XULTOPHY
Used for Type 2 Diabetes
NowPatient helps you obtain your XULTOPHY prescription for free or at low-cost. Drug savings programs are suitable for individuals who are insured, don't have insurance or are underinsured and can't afford your medicine.
Manufactured by Novo Nordisk Inc.
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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XULTOPHY key facts
What is XULTOPHY?
XULTOPHY is the brand name for insulin degludec and liraglutide and is available as a subcutaneous injection.
What dosages is XULTOPHY available in?
XULTOPHY is available as a single-patient-use pen that contains 100 units/mL of insulin degludec and 3.6 mg/mL of
liraglutide.
What is XULTOPHY used for?
XULTOPHY is an insulin / GLP-1 agonist and is used to treat type 2 diabetes.
How does XULTOPHY work?
XULTOPHY is a combination medication made up of two medications that lower blood sugar. Insulin degludec is an insulin. Insulin is a natural hormone your body normally makes to lower glucose (sugar) levels in the blood. It helps your body absorb and store sugar from your bloodstream after eating a meal. It also stops your liver from making glucose. Liraglutide is a GLP-1 agonist. It activates GLP-1, which tells your body to release more insulin, stop releasing sugar, and slow down digestion.
How do I take XULTOPHY?
The starting dose of XULTOPHY will depend on whether you’re already using a form of long-acting insulin or another GLP-1 agonist medication.
If you’re not taking insulin or a GLP-1 agonist: The usual starting dose is 10 units (10 units of insulin degludec/0.36 mg liraglutide) injected under the skin once a day.
If you’re taking insulin or a GLP-1 agonist: The usual starting dose is 16 units (16 units of insulin degludec/0.58 mg liraglutide) injected under the skin once a day.
Your provider will adjust your dose based on your blood sugar control and side effects. The maximum daily dose is 50 units per day (50 units of insulin degludec/1.8 mg of liraglutide).
Is it safe for me to take XULTOPHY?
XULTOPHY is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication if you have any of the following:
History or family history of thyroid cancer.
Rare disorder of the endocrine system called multiple endocrine neoplasia syndrome type 2 (MEN 2).
Symptoms of low blood sugar (hypoglycemia).
XULTOPHY Common Side Effects
Common side effects of XULTOPHY:
- Common cold or flu
- Headache
- Nausea
- Diarrhea
- Rise in pancreas enzyme
XULTOPHY Serious Side Effects
Serious side effects are rare with XULTOPHY. Contact your healthcare provider immediately if you experience any of the following.
Thyroid cancer: mass in the neck, trouble breathing or swallowing, hoarseness
Inflammation of the pancreas (pancreatitis): severe stomach pain that spreads to your back, nausea, vomiting
Low blood sugar: shaking, sweating, dizziness, confusion, blurred vision
Kidney damage: tiredness, dry and itchy skin, urinating more often, bloody or foamy urine, swelling in your feet or ankles, muscle cramping
Low potassium levels: weakness, muscle cramps or twitches, digestive problems, abnormal heartbeats, or kidney problems
Gallbladder problems: severe upper stomach and back pain, yellowing of your skin or eyes (jaundice), fever, nausea, vomiting
Heart failure: shortness of breath, tiredness, swelling in your legs, ankles, or feet, sudden weight gain
Serious allergic reactions: trouble breathing, hives, swelling of your face, lips, tongue, or throat
Effects of other drugs, drug classes and over-the-counter products on XULTOPHY
The following medications may interact with XULTOPHY:
- Drugs that affect glucose metabolism: Adjustment of XULTOPHY
- 100/3.6 dosage may be needed; closely monitor blood glucose.
- Anti-Adrenergic drugs (e.g., beta-blockers, clonidine
- guanethidine, and reserpine): Hypoglycemia signs and symptoms
- may be reduced or absent.
- Effects of delayed gastric emptying on oral medications:
- May impact absorption of concomitantly administered oral
- medications.
Who makes XULTOPHY?
Novo Nordisk Inc.
Is XULTOPHY safe in pregnancy?
It is not known if XULTOPHY can harm your unborn baby. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effects in the USDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my XULTOPHY prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your XULTOPHY prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient XULTOPHY savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient XULTOPHY savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for XULTOPHY | Canadian Prescription Savings* for XULTOPHY | XULTOPHY Drug Coupon* | XULTOPHY Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of XULTOPHY?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for XULTOPHY | Canadian Prescription Savings* for XULTOPHY | XULTOPHY Drug Coupon* | XULTOPHY Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the XULTOPHY savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the XULTOPHY drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for XULTOPHY, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
I am uninsured or underinsured and none of the XULTOPHY prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, XULTOPHY is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
If you are denied and all else fails, and if you have been prescribed XULTOPHY for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the XULTOPHY prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the XULTOPHY prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for XULTOPHY
If you are having trouble paying for your XULTOPHY medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for XULTOPHY you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- XULTOPHY is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers XULTOPHY
- If XULTOPHY is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for XULTOPHY
If you are having trouble paying for your XULTOPHY medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for XULTOPHY you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers XULTOPHY
- If XULTOPHY is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for XULTOPHY
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your XULTOPHY treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for XULTOPHY you will need to meet the following criteria:
- You must be currently insured and have coverage for XULTOPHY
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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