astrazeneca patient assistance

The attestation process for Medicare patients looking to re-enroll in the program for 2021 has expired. It offers confidential assistance online for seniors and caregivers by searching more than 1,100 federal, state, and private prescription drug programs and determining those for which the senior may be eligible. This program serves as another option for patients who pay full price at the pharmacy, including those who don’t have insurance, or who are in the deductible phase of a high-deductible commercial insurance plan. COVID-19 Update: At AstraZeneca, we view the safety and wellbeing of our patients as the highest priority. MAT is not its own patient assistance program but rather a search engine for many of the patient assistance resources that the biopharmaceutical industry offers. We encourage you to read the privacy policy of every website you visit. The ACU has developed tools and links for implementing comprehensive pharmaceutical care for low-income patients. Eligibility requirements vary for each program. Call 1-800-292-6363 Monday–Friday, 9:00 am to 6:00 pm ET or visit www.azandmeapp.com PATIENT INFORMATION: For completion by Patient or Legally Authorized Representative Please print clearly in blue or black ink. • Eligibility requirements and enrollment assistance for specialty Patient Savings Programs • Referrals to patient assistance programs • Referrals to nurse assistance or educational support programs, if applicable. To contact your local area agency on aging, call 1-800-677-1116 or visit www.eldercare.acl.gov. AstraZeneca India was established in 1979 and is headquartered at Bengaluru, Karnataka. AstraZeneca Pharma India Limited (AZPIL) is the operating company and covers manufacturing, sales and marketing activities of the company in India. •      1-800-532-5274, Patient Services, Inc. AstraZeneca's global website is intended for people seeking information on AstraZeneca's worldwide business. AstraZeneca medicines provided at no cost. AstraZeneca is a global, innovation-driven biopharmaceutical business that focuses on the discovery, development and commercialisation of prescription medicines, primarily for the treatment of cardiovascular, metabolic, respiratory, inflammation, autoimmune, … Find answers to your questions and downloadable resources that help you prepare and apply for our programs. The website was developed using materials from the Centers for Medicare and Medicaid Services, as well as materials developed by the National Council on Aging (NCOA), the Access to Benefits Coalition (ABC), and AstraZeneca. Patient Name: _____ Here are some additional resources that may help you gain access to the medicines or services you need. Rx Outreach Select IVR prompt (1) to request a refill for a non-refrigerated medication. Prescription assistance from AstraZeneca. This is not a complete list and is provided as a public service for health care providers, caregivers, and low-income patients. For more information, call AstraZeneca Access . This website uses cookies to help us give you the best experience when you visit. If you are an existing Medicare patient looking to reenroll in our program for 2021, RxHope lets you search for patient assistance information. Click here to review the list of medicines available through this program. BYDUREON BCise, 3.c Increase the health workforce in developing countries. Iressa Access Program, a patient assistance program provided by AstraZeneca, offers Iressa at no cost for up to 30 days to those who are eligible for the program. PATIENT PRODUCT INQUIRIES. Other restrictions may apply. Eligibility is based off of the following requirements: - This program is currently not accepting patients … •      1-855-845-3663, CancerCare Co-Payment Assistance Foundation Click ‘cancel’ to return to AstraZeneca’s site or ‘continue’ to proceed. The National Council on Aging (NCOA) sponsors this website. At AstraZeneca every one of our employees makes a difference to patient lives every day. This official Medicare website can help patients, caregivers, and doctors find information about public and private prescription drug assistance programs in their area, including eligibility requirements and covered services. Inside RxSM If you’re unable to identify your delivery status utilizing the IVR, select the option to be connected to an AZ&Me team member who can provide additional assistance. Select IVR prompt (2) “To check the status of your last fill request.”. The patient pays $0 per injection, program pays remaining out-of-pocket costs up to a maximum of $13,000 per year. If you pay cash for your prescription, AstraZeneca will pay up to the first $150, and you will be responsible for any remaining balance, for each monthly prescription. You are about to access AstraZeneca historic archive material. •      1-866-316-7263, Patient Advocate Foundation •      www.mygooddays.org You can place a refill for a patient already enrolled in the program by contacting our program at: (800) 292-6363. •   Once enrolled, you remain enrolled for up to one year. By commercial insurance, AstraZeneca means private insurance. Medicare Area Agencies on Aging (ElderCare) • AstraZeneca is a company that makes prescription medicines • AstraZeneca has offered prescription savings programs to people who qualify since 1978 ... patient assistance program administrator if the product I am prescribed is transferred to another manufacturer. We are inspired by the things that seem impossible and stimulate continued creativity throughout our organisation, maintaining a culture in which our people feel valued for their ideas and contributions. RxAssist lets you search for information on patient assistance programs by company, brand name, generic name, or type of medicine. is a search engine designed to help patients, caregivers and health care providers learn more about the resources available through the various biopharmaceutical industry programs. Please see full Prescribing Information, including Boxed WARNING(S) for BRILINTA, Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Place a Refill (non-refrigerated medications only): At AstraZeneca, we view the safety and wellbeing of our patients as the highest priority. AstraZeneca is a global, science-led biopharmaceutical business and our innovative medicines are used by millions of patients worldwide. XIGDUO XR. Often biologics, injections, or infusions. This site will guide you through the AZ&Me application process to see if you are eligible for the program. from AstraZeneca Canada Inc. are strictly for personal use, and that coverage is at the discretion of AstraZeneca’s Patient Assistance Program. Patient is responsible for applicable taxes, if any. These Programs may also be called indigent drug programs, charitable drug programs or medication assistance programs. Select IVR prompt (1) to request a refill for a non-refrigerated medication. For more information, please call the MY LOKELMA Support Program at 1-866-494-8080 1-866-494-8080. CancerCare Co-Payment Assistance Foundation, Medical information for healthcare providers, Association of Clinicians for the Underserved (ACU), Health Resources and Services Administration (HRSA). Rx Outreach is a fully licensed nonprofit mail order pharmacy. AstraZeneca 2020 performance: 46% reduction in the vehicle collision rate of our workforce since 2015. •      www.healthwellfoundation.org Important notice for users Through this program, many AstraZeneca products can be accessed at a discounted price, providing savings that are realized immediately at the pharmacy. I have read this warning and will not be using any of the contained product information for clinical purposes. •   At the end of that year you can reapply. The Assistance Fund ©2021 AstraZeneca. For more information, visit www.rxassist.org. QTERN, SYMBICORT, SYMLIN, TAGRISSO and XIGDUO XR are registered trademarks and BREZTRI AEROSPHERE, KOSELUGO, and AZ&Me are trademarks of the •      www.patientservicesinc.org Assistance may be available through independent foundations such as those listed below. For more information, visit www.mymedicarematters.org. You may be eligible for the Co-Pay Savings Program if you are commercially insured and not enrolled in a state or federally funded program. AZ&Me™ is designed to help qualifying people without insurance and those on Medicare who are having trouble affording their AstraZeneca medications. please complete the enrollment form which can be found under Resources and Downloads. Our programs offer to provide you with AstraZeneca medications at no cost, but we need to determine if you are eligible first. The site also provides a quick-reference chart that lists drug assistance programs by state. By using this website you consent to our use of these cookies. RxAssist provides information on ways to get free and low-cost medications. •      1-800-955-4572, Patient Access Network Foundation You can place a refill for a patient already enrolled in the program by contacting our program at: (800) 292-6363. AstraZeneca is not responsible for the privacy policy of any third party websites. You have selected a link that will take you to a site maintained by a third party who is solely responsible for its contents. AstraZeneca is committed to helping people afford their medicines—whether they’re our medicines or those made by someone else. Patient … Independent Patient Assistance Foundations. We provide financial assistance to eligible commercially insured patients that help reduce monthly cost of your medication. •      www.lls.org A focus is on individuals who are enrolled into Medicare Part D, patients with no (or very limited) health insurance, and individuals who have been faced with an unexpected financial hardship or emergency. BenefitsCheckUp® COVID-19 Update: At AstraZeneca, we view the safety and wellbeing of our patients as the highest priority. •      www.cancercare.org Find out more about how we use cookies and how to manage them by reading our cookie notice. The My Medicare Matters website is designed to help individuals learn more about Medicare prescription drug coverage. In fact, we’ve offered assistance programs for over 40 years, and we offer other programs and services to help people get the medicines they need. •   There is NO cost to sign up for the program. AstraZeneca Patient Assistance Program Application; Click here to visit the program's web site. Other restrictions may apply. For questions or assistance, please call Access 360, Monday through Friday, 8 am – 8 pm at 1-844-275-2360. Patient Assistance Programs for AstraZeneca COVID-19 Vaccine. Association of Clinicians for the Underserved (ACU) HRSA offers information about community health centers that may offer prescription assistance to low-income patients. Commercial insurance is sometimes referred to as “private insurance” and is typically provided by the company you work for. It offers more than 1,000 medication strengths that cover most chronic diseases. • Eligibility requirements and enrollment assistance for specialty Patient Savings Programs • Referrals to patient assistance programs • Referrals to nurse assistance or educational support programs, if applicable What is AstraZeneca Access 360™? This information is intended for US consumers and health care professionals only. Are you currently taking any AstraZeneca medications and having trouble affording them? This is not a comprehensive list, and other foundations may be able to help. •      www.patientadvocate.org Click the 'Global site' link for the directory of country sites. All other trademarks are the property of their respective owners. NeedyMeds is devoted to helping people in need find assistance programs to help them afford their medications and costs related to health care. These foundations are not associated with AstraZeneca; specific details and eligibility requirements can be found directly on the foundations’ websites. NeedyMeds For more information, call 1-888-ASK-HRSA or visit www.hrsa.gov. Patient assistance programs are run by pharmaceutical companies to provide free medications to people who cannot afford to buy their medicine. Select IVR prompt (1) to request a refill for a non-refrigerated medication. At AstraZeneca, we believe it’s not enough for us to simply make medicines, we have to help ensure that the people who need our medicines have access to them. AstraZeneca reserves the right at any time, without notice, to modify the Program or to discontinue the Program and terminate assistance. Patients or their advocates can complete a simple enrollment process online, by phone, or with a paper application. For more information, visit www.mat.org. Any reference in these archives to AstraZeneca products or their uses may not reflect current medical knowledge and should not be used as a source of information on the present product label, efficacy data or safety data. We will keep you apprised of all new actions deployed to ensure you have uninterrupted access to your medication. For more information, visit www.rxhope.com. It is a listed company and is a subsidiary of AstraZeneca Plc, UK. Health Resources and Services Administration (HRSA) If you pay cash for your prescription, you will receive up to $100 in savings on your out-of-pocket costs that exceed $25 for each prescription. Other Resources Our Patient Assistance Programmes (PAPs) offer medicines to patients who cannot afford to pay and who meet certain eligibility requirements. RxHope™ The NeedyMeds website provides information on company patient assistance programs, free and low-cost clinics, government programs and other types of assistance programs. 1 Please complete form, sign, and fax all pages to 1-844-329-2360. •      1-877-968-7233, HealthWell Foundation The ACU is a nonprofit organization that works to help clinicians better serve the needs of low-income patients. US-30191; US-33602; US-44017; US-49533 Last Updated 1/21, You can check the status of your medication delivery by contacting our program at: (800) 292-6363. Patient Assistance Program. AstraZeneca group of companies. For more information, call 1-888-RXO-1234 (1-888-796-1234) or visit https://rxoutreach.org/. Patient Assistance Program In Canada, our AstraZeneca Patient Assistance Program is available to patients in financial need who meet the eligibility requirements for select medications. Children's Tumor Foundation CTF is dedicated to funding and driving innovative research that … PhRMA’s Medicine Assistance Tool (MAT) AstraZeneca provides this link as a service to website visitors. •      https://tafcares.org/ Patient Assistance Program. This offer is good for 12 uses, and each 30-day supply counts as 1 use. If you can't afford your medicine, AstraZeneca may be able to help. Our Program continues to monitor the COVID-19 pandemic and its related impacts and deploy appropriate actions to support patients. In addition, some companies allow physicians to submit applications electronically through this site. You can place a refill for a patient already enrolled in the program by contacting our program at: (800) 292-6363. For more information, visit www.clinicians.org. You may report side effects related to AstraZeneca products by clicking here. Application for Free AstraZeneca Medicines Specialty Care Products (Oncology & Respiratory Biologics) Page 3 of 5 Questions? 3.8 Achieve universal health coverage. Card must be used on or before 12/31/20. The out-of-pocket costs covered by the program can include the cost of the product itself and/or the cost of injection of the product (program maximum of $100 per infusion assistance). •   Medicines are mailed to the patient’s home or physician’s office. •      1-800-366-7741. 360TM at 1-844-ASK-A360 (1-844-275-2360) In fact, we’ve offered assistance programs for over 40 years, and we offer other programs and services to help people get the medicines they need. Patients interested in this program should have their doctor's office contact our Medical Information Department at 1-800-668-6000 and ask for a Drug Request Form. AZ&Me™ is designed to help qualifying people without insurance and those on Medicare who are having trouble affording their AstraZeneca medications. If you are, we may be able to help. Local area agencies on aging may be able to help patients age 65 years and older who cannot afford their medicines. Click here to find out if you may be eligible for the program. ... Faz Bem is an AstraZeneca patient access programme in Brazil aimed at improving affordability of our medicines. IMFINZI, IRESSA, KOMBIGLYZE XR, LOKELMA, LYNPARZA, ONGLYZA, PULMICORT FLEXHALER, RxAssist Accessing reliable information and support is critical to navigating your health experience. All rights reserved. Referrals to AZ&Me TM Prescription Savings Program, AstraZeneca's patient assistance program. Listing does not indicate a formal relationship or association with AstraZeneca. KOMBIGLYZE XR, SYMLIN and •      1-800-675-8416, Leukemia & Lymphoma Society PO Box 222178Charlotte, NC 28222, For Oncology & Respiratory Biologics: 1-877-239-0867. What is AstraZeneca . Patient assistance programs (PAPs) are programs created by drug companies, such as ASTRAZENECA PHARMACEUTICALS, to offer free or low cost drugs to individuals who are unable to pay for their medication. Helping Patients Access the Care They Need For more information, call AstraZeneca Access Foundations can provide a variety of assistance types: co-pay, transportation, premium, patient education, etc. This site is intended for US Consumers and Health Care Professionals only. Usually bought from independent or chain retail pharmacies. At AstraZeneca, we believe it’s not enough for us to simply make medicines, we have to help ensure that the people who need our medicines have access to them. Rx Outreach is available to qualifying individuals and families. BEVESPI AEROSPHERE, BRILINTA, BYDUREON BCise, BYETTA, CALQUENCE, DALIRESP, FARXIGA, FASENRA, FASLODEX, Medicine Assistance Tool (MAT) Express Scripts has introduced a prescription drug discount program called InsideRx and AstraZeneca is one of several pharmaceutical companies participating. Questions? AstraZeneca 2020 performance: Over 3,340 health facilities activated or partnered since 2015. For more information, visit www.benefitscheckup.org. Access 360™? Call 1-800-424-3727 or visit www.azandme.com Application Free AstraZeneca Medicines ƒor PO Box 66551, St. Louis, MO, 63166-6551 What is the AZ&Me Prescription Savings™ Information about independent charitable patient assistance foundations. There are four main programs offered by AstraZeneca for people who can’t afford to buy prescription medications on their own. AZ&Me Prescription Savings Program 2025 target is 55%. For more information, visit www.medicare.gov. Patient Programs . For the Co-Pay Savings program, the company provides "financial assistance to eligible commercially insured patients." 1 AstraZeneca Access 360™ Enrollment Form 2 Insurance Information Please include front and back copies of all medical and pharmacy cards or complete this section. •      1-866 552-6729, Good Days Fund Health Care Professional Instructions: Please click on the AZ&Me logo on the left to be directed to the AZ&Me patient assistance Web site where you may obtain information about patient assistance programs from AstraZeneca. PATIENT ASSISTANCE AND PATIENT SAVINGS PROGRAMS. •      www.PANfoundation.org AstraZeneca 2020 performance: NOTE: Faxed applications MUST be sent from your doctor’s office in order for us to process your prescription. Patient Assistance Programmes. Eligibility: Patient must be enrolled in Medicare Part D, have an income at or below $35,000 as an individual or $48,000 as a couple and be taking an eligible AstraZeneca medicine. For assistance, please call AstraZeneca Access 360 at 1-844-ASK-A360 (1-844-275-2360) For questions on enrolling patients into the Patient Savings Program, AstraZeneca Access 360 serves as the primary support for all program questions and access needs. For a list of participating pharmacies, medications, and other important information about the program, visit www.InsideRx.com. Please refer to your approved national product label (SmPC) for current product information. The Access 360 program provides personal support to connect patients to affordability programs and streamline access and reimbursement for select AstraZeneca medicines. For more information, visit www.needymeds.org. My Medicare Matters

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