Sign up for free, personalized support

Whether you are taking Xultophy® 100/3.6 or not, Cornerstones4Care® Diabetes Health Coach can help you get started with your diabetes treatment and stick to your healthy lifestyle plans, including diet and exercise.

Fill out the form below to get started

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Sign Up for Coaching Tips and Savings

When you join Cornerstones4Care®, you will have access to the Cornerstones4Care® Diabetes Health Coach program—a step-by-step, customized learning and action plan to help you build the healthy habits and skills you need to help manage your diabetes. It features:

  • Online coaching sessions and videos on topics that matter to you
  • Tools and trackers to monitors your progress
  • Tips and reminders to help you at every step

Please note that you'll need access to a printer in order to get your Instant Savings Card.

As a Cornerstones4Care® member, you may also be able to pay less for select Novo Nordisk products. With the Novo Nordisk Instant Savings Card, you'll pay no more than $25 a fill up to 2 years and if applicable, no more than $20 for the next prescribed Novo Nordisk product added to your care plan (maximum savings up to $100 per fill).a You may also be eligible for a FREE box of Novo Nordisk needles.

aEligibility and other restrictions apply to this offer.

  • Enter the 9-digit number on the front of the card:
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  • Please enter your first name.
    Please enter a valid first name.
  • Please enter your last name.
    Please enter a valid last name.
  • Please enter your date of birth.
    Please enter patient's date of birth.
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    Please enter a valid date of birth.
    Patients under 18 years old cannot register.
    Patients under 18 years old cannot register.
  • Please indicate whether you are a patient or a caregiver.
    Please indicate whether you are a patient or a caregiver.
  • Please indicate what type of diabetes you have or are helping someone manage.
    Xultophy® 100/3.6 is indicated for adults with type 2 diabetes. If you or the person you care for has type 1 diabetes, please visit Cornerstones4Care.com to register for patient support through Cornerstones4Care®.

By checking this box, I certify that I am the parent or legal guardian of a child under 18 years old with diabetes.

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  • Please enter a password.
    Please enter a valid password that contains at least 8 characters, with at least 1 number, 1 lowercase letter, and 1 uppercase letter.
    Must be 8 characters or more and contain at least 1 capital letter, 1 lowercase letter, and 1 number.
  • Please enter a matching password.
    Please enter a matching password.
  • Please select a security question.
Please enter a security answer.
Please enter a security answer.
 
  • Please enter a street address.
    Please enter a valid street address.
  • Please enter a city.
    Please enter a valid city.
  • Please select a state.
  • Please enter a zip code.
    Please enter a valid zip code.
  • Enter date of birth.
    Enter date of birth.
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    Enter valid date of birth.
  • Child's First Name is required
    Please enter valid First Name
  • Child's Last Name is required
    Please enter valid Last Name
  • Enter Parent/Guardian
    Enter a valid Parent/Guardian
  • Enter Parent/Guardian Last Name.
    Enter a valid Parent/Guardian Last Name.
  • Enter Parent/Guardian E-mail.
    Enter a valid Parent/Guardian E-mail.

By clicking this box, I certify that I am a parent or guardian and grant permission for my child to access this website and receive communications from Novo Nordisk. I also understand that I will receive a copy of all communications sent to my child.

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  • Delete medication
    Please select at least 1 item from the medications list and a duration.
    Please select at least 1 item from the medications list and a duration.
    Add another medication
  • Delete medication
    Please select at least 1 item from the medications list and a duration.
    Please select at least 1 item from the medications list and a duration.
    Add another medication
  • Delete Medication
    Please select at least 1 item from the medications list and a duration.
    Please select at least 1 item from the medications list and a duration.
    Add another medication
  • Delete Medication
    Please select at least 1 item from the medications list and a duration.
    Please select at least 1 item from the medications list and a duration.
    Add another medication
  • Please enter a phone number.
    Please enter a valid phone number.
    By providing your phone number and checking the box below, you agree to receive calls from a diabetes educator.
  • By providing your mobile number and checking the box below, you agree to receive calls and texts from a diabetes educator.

Why do you need my information?

The more we know about you and your diabetes, the better we can personalize your Cornerstones4Care® experience.

Maintaining your privacy is important to you. And it’s important to us, too. Please read our Privacy Policy to learn more about how we protect your personal information.

To register by phone, please call 1‑866‑696‑4084.

 

Yes, I’d like to be contacted by Novo Nordisk via phone calls and text messages at the phone number I have provided. By checking this box, checking the “I Agree” box below, and clicking "Submit." I authorize Novo Nordisk to use auto-dialers, prerecorded messages, and artificial voice messages to contact me. I understand that these calls and text messages may market or advertise Novo Nordisk products, goods, or services. I understand that I am not required to consent to being contacted by phone or text message as a condition of any purchase of goods or services.

I may opt out at any time by clicking the unsubscribe link within any email I receive, by calling 1-877-744-2579, or by sending a letter with my request to Novo Nordisk Inc., 800 Scudders Mill Road, Plainsboro, New Jersey 08536.

Required Required

Register for instant savings that last.

If you haven’t done so already, register your Instant Savings Card by completing the information below.

  • Enter activation code.
    Invalid activation code.
  • Enter Activation Code
    Enter valid Activation Code

*Are you enrolled in any government, state, or federally funded medical or prescription benefit programs?  This includes Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, as well as any other state or federal employee 

We're sorry. Because you're enrolled in one of these programs, you're not eligible for this co-pay savings offer. We still strongly encourage you to complete your registration so that you can take advantage of all the other great benefits of our program.

*The Instant Savings Card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or government-funded benefit programs. If eligible, I understand that certain information pertaining to my use of the Card will be shared by my pharmacy with Novo Nordisk, the sponsor of the Card. The information disclosed will include the date I filled the prescription, amount of medication dispensed by my pharmacist, and amount I will be reimbursed by Novo Nordisk. Should I begin receiving prescription benefits from a federal, state, or other government-funded program at any time, I will no longer be eligible to participate in this program. You may contact me by phone or mail periodically in order to verify that my eligibility for the program has not changed.

You are not eligable for this discount offer. Please complete your registration for access to other program benefits.

To complete your registration, we ask you take a moment to read the below information to better understand how Novo Nordisk uses the information you provided us. When you finish reading, please check the “I Agree” box and confirm your age. Then click SUBMIT to complete your registration.

Novo Nordisk respects the importance of your privacy and understands your health is a very personal and sensitive subject. Novo Nordisk wants you to understand how it will use the information provided by you on this registration page. By clicking “I Agree” below, you are indicating you want to learn more about this service and receive promotional or non-promotional updates via email or mail from Novo Nordisk or its partners about products, support services, or other special opportunities that Novo Nordisk or its partners believe might be interesting to you. You also understand that you may opt out from receiving any future communications from Novo Nordisk or its partners by clicking the “unsubscribe” link within any email you receive, by calling 1.877.744.2579, or by sending us a letter containing your full contact information (e.g. name, email address, phone) to Novo Nordisk, 800 Scudders Mill Road, Plainsboro, New Jersey 08536.

To better understand how Novo Nordisk values your privacy and what other information may collected from you while you use this service, please see our Privacy Statement.


You must check the "I Agree" box and click "Submit" to complete your registration. If you do not agree to the terms above, you may exit out of this page and we invite you to explore other areas of the site without registering. You may return to this page at any time to register. You must check the "I Agree" box and click "Submit" to complete your registration. If you do not agree to the terms above, you may exit out of this page and we invite you to explore other areas of the site without registering. You may return to this page at any time to register.
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