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AZ&Me Prescription Savings Program for People with Medicare Part D

Summary:

AstraZeneca is a pharmaceutical company that was founded in 1999 after the merger of Astra AB and Zeneca Group PLC. Since the establishment of the company, AstraZeneca has provided solutions for cancer, heart disease, mental illness, gastrointestinal disorders, infections, and respiratory conditions. As they continue to expand, they have focused more effort on improving overall healthcare and patient treatment. AstraZeneca has their major research and development sites located in the United States, United Kingdom, Sweden, and India. As a leader in the pharmaceutical industry, AstraZeneca plans to expand even further as is evident by their acquisition of Cambridge Antibody Technology and MedImmune.

Eligibility:

AZ&Me Prescription Savings Program For People With Medicare Part D, a patient assistance program provided by AstraZeneca Pharmaceuticals, offers the medications listed to the right at $25 for a 30 day supply to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must be enrolled in a Medicare Part D Plan.

- Your annual income must be no greater than $30,000 if single, but no greater than $40,000 for your entire household.

The Patient is sent an enrollment kit and a program card
SOURCE: 2008 HHS Poverty Guidelines
Persons in Family or Household 48 Contigous States and D.C. Alaska hawaii
1 $10,400 $13,000 $11,960
2 $14,000 $17,500 $16,100
3 $17,600 $22,000 $20,240
4 $21,200 $26,500 $24,380
5 $24,800 $31,000 $28,520
6 $28,400 $35,500 $32,660
7 $32,000 $40,000 $36,800
8 $35,600 $44,500 $40,940
For each addtional person, add $3,600 $4,500 $4,140

What’s Next?

Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call AstraZeneca Pharmaceuticals program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

Other Tips

  • If you have any questions please call the AstraZeneca Pharmaceuticals program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to AstraZeneca Pharmaceuticals program. Without their help millions of people will be without medication.



  • PAP Links:
    Create Account to View

    Company Website:
    Create Account to View

    Company Phone: Create Account to View
    Company Fax: Create Account to View
    Company Address:
    Create Account to View

    List of Medications:
    Accolate Tablets 10mg, 20mg (zafirlukast), Arimidex Tablets 1mg (anastrozole), Atacand Tablets 8mg, 16mg, 32mg (candesartan Cilexetil), Atacand HCT Tablets 16mg, 32mg (candesartan Cilexetil With Hydrochlorothiazide), Casodex Tablets 50mg (bicalutamide), Crestor Tablets 5mg, 10mg, 20mg, 40mg (rosuvastatin), Nexium Capsules 20mg, 40mg (esomeprazole), Plendil Tablets 2.5mg, 5mg, 10mg (felodipine), Prilosec Capsules 10mg, 20mg (omeprazole), Pulmicort Flexhaler Powder For Inhalation 90mcg, 180mcg (budesonide Inhaled), Rhinocort Aqua Nasal Spray 32mcg (budesonide Nasal Spray), Seroquel Tablets 25mg, 50mg, 100mg 200mg, 300mg (quetiapine), Seroquel XR Extended Release Tablets 200mg (quetiapine Fumarate), Toprol XL Tablets 50mg, 100mg, 200mg (metoprolol), Zomig Tablets 2.5mg (zolmitriptan), Zomig-Zmt Tablets 0.5mg, 2.5mg, 5mg (zolmitriptan)

    Forms and other information are Copyright © AZ&Me Prescription Savings Program for People with Medicare Part D