AstraZeneca Cancer Support Network (AZ CSN) - Patient Assistance Programs

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

AstraZeneca Cancer Support Network (AZ CSN), a patient assistance program provided by AstraZeneca Pharmaceuticals, offers the medication listed to the right at no cost for 90 days to those who are eligible for the program. Eligibility is based off of the following requirements:

You must be a citizen of the United States or its Territories.

You must not be eligible for or covered by any private, public, or Medicare Part D prescription coverage programs.

Your income must be less than or equal to 300% of the Federal Poverty Guideline for the size of your household (see chart below).

Those eligible for Medicare Part D but not enrolled may still be eligible.

The medication must be sent to the physicians office or hospital.

SOURCE: 2008 Poverty Chart

Family Size

300%

250%

200%

150%

133%

100%

$32,490

$27,075

$21,660

$16,245

$14,404

$10,830

$43,710

$36,425

$29,140

$21,855

$19,378

$14,570

$54,930

$45,775

$36,620

$27,465

$24,352

$18,310

$66,150

$55,125

$44,100

$33,075

$29,327

$22,050

$77,370

$64,475

$51,580

$38,685

$34,301

$25,790

$88,590

$73,825

$59,060

$44,295

$39,275

$29,530

$99,810

$83,175

$66,540

$49,905

$44,249

$33,270

$111,030

$92,525

$74,020

$55,515

$49,223

$37,010

Each Additional Family Member

$11,220

$9,350

$7,480

$5,610

$4,974

$3,740

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 AAI Pharma Inc. program. Without their help millions of people will be without medication.