AZ&Me™ Prescription Savings Programs

AZ&Me™ Prescription Savings program for people without insurance

Highlights

• AstraZeneca medicines provided at no cost (review the list of medicines available through this program)
• There is NO cost to sign up for the program
• Once enrolled, you remain enrolled for up to one year. At the end of that year you can reapply
• Medicines are mailed to the patient’s home or physician’s office
• Patient, physician, or caregiver can request refills
• Four ways to apply
• Convenient online self-service tool to enroll, re-enroll, check enrollment or shipment status or to request a refill

Are you eligible?

You may be eligible if you meet the following criteria:

• You have an annual household income* at or below:
  • $35,000 for a single person
  • $48,000 for a family of two
  • $60,000 for a family of three
  • $70,000 for a family of four
  • $80,000 for a family of five
    * Income limits might be higher in Alaska and Hawaii.
• You are a US resident, or are a Work Visa or Green Card holder
• You do not receive prescription drug coverage under any private insurance or government programs, or receive any other assistance to help pay for medicines. (Individuals enrolled in Medicare Part D may be eligible for the AZ&Me Prescription Savings program for people with Medicare Part D) 

In the past year have you experienced a life-changing event?

Individuals who have had a life-changing event, or a change that is not reflected in financial documentation provided with the application, may apply to the AZ&Me Prescription Savings Program. Examples of events may include:

• Loss of employment
• Change in income
• Loss of, or change in, prescription drug insurance coverage
• Change in marital status
• Change in household number 

Apply now to this program.

In addition to the programs offered by AstraZeneca, other organizations also offer progams that make medicines more accessible for people who need assistance. Learn more about additional programs offered by AstraZeneca and other organizations.

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AZ&Me™ Prescription Savings program for people with Medicare Part D

Highlights

• AstraZeneca medicines provided at no cost (review the list of medicines available through this program)
• There is NO cost to sign up for the program
• Once enrolled, you remain enrolled for the remainder of the calendar year. You may reapply the following calendar year
• Medicines are mailed to the patient’s home or physician’s office
• Patient, physician, or caregiver can request refills
• Four ways to apply
• Convenient online self-service tool to enroll, re-enroll, check enrollment or shipment status or to request a refill

Are you eligible?

If you are enrolled in Medicare Part D, you may be eligible for the program if you meet the following criteria:

• You have an annual household income* at or below:
  • $35,000 for a single person
  • $48,000 for a family of two
  • $60,000 for a family of three
  • $70,000 for a family of four
  • $80,000 for a family of five
    * Income limits may be higher in Alaska and Hawaii.
• You are not enrolled in Limited Income Subsidy (LIS) for Medicare Part D

Apply now to this program.

In addition to the programs offered by AstraZeneca, other organizations also offer progams that make medicines more accessible for people who need assistance. Learn more about additional programs offered by AstraZeneca and other organizations.

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AZ&Me™ Prescription Savings program for healthcare facilities

If you are a patient and would like to find a participating clinic near you, try our Clinic Finder.

 

What is it?

The AZ&Me Prescription Savings program for healthcare facilities is designed to help provide AstraZeneca medicines to low-income patients through qualifying facilities such as

• Disproportionate share hospitals
• Community health centers
• Community free clinics
• Central fill pharmacies
• Charitable pharmacies 

Program Highlights

• Bulk replacement program based on a facility’s qualifying product utilization
• Facilities can dispense AstraZeneca medicines at no cost or for a nominal, facility-assessed dispensing fee from their outpatient pharmacy or dispensary to qualified patients
• Facilities remain enrolled for two years and then may re-enroll
• Prescriptions are provided to patients at the point of care

Facility Eligibility

Facility qualification criteria includes, but is not limited to

• Existence of an on-site, licensed out-patient pharmacy or dispensary
• Tax-exempt status
• Robust policies and procedures
• Facility patient eligibility criteria that is consistent with AstraZeneca Program guidelines for patient eligibility, including patient income thresholds, lack of patient prescription insurance and annual patient eligibility review

Program Status

The AZ&Me Prescription Savings program for healthcare facilities is open for facility enrollment. If you would like more information on the Program, please call 1-866-325-8198 to request a brochure that provides additional details regarding facility eligibility and requirements for enrollment. If upon review of the brochure, you feel that your facility can meet the requirements of the Program and you are interested in applying, please call our Program Specialists for an enrollment kit. Please note that enrollment in AZ&Me Prescription Savings program for healthcare facilities is limited based on facility eligibility, which is subject to change, and program availability.

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