How to apply to the AZ&Me™ Prescription Savings Program

There are three easy ways to apply. You can:

  1. Enroll by phone > Call 1-800-AZandMe (292-6363)
  2. Enroll by mail > Download and complete the application (PDF 603kb) and

    MAIL TO:
    AZ&Me Prescription Savings Program
    PO Box 898
    Somerville, NJ 08876
  3. Enroll by fax > Download and complete the application (PDF 603kb) and have your doctor's office

    FAX TO:
    NOTE: Faxed applications MUST be sent from your doctor’s office in order for your prescription to be processed.

Click here for a full checklist of what you will need to apply.

If you have any questions about the application process, or to learn more about whether or not you or someone you know may qualify for this program, call 1-800-AZandMe (292-6363), Monday through Friday, 8:00 AM-6:00 PM ET.

Some of our online services are currently unavailable

The following web-based self-service tools on our site are temporarily unavailable: web-based application, refill request, enrollment status and order tracking services. We apologize for any inconvenience this may cause.

  • To request a prescription refill, check enrollment status or check that status of an order, please call 1-800-AZandMe (292-6363).
  • We are in the process of making improvements to our site, and will be making these services available again soon.
  • As we continue to make changes and improvements, remains available as a source of information on the AZ&Me Prescription Savings Program.

2943506 Last Updated 1/14

Need help or have a question?

Call us for additional support with the application process or with any questions surrounding the AZ&Me programs.