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Patient Assistance Program. ... or who are in the deductible phase of a high-deductible commercial insurance plan. Through this program, many AstraZeneca products can be accessed at a discounted price, providing savings that are realized immediately at the pharmacy. ... by phone, or with a paper application. For more information, call 1-888-RXO ...
Application for Free AstraZeneca Medicines Page 3 of 5 Questions? Call 1-800-292-6363 Monday–Friday, 9:00 am to 6:00 pm EST or visit www.azandmeapp.com Non-Specialty Products Fax: 1-800-961-8323 PATIENT INFORMATION: Please print clearly in blue or black ink. Asterisks indicate required fields.
Find out if you qualify for the AZ&Me Prescription Savings Program by taking a simple online quiz. Save money on AstraZeneca medicines you need.
If you are uninsured or have Medicare Part D and still face affordability challenges, you may be eligible for our patient assistance program, AZ&Me If you would like additional information regarding AstraZeneca products, please contact AstraZeneca at 1-855-3FARXIGA (1-855-332-7944) , Monday through Friday, 8 AM to 6 PM ET, excluding holidays.
Mar 18, 2024 · AstraZeneca’s patient assistance program, AZ&Me Prescription Savings Program (AZ&Me), is part of the Company’s commitment to addressing barriers to access and affordability to improve medication adherence, enhance patient care, and help patients lead healthier lives. AZ&Me is just one of the ways that AstraZeneca makes its life-changing ...
If you meet the program eligibility requirements, ask to be enrolled in the Patient Savings Program. You can also enroll yourself by contacting AstraZeneca Access 360 TM at 1-844-ASK-A360 (1-844-275-2360) (1-844-275-2360). If you meet the program eligibility criteria, a Patient Savings Program account will be created for you.
AZ US Patient Support is committed to provide resources, assistance, and information to enhance your healthcare journey. ... For questions or assistance please call us at. 1-800-236-9933 (Monday–Friday, 8 AM –6 PM ET, excluding holidays) AstraZeneca US Patient Support! We are committed to helping you access the care you need. To take ...
AZ&ME APPLICATION- PATIENT AUTHORIZATION (Page 2) I authorize my health care providers (HCPs) and staff, my health plans, and my designated contact to use, share and verify my Protected Health Information (my “Information”) with AstraZeneca, including the AZ&ME Prescription Savings Program (“Program”) andits affiliates,
AZ&Me Prescription Savings Program helps eligible uninsured and Medicare patients gain access to AstraZeneca medications. This program provides: - Prescription assistance Clients who have experienced a life changing event in the past year, and their financial documentation does not accurately reflect their current situation are encouraged to ...
AstraZeneca (AZ&Me) Patient Assistance Program. Brilinta, Symbicort. Phone: 1-800-292-6393 Fax: 1-800-961-8323. ... If patient has -0- income, a letter can be submitted on their behalf; Applications are good for 1 year once approved; Requirement for Medicare Part D applicants ... denial letter with their application If they have not yet applied ...
