Your patient's plan covers this medication, but we can't tell if there are additional plan requirements. In order for us to confirm plan requirements, we will need some more information. Please complete this form and fax it to 844-667-3475. 

NovoCare^® integrates CoverMyMeds^® support services and online submission capabilities, so you or your office staff can submit PAs right from here.

NovoCare^® integrates CoverMyMeds^® support services and online submission capabilities, so you or your office staff can submit PAs right from here. If your patient has already met the step therapy requirements, start the PA.

Since your patient is not covered for Saxenda^®, do not start the prior authorization process. Instead, talk to your patient about contacting the benefits manager in his or her Human Resources department. You can provide your patient with a coverage request letter to assist with the process. Download a sample letter that can be used as a guide.

With the Saxenda^® Savings Card, your patient may be eligible to pay as little as ${triplefin.palaAmount} or save up to ${triplefin.patientOOPCalculatedValue} per {triplefin.daysSupply}-day supply.^a

Direct your patient to visit SaxendaSavings.com to activate, request, or print their Saxenda^® Savings Card.

^aEligibility and other restrictions apply. 

With the Saxenda^® Savings Card, your patient's estimated cost is ${triplefin.oopCopayAmount}.^a

Direct your patient to visit SaxendaSavings.com to activate, request, or print their Saxenda^® Savings Card.

^aEligibility and other restrictions apply. 

It looks like this patient is still in the deductible phase of their plan. Once your patient reaches their prescription drug deductible, they may see a decrease in their co-pay.

We could not find cost and coverage information for this patient. If you would like us to call the patient's plan for this information, please complete this form and fax it to 844-667-3475. 

Your patient's plan covers this medication, but we will need some more information to determine the cost. Please complete this form and fax it to 844-667-3475. 

Your patient's plan covers this medication, but in order to determine the cost or other restrictions, we will need some more information. Please complete this form and fax it to 844-667-3475. 

Designed to work along with Saxenda®, SaxendaCare® gives your patient the choice of one-on-one phone coaching with Registered Dietitian Nutritionists or app-based support with Noom. Patients can create reduced-calorie eating and increased activity goals, learn about the Saxenda® pen, and build the skills needed to take each step. All this at no cost.

Direct your patient to SaxendaCare.com