The two programs, side by side
| Program | GLP-1 it lists | Income limit | Who can apply |
|---|---|---|---|
| Novo Nordisk PAP | Ozempic (type 2 diabetes) | 200% of the poverty line | Uninsured. Not Medicare with drug coverage, not private insurance, not Medicaid, Extra Help or VA. |
| Lilly Cares | Trulicity (type 2 diabetes) | 300% of the poverty line | No insurance or Medicare Part D. Not Medicaid, full Extra Help or VA. |
Neither lists Wegovy, Zepbound, Mounjaro, Foundayo or any GLP-1 pill. Ozempic and Trulicity are type 2 diabetes medicines, given through these programs on a prescription for that use. The full story, with every rule quoted, is in the patient assistance guide.
2026 income limits by household size
Yearly household income, 48 states and DC. The poverty line is HHS’s 2026 guideline. Lilly’s column for households of 1 to 6 is its own published table; the rest are the published percentage applied to the HHS line. Alaska and Hawaii have higher lines; the checker above uses them.
| Household | Poverty line | Novo PAP, Ozempic (200%) | Lilly Cares, Trulicity (300%) |
|---|---|---|---|
| 1 person | $15,960 | $31,920 | $47,880 |
| 2 people | $21,640 | $43,280 | $64,920 |
| 3 people | $27,320 | $54,640 | $81,960 |
| 4 people | $33,000 | $66,000 | $99,000 |
| 5 people | $38,680 | $77,360 | $116,040 |
| 6 people | $44,360 | $88,720 | $133,080 |
| 7 people | $50,040 | $100,080 | $150,120 |
| 8 people | $55,720 | $111,440 | $167,160 |
When neither program covers your GLP-1
- On Medicare: the GLP-1 Bridge covers Wegovy (injection or tablet), Foundayo and the Zepbound KwikPen for a $50 monthly copay, with its own rules. Does Medicare cover GLP-1s.
- With commercial insurance: the maker savings cards can cut a covered copay to as little as $25. Savings cards.
- Without coverage: cash programs, from $69 a month all-in at SnagRx. Every price, cheapest first.
Program links pay us a commission. The order is the all-in monthly price, never what anyone pays us. How we earn.
Patient assistance: common questions
Does Lilly Cares cover Zepbound or Mounjaro?
No. Lilly Cares lists Trulicity as its only GLP-1, in Group 1, for people with no insurance or Medicare Part D and household income at or below 300% of the federal poverty level. Zepbound and Mounjaro are not on its list.
Does Novo Nordisk's patient assistance program cover Wegovy?
No. Novo's PAP product list names Ozempic as its only GLP-1. Uninsured patients can get Ozempic through it with household income at or below 200% of the federal poverty level; Medicare members with drug coverage can no longer get Ozempic through it.
What is the income limit for Novo Nordisk's patient assistance program in 2026?
For Ozempic, 200% of the federal poverty level: $31,920 a year for one person in the 48 states and DC, $66,000 for four. For Novo's other medicines it is 400%.
What is the income limit for Lilly Cares in 2026?
For Trulicity (Group 1), 300% of the federal poverty level: $47,880 for one person, $64,920 for two, $81,960 for three and $99,000 for four, from Lilly's own table.
I don't qualify. What are my options for Wegovy or Zepbound?
On Medicare, the GLP-1 Bridge sets a $50 monthly copay for Wegovy, Foundayo and the Zepbound KwikPen. With commercial insurance, the maker savings cards. Without coverage, cash programs from $69 a month.
Where these facts come from
We track prices. Every clinical and manufacturer claim about the patient assistance programs on this page is quoted here in its source’s own words, with the date we read it. We do not write medical guidance and we do not tell anyone what dose to take.
7 sources · read Oct 3
- 01read Oct 3
To be eligible for this program in 2026, you must: Be a US citizen or legal resident · Have a total household income that qualifies. ... · Have Medicare or no insurance (Note: If you have private or commercial insurance, you are not eligible for the PAP) · Not be enrolled in or qualify for any other federal, state, or government program such as Medicaid, Medicare Low-Income Subsidy (LIS, or Extra Help Program), or Veterans Affairs (VA) Benefits
Novo Nordisk Patient Assistance Program, eligibility - 02read Oct 3
Most Medicare prescription plans cover Ozempic®. Medicare beneficiaries with prescription drug coverage will no longer be eligible to receive Ozempic® through the Patient Assistance Program. ... Total household income must be at or below 200% of the federal poverty level for Ozempic®. ... Uninsured patients must provide proof of a Medicaid denial prior to enrollment in the PAP if the patient’s total household income meets their state's federal poverty limit thresholds.
Novo Nordisk Patient Assistance Program, Ozempic and income rules - 03read Oct 2
GLP-1 Receptor Agonists: Ozempic® (semaglutide injection) 0.5 mg, 1 mg, or 2 mg
Novo Nordisk PAP, available products list (PDF) - 04read Oct 3
You are a permanent resident of the United States (inclusive of Puerto Rico and the U.S. Virgin Islands). ... You are not enrolled in Medicaid, full Low Income Subsidy (LIS, “Extra Help”) or Veterans (VA) Benefits; ... These income limits are 300% (Group 1 Medications), 400% (Group 2 Medications), and 500% (Group 3 & 4 Medications) of 2026 Federal Poverty Guidelines. ... Group 1 Medications: For patients who have no insurance or have Medicare Part D and have a household annual adjusted gross income ≤ 300% Federal Poverty Level (FPL). ... Trulicity® (dulaglutide) injection
Lilly Cares Foundation, how to apply - 05read Oct 3
Group 1 Medications | 1 Person Household*: $47,880 | 2 Person Household*: $64,920 | 3 Person Household*: $81,960 | 4 Person Household*: $99,000 | 5 Person Household*: $116,040 | 6 Person Household*: $133,080
Lilly Cares Foundation, Group 1 income limits (2026) - 06read Oct 3
2026 POVERTY GUIDELINES FOR THE 48 CONTIGUOUS STATES AND THE DISTRICT OF COLUMBIA | 1 | $15,960 | 2 | $21,640 | 3 | $27,320 | 4 | $33,000 | 5 | $38,680 | 6 | $44,360 | 7 | $50,040 | 8 | $55,720 | For families/households with more than 8 persons, add $5,680 for each additional person.
HHS, 2026 poverty guidelines (48 contiguous states and DC) - 07read Oct 2
Starting July 1, 2026, Medicare covers these GLP-1 drugs: Foundayo® (tablet) · Wegovy® (injection or tablet) · Zepbound® (KwikPen® only. The program doesn’t cover single-dose Zepbound® vials or pens). ... $50 monthly copayment
Medicare.gov, weight loss drugs (Medicare GLP-1 Bridge)