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Patient Assistance Information

 
1 Program for Nexium for Oral Suspension
 
 
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