GLP-1 Patient Assistance Programs: A Complete Guide

Patient assistance programs (PAPs) provide free or deeply discounted brand-name medication to people who can't afford them. Both major GLP-1 manufacturers — Novo Nordisk and Eli Lilly — operate PAPs, and several nonprofit organizations can help you navigate additional assistance options.

This guide covers every major program, who qualifies, and how to apply.

Novo Nordisk Patient Assistance Program (NovoCare PAP)

Covers: Wegovy, Ozempic, Saxenda

Cost to you: Free (if approved)

Eligibility

• U.S. resident
• Uninsured, or insured but medication is not covered under your plan
• Household income at or below 400% of the Federal Poverty Level (approximately $62,400 for an individual, $128,800 for a family of four in 2026)
• Not eligible for or enrolled in Medicare, Medicaid, or other government insurance (separate programs exist for these populations)
• Valid prescription from a licensed provider

How to Apply

1. Visit NovoCare.com or call 1-888-668-6444
2. Complete the application form (can be done online or by mail)
3. Provide proof of income (tax return, pay stubs, or Social Security statement)
4. Your provider signs the prescription portion of the application
5. Submit and wait 2–4 weeks for processing

If approved, medication is shipped directly to your home or to your provider's office, typically in 90-day supplies. You'll need to reapply periodically (usually every 12 months).

Eli Lilly Patient Assistance (Lilly Cares)

Covers: Zepbound, Mounjaro

Cost to you: Free (if approved)

Eligibility

• U.S. resident
• Uninsured or underinsured (medication not covered or unaffordable under your plan)
• Household income at or below 400% FPL
• Not enrolled in Medicare Part D or Medicaid (some exceptions may apply)
• Valid prescription

How to Apply

1. Visit LillyPatientOne.com or call 1-800-545-6962
2. Download and complete the application
3. Attach income documentation
4. Have your provider complete the prescription section
5. Submit by fax, mail, or through your provider's office

Nonprofit and Independent Assistance Programs

NeedyMeds (needymeds.org)

A nonprofit that maintains the most comprehensive database of patient assistance programs in the country. Search by drug name to find all available assistance options for your specific GLP-1 medication. NeedyMeds also offers a free discount drug card that can reduce costs at retail pharmacies.

RxAssist (rxassist.org)

A database of pharmaceutical company patient assistance programs, government programs, and nonprofit assistance options. Particularly useful for finding programs that serve specific populations (veterans, seniors, people with disabilities).

Patient Access Network Foundation (PAN)

Provides financial assistance for insured patients who can't afford their copays. If your insurance covers a GLP-1 but the copay is unaffordable, PAN may cover the cost-sharing portion. Income limits typically set at 400% FPL.

State Pharmaceutical Assistance Programs (SPAPs)

Multiple states operate their own prescription assistance programs for residents who fall through the coverage gaps. States with notable programs include New York (EPIC), Pennsylvania (PACE), New Jersey (PAAD), and Connecticut (ConnPACE). Eligibility varies by state — most target seniors and people with disabilities who aren't fully covered by Medicare or Medicaid.

Application Tips That Improve Your Chances

1. Apply early. Processing takes 2–4 weeks. Don't wait until you're out of medication to submit an application.
2. Be thorough with income documentation. Incomplete applications are the most common reason for delays. Include everything requested — even if you think it's redundant.
3. Have your provider involved. Programs require a valid prescription and often a provider signature. Some providers' offices have staff dedicated to PAP applications who know the process well.
4. Reapply before expiration. Most programs approve you for 6–12 months. Set a reminder to reapply before your enrollment period ends.
5. Apply to multiple programs. You can apply to both manufacturer PAPs and independent foundations simultaneously. If one denies you, the other may approve.

If You Don't Qualify for Assistance Programs

Income limits and insurance exclusions mean not everyone qualifies for free medication. If PAPs aren't an option, compounded GLP-1 therapy through telehealth providers remains the most affordable alternative — with monthly costs starting as low as $99 for semaglutide, no insurance paperwork, and no income verification required.