- Have a benefit verification (pharmacy and medical) completed for your patient
- Receive prior authorization information
- Confirm patient eligibility for the Macrilen™ Co-Pay Savings Program and enrollment
- Receive a complimentary AGHDiagnose Kit
Ordering and patient support
Explore options for ordering Macrilen™ and supporting your patients.
How to order Macrilen™
Fill out the Macrilen™ Service and Prescription Request form to:
How to order Macrilen™
Fill out the Macrilen™ Service and Prescription Request form to:
- Have a benefit verification (pharmacy and medical) completed for your patient
- Receive prior authorization information
- Confirm patient eligibility for the Macrilen™ Co-Pay Savings Program and enrollment
- Receive a complimentary AGHDiagnose Kit
You can also order Macrilen™ directly from the following specialty distributors or pharmacies:
Specialty Distributor
Available through:
for hospitals
for physician offices
Specialty Pharmaceutical Distribution
Specialty Pharmacy
Available through:
Accredo®
AllianceRx Walgreens Prime
CVS Specialty™
Store pouches under refrigeration at 2°C to 8°C (36°F to 46°F).1
Product
Dosage form and strength
Package size
NDC#
Macrilen™
60mg
1 pouch per box
71090-002-02
Store pouches under refrigeration at 2°C to 8°C (36°F to 46°F).1
AGHDiagnose Kit
The complimentary AGHDiagnose Kit comes with tools to help you prepare and administer Macrilen™ solution. Macrilen™ is ordered separately. This kit is not required to prepare Macrilen™ and is for one-time use only.
AGHDiagnose Kit
The complimentary AGHDiagnose Kit comes with tools to help you prepare and administer Macrilen™ solution.
Macrilen™ is ordered separately. This kit is not required to prepare Macrilen™.
Let’s Connect.
Enter your zip code to search for a Novo Nordisk Representative.
Let’s Connect.
Enter your zip code to search for a Novo Nordisk Representative.
Support for your patients
Your patients may be eligible for co-pay assistance
We want to make sure that Macrilen™ remains accessible and affordable. Eligible patients who have been prescribed Macrilen™ can reduce out-of-pocket costs to as little as $75 with the Macrilen™ Co-Pay Savings Program.a,b Download the brochure to learn more.
aWith an annual co-pay assistance of up to $4425.
bThis is a one-time use offer. Enrollment in the co-pay program is subject to eligibility criteria and terms and conditions, and the enrollment timeframe is based on calendar year. Coverage is limited to co-pay or co-insurance for Macrilen™ product only and does not include deductible amounts or other office visits, procedures, or administration costs. Novo Nordisk has the right to charge, alter, or revoke eligibility criteria and terms and conditions at any time.
Product coverage
- Patient benefit verification and coverage information
- Prior authorization and appeal resources
Reimbursement
- Coding information
- Resources for denials and appeals
Product distribution
- Information and authorized distributors
- Coordination of specialty pharmacy ordering and fulfillment
We designed NovoCare.com to provide a way for you to stay up to date with the status of your patients, communicate with your case managers, and submit NovoCare® paperwork online.
