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Xultophy Prices, Coupons and Patient Assistance Programs

Xultophy (insulin degludec/liraglutide) is a member of the antidiabetic combinations drug class and is commonly used for Diabetes - Type 2.

The cost for Xultophy subcutaneous solution (100 units-3.6 mg/mL) is around $1,374 for a supply of 15 milliliters, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Xultophy prices

Subcutaneous Solution

Quantity Per unit Price
15 (5 x 3 milliliters) $91.59 $1,373.87

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

Xultophy Coupons, Copay Cards and Rebates

Xultophy offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional.

Drugs.com Printable Discount Card

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

No manufacturer promotions could be found for this medication.

Patient Assistance & Copay Programs for Xultophy

Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: NovoCare Sharps Disposal Program

Eligibility requirements:
  1. Not applicable
  2. Not applicable
  3. Not specified
  4. US residency requirements are not specified.
  5. Patient enrolls to receive a free sharps container.
Applicable drugs:
  • Xultophy (container for xultophy sharps) Disposal Container

More information please phone: Visit Website

Provider: Patient Access Network Foundation (PAN)

Eligibility requirements:
  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Applicable drugs:
  • Xultophy 100-3.6 (insulin degludec/liraglutide) Pen

More information please phone: 866-316-7263 Visit Website

Provider: Novo Nordisk Patient Assistance Program

Eligibility requirements:
  1. Must be uninsured
  2. At or below 400% of FPL
  3. Not specified
  4. The patient must be a US citizen or legal resident.
  5. This program also provides copay assistance. *Medicare Part D enrollment deadline is November 30 of each year.
Applicable drugs:
  • Xultophy 100-3.6 (insulin degludec/liraglutide) Pen

More information please phone: 866-310-7549   or 844-668-6463   Visit Website