| |
AZ&Me Prescription Savings Program for People with Medicare Part D
|
,
Phone
:
800-292-6363
Fax:
|
|
Eligibility
|
| > |
The patient must have Medicare Part D, and have an income less than or equal to $30,000 for an individual (less than or equal to $40,000 for a couple.) |
| Who Can Apply
|
| > |
The patient should call for a prescreening or go to the website and apply on line. |
|
Required
|
| > |
The patient must provide information and proof of income. |
|
Supply
|
| > |
The Patient is sent an enrollment kit and a program card that they can use at their local pharmacy to receive their AstraZeneca medications for no more than $25 for a typical 30-day prescription. |
|
Ship To
|
| > |
Patient's home |
|
Note
|
| > |
The patient should call for a prescreening or go to the website and apply on line. |
| |
Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
|
| Nexium for Oral Suspension |
| |
| |
|
|