Ozempic coupon: Novo Nordisk’s $25 savings offer explained

The Ozempic coupon is Novo Nordisk’s own Ozempic Savings Offer. If your commercial insurance covers Ozempic, it can bring a fill down to $25, with savings capped at $100 a month. If your plan doesn’t cover it, or you have no insurance, Novo’s self-pay offer sets the price instead: $349 a month for the pen from 0.25 mg to 1 mg, $499 at 2 mg, and $199 for a new patient’s first two fills. Medicare and other government plan members can’t use the $25 offer.

Everything below comes from Novo Nordisk’s offer terms, NovoCare and Ozempic pages, read on October 27, 2026. Where the wording matters, we quote Novo’s terms directly. Novo says it can change or cancel these offers at any time.

Which Ozempic offer fits you

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The $25 savings offer: Novo’s terms

For the pen, Novo’s terms say patients “with commercial insurance who have coverage for OZEMPIC (semaglutide) injection 0.5 mg, 1 mg, or 2 mg” can pay as little as $25, “subject to a maximum savings of $100 per 1-month prescription, $200 per 2-month prescription, or $300 per 3-month prescription. Month is defined as 28 days.” The tablets get the same caps, with a month defined as 30 days.

To qualify, the terms say:

• You need an approved use. “Patients may only participate in this program if they have been prescribed Ozempic for an FDA-approved indication within Ozempic’s labeling.” The Ozempic label approves it to improve blood sugar in adults with type 2 diabetes and to lower heart and kidney risks in adults who have it.
• You can’t be on a government plan. “Patient is not eligible if he/she is enrolled in any federal or state health care program with prescription drug coverage, such as Medicaid, Medicare, VA, DOD, TRICARE, or any similar federal or state health care program.”
• Some plans don’t count as government plans. Novo’s terms say the Federal Employees Health Benefits Program, Affordable Care Act marketplace plans and state employee plans “are NOT federal or state government health care programs for purposes of this savings offer.” If you’re on one of those, you can use it.

The offer is one per person, valid in the US and its territories, and in Massachusetts depends on state law when you fill. Prescriptions filled before you enroll can’t be reimbursed. Novo says an activation is valid for up to 48 months from enrollment.

How the $100 cap works

You pay as little as $25, but the offer pays at most $100 toward a 1-month fill, $200 toward 2 months and $300 toward 3 months. A 3-month fill at $25 needs a prescription written and dispensed for 3 months, and a plan that covers 3-month fills. So:

• If your share for a month is $125 or less, you pay $25.
• If your share is $300 a month, the offer pays $100 and you pay $200.

Ask your plan what you’d owe, including before your deductible is met, before you count on $25.

Plans that can block it

Novo’s terms name two plan designs: accumulator programs, where manufacturer savings don’t count toward your deductible, and maximizer programs, which set your share based on the offer. “If your insurer has implemented these types of programs, you will not be eligible for and agree not to use this savings program,” the terms say, and Novo may cut or end your savings. Plans in an alternate funding program, which tie coverage to manufacturer help, are also excluded.

How to get the Ozempic savings card

1. Check whether your plan covers Ozempic. Novo says coverage depends on your plan’s formulary, the FDA-approved use, and any prior authorization or step therapy rules.
2. Get the offer by texting BEGIN to 21848 or filling in Novo’s savings offer form, which asks how your type 2 diabetes is being treated.
3. Show it at a participating pharmacy. The pharmacy bills your insurance first and sends the rest to the offer.
4. If you use a mail-order pharmacy, or your pharmacy can’t process it, mail Novo’s reimbursement form with your original receipt within 180 days of the fill. Novo says to allow 6 to 8 weeks.

The self-pay offer if Ozempic isn’t covered

Novo’s self-pay offer is “for patients with insurance that does not cover Ozempic, or those that are self-paying/opting to process outside of their insurance plan.” Prices, from Novo’s price guide and terms:

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A new patient is someone who “has not participated in any other prior Ozempic savings offers in the past 365 days.” The $199 price covers the first two monthly fills only, and the prescription must be filled by December 31, 2026. A month of the pen is one box of 1 pen; a month of tablets is one 30-tablet bottle. You can use the offer through NovoCare home delivery, which Novo says is free, or at a local pharmacy.

Self-pay purchases sit outside insurance. You agree not to seek reimbursement from any insurer and not to count the cost toward a deductible or out-of-pocket limit. Our Ozempic cost guide works out what a year costs.

Discount cards vs Novo’s offers

Pharmacy discount cards and coupon sites are not Novo’s offers, and Novo’s terms keep them apart:

• “Cash Discount Cards and other non-insurance plans are not valid as primary insurance under this offer.”
• The offer “cannot be combined with any other coupon, self-pay discount, certificate, voucher, or similar offer,” except Novo’s own automatic eVoucher at participating pharmacies.

So you use one price per fill. With coverage, the $25 offer is usually the lowest. Without coverage, compare any discount card quote with Novo’s $349 self-pay price at the counter and pick the lower one. For reference, Novo lists Ozempic at $1,027.51 per pen before any discount (Novo Nordisk).

Medicare, Medicaid and other government plans

Novo says “most Medicare Part D plans cover Ozempic,” with costs that vary by plan, and that Part D enrollees can’t use the $25 offer or get Ozempic through its Patient Assistance Program. They “are also eligible for self-pay options,” as long as they don’t ask Medicare to pay them back (Novo Nordisk). Novo points them to the Medicare Prescription Payment Plan to spread out costs.

From January 1, 2027, Medicare’s negotiated price for Ozempic, Rybelsus and Wegovy is $274 for a 30-day supply, against a 2024 list price of $959 (CMS). That is the price plans and pharmacies work from, not your copay. The $50 Medicare GLP-1 Bridge doesn’t list Ozempic and sends anyone with type 2 diabetes to their regular Part D plan.

Medicaid members can’t use the $25 offer either. Novo’s Patient Assistance Program provides free diabetes medicine to people who qualify. Our Medicare guide and guide to whether insurance covers GLP-1s go further.

If you want Ozempic for weight loss

Ozempic has no weight-management approval, so prescribing it for weight loss alone is off-label, and its savings offer requires an approved use. Wegovy is the semaglutide approved for weight loss, and NovoCare lists its own offers: as little as $25 with commercial coverage, capped at $100 a month, or self-pay at $199 for a new patient’s first two fills and then $349 a month from 0.25 mg to 2.4 mg ($399 for Wegovy HD 7.2 mg). The Wegovy pill is $149 to $299 a month self-pay. Our Wegovy coupon guide has those terms, and Wegovy vs Ozempic explains how the two differ.

Both carry a boxed warning: in rodents, semaglutide caused thyroid C-cell tumors, and it is unknown whether it causes them, including medullary thyroid carcinoma (MTC), in people. Neither is for anyone with a personal or family history of MTC or with MEN 2. Our semaglutide provider rankings and insurance rankings list programs that prescribe Ozempic and Wegovy.

The bottom line

The real Ozempic coupon is Novo Nordisk’s Ozempic Savings Offer: with commercial coverage and a type 2 diabetes prescription, as little as $25 a fill, up to $100 off a month. Without coverage, Novo’s self-pay offer prices the pen at $349 a month to 1 mg and $499 at 2 mg, with $199 for a new patient’s first two fills through December 31, 2026. Medicare and other government plan members can’t use the $25 offer, and discount cards can’t be stacked on it. Check your plan first, then ask a licensed clinician which medicine fits your diagnosis. To compare with Lilly’s offers, read our Mounjaro coupon guide, or start from the weight-loss hub.