug insurance [3][4].
Excluded are people enrolled in Medicare, Medicare Part D, Medicare Advantage, Medigap, Medicaid, TRICARE, VA, DoD, or any state or federal healthcare program [2][4][3]. A person with both commercial and government coverage counts as government-insured for this offer [2]. Federal Employees Health Benefits (FEHB) plans, ACA exchange plans, and state employee plans are not counted as government programs [2].
For Wegovy specifically, availability in Massachusetts depends on state law [4], and the enrollment form lets an adult parent or caregiver request the offer for a patient aged 12 to 17 (Wegovy pen only) [2].
What can Medicare and government beneficiaries do instead?
Government-program enrollees cannot use the $25 copay offer, but they can pay the self-pay price, which is processed outside of insurance [2]. Self-pay purchases do not count toward the deductible or out-of-pocket maximum and cannot be submitted for reimbursement [2][7].
Most Medicare Part D plans cover Ozempic, according to Novo Nordisk [9][10]. Medicare plans are prohibited by law from covering drugs taken solely for weight loss, though Wegovy taken to reduce cardiovascular risk may be covered [3]. Part D enrollees can also spread prescription costs across the plan year through the Medicare Prescription Payment Plan [9].
How do I sign up and use the card at the pharmacy?
For Wegovy, the offer can be requested by texting SAVE to 83757 or completing the online form on NovoCare; it arrives by email [2]. For Ozempic and Wegovy self-pay savings, registration is available directly through ozempic.com or wegovy.com, for use at more than 70,000 pharmacies [6]. The enrollment form asks for name, email, date of birth, and zip code [2]. The savings program support line is 1-888-793-1218, Monday through Friday, 9 AM to 6 PM ET [3][4].
TrumpRx works differently: the user selects the strength and number of prior fills, accepts the terms, and receives a coupon with BIN, PCN, Group, and Member ID fields to present at the pharmacy [7].
What does Ozempic cost without insurance?
The self-pay prices apply to people without insurance, with commercial insurance that does not cover the drug, or anyone choosing to process outside insurance [1][4][5].
| Ozempic product | Dose | Price per month |
|---|---|---|
| Pen (new patients, first 2 fills) | 0.25 mg or 0.5 mg | $199 [1][7][11] |
| Pen (standard) | 0.25 mg, 0.5 mg, 1 mg | $349 [1][7][11] |
| Pen (standard) | 2 mg | $499 [1][7][11] |
| Pill | 1.5 mg | $149 [1] |
| Pill | 4 mg | $199 [1] |
| Pill | 9 mg | $299 [1] |
The $199 introductory price is for new patients only — those new to the Ozempic Savings Offer or NovoCare Pharmacy — and covers two monthly fills through December 31, 2026 [1][7][11]. The offer began November 17, 2025, the same day the standard pen price dropped from $499 to $349, while the 2 mg pen stayed at $499 [6][12]. The November 2025 announcements gave March 31, 2026 as the end date [6][12], but current Novo Nordisk and TrumpRx materials say December 31, 2026 [1][7]. Novo Nordisk reserves the right to modify or cancel the programs at any time [1][5].
For comparison, Wegovy self-pay runs $199 per month for the first two fills of 0.25 mg or 0.5 mg (new patients, through December 31, 2026), then $349 per month for 0.25 mg through 2.4 mg; the Wegovy HD 7.2 mg pen is $399 [5][11]. Wegovy pills run $149 (1.5 mg), $199 (4 mg), and $299 (9 mg and 25 mg) [5][11], and the pill became available in January 2026 [3].
Where can the self-pay price be filled?
The self-pay price is available through several channels: registration at wegovy.com or ozempic.com for use at more than 70,000 pharmacies; NovoCare Pharmacy home delivery or pickup at more than 9,000 CVS locations; and participating organizations including Costco, GoodRx, WeightWatchers, Ro, LifeMD, and eMed [6]. NovoCare Pharmacy requires no insurance, offers free home delivery, and dispenses through CoAssist Pharmacy [11].
One difference between channels: local pharmacy pickup requires a savings offer, while home delivery does not [1][5]. GoodRx’s $199 introductory price applies to first-time GoodRx users for Ozempic or Wegovy, for the first two fills, then $349 [3][12]. GoodRx’s separate Weight Loss telehealth subscription costs $39 per month through January 2026 and $119 per month from February 1, 2026, with medication priced separately [12].
How does TrumpRx work for Ozempic?
The TrumpRx.gov Ozempic pen page shows an original price of $1,027.51 and advertises savings of 51% to 81% off [7]; its Wegovy pill page shows $1,349.02 and savings of 78% to 89% off [8]. The coupon is widely supported at retail pharmacies that dispense Ozempic [7].
The TrumpRx terms are the Novo Nordisk self-pay terms: $199 for the first two fills of 0.25 mg or 0.5 mg between November 17, 2025 and December 31, 2026, then $349 per month (or $499 for the 2 mg pen) [7]. The offer is self-pay only, for people 18 or older who are US residents with a valid prescription, and government beneficiaries agree not to seek reimbursement or count the purchase toward a deductible [7][8].
Can I get Ozempic free through the Patient Assistance Program?
The Novo Nordisk Patient Assistance Program (PAP) provides medicine at no cost to those who qualify, with no registration charge or monthly fee [9]. For 2026, general eligibility requires US citizenship or legal residency, Medicare or no insurance (commercial or private insurance makes a patient ineligible), and not being enrolled in or eligible for Medicaid, Medicare Extra Help (LIS), or VA benefits, with a denial letter required if eligible [9][10].
For Ozempic, the free-medicine route is now limited to uninsured patients with total household income at or below 200% of the federal poverty level [9][10]. These are 2026 rules that Novo Nordisk can change; the program sets a 400% threshold for its other products and requires Medicare insulin patients below 150% of the poverty level to show an Extra Help denial [9][10]. Medicare beneficiaries with Part D coverage are no longer eligible for Ozempic through the PAP — Novo Nordisk cited 98% of Medicare beneficiaries having access to the drug [9][10]. Rybelsus 7 mg and 14 mg and unbranded insulins were also removed for 2026 [10], and Part D patients no longer need to spend $1,000 out of pocket before applying [9].
How does the PAP application work, and how long does it take?
The application is online only, at diabetespap.novocare.com, and requires an email address for the provider’s office [9]. Documents that may be needed include an LIS denial letter (Medicare patients), a state Medicaid denial letter (uninsured patients), photo ID for residents of Maine or Minnesota, and proof of income for patients who did not file taxes [9].
Complete applications are processed within 2 business days, and approved patients receive medicine at home within 5 business days of approval [9]. Delivery is handled by Neovance Specialty Pharmacy at 1-800-488-5908, shipping is free, and the program cannot ship to a local pharmacy [9]. Uninsured patients are enrolled for 12 months and Medicare patients through the end of the calendar year; reapplication is allowed 30 days before enrollment ends, and Part D patients apply after October 15 for the following year [9]. Refills are not automatic — the pharmacy contacts the patient [9]. Questions go to 1-866-310-7549 [9].
What mistakes cost people money?
The costliest mistake is using a cash coupon when insurance is cheaper. TrumpRx tells insured patients to check their copay first, because it may be lower [7][8].
The second is expecting self-pay purchases to count toward a deductible. The terms state that the buyer cannot seek reimbursement, cannot count the cost toward the deductible or out-of-pocket limit, and must tell the insurer the purchase was made outside the plan if asked [2][7][8]. The purchase is also not conditioned on future purchases billable to government programs [2][7].
For context, Wegovy without coverage costs about $16,200 per year at list pricing [3]. Some Blue Cross Blue Shield plans are excluding Wegovy in 2026, while Cigna covers it with criteria [3]. Wegovy is among 15 drugs selected for Medicare Part D price negotiation in 2025, with negotiated prices effective in 2027 [3].
Sources
- NovoCare. Ozempic pill and pen price guide.
- NovoCare. Savings Offer Program for Wegovy (semaglutide).
- GoodRx. How Much Does Wegovy (Semaglutide) Cost Without Insurance?
- Drugs.com. Wegovy coupon card: Do I qualify and how much can I save? April 1, 2026.
- NovoCare. Wegovy price guide.
- PR Newswire. Novo Nordisk launches introductory self-pay offer for Wegovy and Ozempic for $199 per month. November 17, 2025.
- TrumpRx. Ozempic Pen on TrumpRx.
- TrumpRx. Wegovy Pill on TrumpRx.
- NovoCare. Novo Nordisk Patient Assistance Program (PAP).
- 340B Price Guide. Novo Nordisk Changes Patient Assistance Program (PAP) 2026.
- NovoCare. Get Your GLP-1 Medications Delivered with NovoCare Pharmacy.
- GoodRx. GoodRx Launches New $39 Per Month Weight Loss Telemedicine Subscription, Unveils Industry-Leading Introductory Cash Price of $199 Per Month for Ozempic and Wegovy. November 17, 2025.
Frequently asked questions
Can the Ozempic savings card be used with Medicare or Medicare Advantage?
No. The copay offer excludes people enrolled in Medicare, Medicare Part D, Medicare Advantage, Medigap, Medicaid, TRICARE, VA, DoD, or any state or federal program. Government-program enrollees who use the savings program may instead pay the self-pay price, which is processed outside insurance and cannot count toward a deductible.
Does the savings card work for the Ozempic pill as well as the pen?
Yes. The $25 per month copay offer covers all doses of both the Ozempic pen and the Ozempic pill, subject to the same maximum savings of $100 per month. One month is defined as 1 box of 1 Ozempic pen or 1 bottle of 30 Ozempic tablets.
Is the $199 Ozempic price available to people who already take Ozempic?
No. The $199 introductory price is limited to patients new to the Ozempic Savings Offer or NovoCare Pharmacy, for the first two monthly fills of the 0.25 mg or 0.5 mg pen. After that, the standard self-pay price is $349 per month for 0.25 mg, 0.5 mg, or 1 mg, and $499 for the 2 mg pen.
When does the $199 introductory offer end?
Current Novo Nordisk and TrumpRx materials say the introductory offer runs for two monthly fills through December 31, 2026. The November 2025 announcements originally gave March 31, 2026 as the end date, but the later materials supersede it. Novo Nordisk can modify or cancel the program at any time.
Is TrumpRx cheaper than GoodRx or NovoCare for Ozempic?
No. TrumpRx delivers the same Novo Nordisk self-pay terms: $199 for the first two fills of the lowest pen doses, then $349 per month, or $499 for the 2 mg pen. GoodRx offers the same $199 introductory price to first-time GoodRx users, then $349. The difference is the channel, not the price.
Does Ozempic bought with a self-pay coupon count toward a deductible?
No. The self-pay terms state the money spent cannot count toward an insurance deductible or out-of-pocket limit, cannot be submitted for reimbursement, and the buyer is required to tell the insurer the purchase was made outside the plan if asked.
Does the Patient Assistance Program cover Wegovy or only Ozempic?
The Novo Nordisk PAP page describes eligibility for the Ozempic pen (0.5 mg, 1 mg, or 2 mg) and its insulins, and points to a separate product-list PDF for the full list of covered medicines. Questions about which medicines are covered can be directed to the program line at 1-866-310-7549.
How long does Patient Assistance Program approval take?
Complete applications with all supporting documents are processed within 2 business days. Once approved, medicine is shipped to the home within 5 business days, with Neovance Specialty Pharmacy calling at 1-800-488-5908 to schedule delivery. Missing or incomplete information can cause delays.
This article summarizes FDA labeling, published research and company information current as of September 14, 2026. It is not medical advice and does not replace a conversation with your own healthcare provider. How we research and verify.