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AZ&Me Prescription Savings Program for People with Medicare Part D
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Phone
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800-292-6363
Fax:
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Eligibility
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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
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The patient should call for a prescreening or go to the website and apply on line. |
Required
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The patient must provide information and proof of income. |
Supply
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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
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Patient's home |
Note
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The patient should call for a prescreening or go to the website and apply on line. |
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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. |
Arimidex Tablets |
Atacand HCT |
Atacand Tablets |
Brilinta Tablets |
Crestor Tablets |
Faslodex Injection |
Merrem |
Nexium Capsules |
Nexium for Oral Suspension |
Nexium Injection |
Pulmicort Flexhaler |
Rhinocort Aqua Nasal Spray |
Seroquel Tablets |
Seroquel XR Extended Release Tablets |
Symbicort (No PAP Available) |
Toprol XL Tablets |
Vimovo delayed-release tablets |
Zoladex Implant |
Zomig Tablets |
Zomig-ZMT Orally Disintegrating Tablets |
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