Requirements

In order to determine if you may be eligible for our programs, please review the important information below.

You must be a resident of the US, or have a Work Visa or Green Card.

You aren’t currently receiving prescription drug coverage under a private insurance or government program, or receiving any other assistance to help pay for medicine.

Your annual income* should be at or below:

  • $35,000 for a single person
  • $48,000 for a family of two
  • $60,000 for a family of three
  • $70,000 for a family of four
  • $80,000 for a family of five
  • *Income limits may be higher in Alaska and Hawaii
  • Please note that the income eligibility criteria for some Specialty and/or Oncology Products may be different from the income levels listed above. Click here for more information.

IMPORTANT PROGRAM UPDATE:

Please note that there has been a change to the eligibility requirements for the AZ&Me™ Prescription Savings program for people with Medicare Part D. Beginning in 2017, in addition to meeting current eligibility criteria patients will also be required to spend 3% of total household income on prescription medicines through a Medicare Part D Prescription Drug Plan during 2017 in order to qualify for the program.

Medicare Part D patients will be required to submit a copy of their Medicare Part D prescription drug plan statement (Explanation of Benefits – EOB), pharmacy receipts or a summary document from a pharmacy indicating total spend on prescriptions in 2017; this total should be at least 3% of household income.

For questions regarding this change, please call 1-800-292-6363.

NOTE: Patients with Medicare Part B coverage may also be eligible. Please call 1-800-292-6363 for more information.

If you are a Medicare Part D Beneficiary:

  • You aren’t eligible for or enrolled in Limited Income Subsidy (LIS) for Medicare Part D

If you have experienced a life changing event in the past year, and your financial documentation does not accurately reflect your current situation, we encourage you to apply for the AZ&Me Prescription Savings Program. You may still meet the criteria to enroll. Some examples of this type of event would be:

  • Loss of employment
  • Change in income
  • Loss of, or change in, prescription drug coverage
  • Marriage
  • Change in household number