Honorable Amy Klobuchar . United States Senate ROVO nordisk 302 Hart Senate Office Building Washington, DC 20510 Dear Senator Klobuchar: Thank you for your letter dated July 3, 2017. We share your concern and commitment to addressing the critical issue of patient affordability. Novo Nordisk has been developing new therapies for people with diabetes for nearly 100 years our history is rooted in a husband?s quest to find a critical treatment for his wife and others living with this serious disease. Our leadership in this field comes with an important sense of mission as patients count on us to develop medicines of value and support a system that puts those medicines in easy reach. While many Americans can access and afford their medicines through insurance coverage, the increasingly complex and cumbersome healthcare system moving to high deductibles) has resulted in a growing number of Americans having difficulty paying for their healthcare, including medicines we produce. As a company focused on improving the lives of people with diabetes, we are committed to working with all participants in the healthcare supply chain to ensure patients have affordable access to the care and management they need. Novo Nordisk was one of the first pharmaceutical companies to address patient access and affordability by issuing a drug pricing position. This pricing position includes, among other things, our commitment to creating more pricing predictability by limiting future list price increases to no more than single-digit percentages annually. To learn more about our position, please visit Additionally, we welcome, and will actively seek, collaborations leading to sustainable solutions based on three tenets: (1) transforming the complex pricing system, (2) creating more pricing predictability, and (3) reducing the burden of out- of-pocket costs. Some of our efforts to improve access and affordability for patients include the following: . Since 2003, we have had in place the Novo Nordisk Patient Assistance Program (PAP) that reflects our continued commitment to people living with diabetes. The PAP provides free medicine to patients who qualify. Information about the program can be found on our website . For at least 10 years, we have made Relion?, a Wal?Mart brand using Novo Nordisk human insulin, available at less than $25/vial. . In spring 2017, we jointly announced with CVS Health that the pharmacy network would offer Novolin? for $25/vial through its ReducedRX savings program in 68,000 pharmacies. We also participate in InsideRx program in which Novolin? is offered at $24/vial. While these are near?term offerings, long-term solutions are important to address patients enrolled in high deductible health plans, the proliferation of co-insurance, and those enrolled in Medicare Part who may reach their ?coverage gap.? Novo Nordisk Inc. Telephone: Internet: 800 Scudders Mill Road 609.987.5800 Plainsboro, NJ 08536 USA Novo Nordisk strives to maintain a sustainable business in the face of tightening competition and significant pricing pressure in the US. While list prices have gone up, Novo Nordisk?s net prices (the price after applying all discounts and rebates) for our medicines in the US are expected to decline in 2017 as a result of robust price negotiations with PBMs for formulary access. Ultimately, however, solutions for increasing affordable patient access to important medicines must involve a commitment from all stakeholders in the healthcare supply chain: pharmaceutical companies, PBMs, insurers, employers, patient organizations, and policymakers. We welcome the opportunity to participate in a broader, meaningful conversation about how all members of the healthcare system can improve patients? ability to pay for their overall care and disease management. We look forward to meeting with you and your team to further discuss this important topic. In the meantime, please feel free to contact me with any questions or comments. Sincerely, icia Brooks VP, Public Affairs Novo Nordisk Inc. tiib?novonordisk.com Novo Nordisk Inc. Telephone: Internet: 800 Scudders Mill Road 609.987.5800 Plainsboro, NJ 08536 USA Page 2 of 2