Omnipod Financial Assistance Program (Copay Card)
Insulet Corporation · Omnipod 5
Through your pharmacy
Patient pays: as little as $50 per month; copay card buys down monthly out-of-pocket to $50 with a maximum monthly benefit of $100
commercial insurance · uninsured · underinsured
view all eligibility requirements
- valid Omnipod DASH or Omnipod 5 prescription
- demonstrated financial need based on Insulet-established criteria
- must fill prescription through pharmacy channel (not DME or Pharmacy DME)
- must complete Insulet Financial Assistance Program Application Form
- must provide evidence of income as directed by Insulet
- participants on certain commercial insurance plans may not be eligible - contact Insulet
- program may not be combined with any other offer, rebate, or coupon
How to apply: online or phone
We couldn’t confirm the current terms - call the program to verify.