Check Your Cost and Coverage
Ready to start Wegovy® but unsure if it will be covered by insurance? We understand! Below you can access a simple online tool on Novocare.com to find out if you are covered and how you may be able to save on Wegovy®.
Making sense of cost and coverage starts here
Find out if Wegovy® is covered by your insurance plan and discover what your estimated cost could be. With just a few clicks, you can
Check your insurance coverage for Wegovy®
See if you can save on Wegovy®
Access resources that may help you take the next step with Wegovy®
This assessment is based on the information that you provide and does not constitute a guarantee of coverage or co-pay amount. Call your insurance provider directly to confirm the accuracy of coverage information provided through this resource.
Get clear on coverage
Narrator: Welcome to ‘Understanding cost and coverage.’ If you’re ready to start Wegovy®, but unsure about the cost, I’m here to help!
Dealing with insurance can be a headache, especially when you’re trying to decipher confusing jargon and understand the complexities of your coverage.
Take a deep breath. We’ll figure this out together. By the end of this video, you’ll have the answers you need, or know how to get them. So, let’s get started!
You can find useful information on the Wegovy® website. Many of you might be watching this video on your phone. If you want to follow along in more detail, you can visit Wegovy.com on another device like a tablet or laptop, or open another browser window.
Now, we'll head over to the main menu. Under “cost, savings, and support,” you should see an option called "Cost and Coverage." That's exactly where we want to go!
Scroll down and click the check your Cost and Coverage button. It will take you to a website called Novocare.com. It’s a platform from Novo Nordisk®—maker of Wegovy®, where you can check your insurance coverage for Wegovy® and access a savings offer. You don't need to have your insurance card handy to use this tool.
Here, you’ll be asked some questions. Still with me? Let’s keep going!
To get started, you'll select if you're a patient or caregiver, and then move on to insurance details. After that, you’ll enter some key pieces of information including your name, date of birth, gender, and zip code. With the information you provide, we can estimate your coverage.
Once you've filled those out, go ahead and review them. If everything looks good, read the content and check the consent box at the bottom. Then, click the button underneath to continue. Here, you'll enter your health care professional's first and last name, city and state. Your health care professional is your prescribing physician, nurse practitioner or physician assistant. Once you finish filling in the fields, click the button below that says, “Look up and verify.”
Based on the answers you submitted, you’ll find out if your insurance covers Wegovy®. If it does, excellent!
If your insurance doesn't provide coverage, or is unable to provide immediate coverage details, we can share options that may help. Let’s take a closer look at the messages. If your result is covered, select to receive those results through your email. Show them to your health care professional and ask them if a Wegovy® prescription is right for you.
To help you talk to your health care professional about Wegovy® and your coverage options, we've created a downloadable guide. Download it here.
Now, let's get back to the results.
If you see this, don’t worry. It means that your health insurance company might need to approve your prescription. Your health care professional will fill out a prior authorization form and submit it to the insurance company. The insurer will look at the prior authorization to determine whether they will cover the medicine under your insurance plan. It will communicate its decision and rationale to you and/or your health care professional. Ask your health care professional to keep you in the loop about the outcome and any next steps you may need to take.
If your result is not covered, you may submit an appeal or request for coverage with the help of your health care professional. You can find a sample letter under cost and coverage by clicking here.
Lastly, you could get a message saying that your coverage result is undetermined. This isn’t unusual, it just means that we need more information. After filling out a quick online form, you should receive an email.
Now, depending on your answer, you may be wondering, “Well, what now?”
If you have commercial insurance and are covered or covered with prior authorization, talk to your health care professional about whether Wegovy® could be right for you. Keep in mind that even if you are covered for Wegovy®, you may have out of pocket costs.
The Wegovy® savings card can help lower those costs. Government insured patients cannot use any copay cards offered by the manufacturer. Follow me to the savings card page, shown here.
I know this information can be a lot to take in. So, let’s recap.
First, check your cost and coverage. If you have coverage for Wegovy®, share it with your health care professional and ask if Wegovy® is right for you.
Next, learn if you are eligible for savings to lower your out of pocket costs. For assistance, call the NovoCare® line at 888-809-3942.
Lastly, if you have any other questions about Wegovy®, talk to your health care professional.
Thank you for your interest in Wegovy®.
Remember, we're here to help. Stay tuned for more videos like this to support you or your loved one's journey on Wegovy®.
More resources for insurance coverage, cost, and savings
Contacting your insurer
The Wegovy® Insurance Guide can help you get the information you need from your provider.
Understanding your coverage
Use this guide to understand your coverage and know what questions to ask your health care professional.
![Wegovy savings card. Commercially covered pay as little as [$0] per month. Expect to pay [$499] per month if you pay cash.*](/content/dam/obesity/wegovy/phase-3/images/wegovy-savings-offers-m.png)
Save on Wegovy®
You can also learn how to save on Wegovy® by visiting the Wegovy® Savings web page.
*28-day supply equivalent to one month of treatment. Pay as little as $0 subject to a max savings of $225/month. Government beneficiaries excluded. Novo Nordisk reserves the right to modify or cancel this program at any time. See WegovyTerms.com for full terms.
From our pharmacy to your front door—NovoCare® delivers
Get direct shipping through NovoCare® Pharmacy—your reliable source for authentic Wegovy®. All doses are available for $499 per month for self pay.*
*28-day supply of Wegovy® is equivalent to 1 month of treatment. Government beneficiaries are excluded. Terms and conditions apply.
Navigating employer-provided insurance
If Wegovy® isn’t covered by your plan, you can ask your health care professional to write a letter to your human resources department to request coverage. We have a sample letter that you can use.
Looking for more information on your coverage options?
You can get more information on different types of health insurance to better understand your options.
Still have questions?
Call the Wegovy® Navigation Line at 1-833-4-WEGOVY, Monday through Friday, 9:00 am to 6:00 pm ET.
WeGoTogether® is here for you
WeGoTogether® partners with you while you’re taking Wegovy®. We’ll be by your side with a selection of free support features designed to help you reach your goals, including a Health Coach and progress-tracking tools.
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Questions?
Need assistance or information?
Call the Wegovy® Navigation Line at 1-833-4-WEGOVY (1-833-493-4689) between 9:00 AM and 6:00 PM ET, Monday–Friday.
