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Helping Patients Access
Their AstraZeneca Medications
If you have been prescribed an AstraZeneca medication and can't afford it, the AZ&Me Prescription Savings Program may be able to help.
About AZ&Me
If you have been prescribed an AstraZeneca medication and can’t afford it, the AZ&Me Prescription Savings Program may be able to help. AZ&Me provides medications at no cost to eligible patients who are prescribed AstraZeneca medications and cannot afford them.
AZ&Me supports patients who:
- Do not have health insurance
- Are covered under Medicare but still cannot afford their AstraZeneca medications
If you are having trouble affording your AstraZeneca prescription, we encourage you to check your eligibility before applying to the program.
For Current AZ&Me Patients
To access AZ&Me's Digital Assistant and opt in for real-time updates regarding your AZ&Me enrollment, click HERE.
For Healthcare Providers
Please ePrescribe for quickest processing.
You can electronically submit your patient’s prescription(s) directly to our pharmacy. Instructions HERE.
If you are having trouble affording your AstraZeneca prescription, we encourage you to check your eligibility before applying to the program.
Important Program Updates
- AZ&Me is now accepting applications for additional medications. Click HERE for more detailed information
- Effective May 1, 2026, AZ&Me is no longer accepting new patients for FARXIGA® (dapagliflozin) and XIGDUO XR® (dapagliflozin and metformin HCl extended-release). For information, please click HERE
- Effective January 1, 2026, BRILINTA® (ticagrelor) is no longer available on the AZ&Me Program
- To learn more about AZ&Me’s eligibility requirements for Specialty & Rare Disease Medicare patients, click HERE
For Healthcare Providers
- Prescriptions for AZ&Me can be submitted electronically to our pharmacy
- Please click HERE for e-prescribing instructions. Please ensure the patient’s name on the prescription matches the name on the AZ&Me application to ensure timely processing
Applying to the AZ&Me Program
Information About You (the Patient)
- Name
- Home Address
- Contact Information: Phone Number & Email
- Health Insurance Information
- Household Size
- Adjusted Gross Income
Your adjusted gross household income is the total income for yourself, your spouse, and all dependents in the household. This can be found on your most recent IRS Form 1040, on line 11.
Information About Your Medication
- AstraZeneca Medication Name & Formulation*
- Prescriber's Name
- Prescriber's Office/Facility Name
- Prescriber's Office Address
*For a list of medications available on the AZ&Me Program, click HERE.
Please note: If you live in Alaska or Hawaii, you may still qualify. Click HERE to see the income guidelines for residents in Hawaii and Alaska.
Step 1: Complete the Application
To apply online, choose the option below that best describes you or download the AZ&Me Application. Fax your completed application to 877-239-0867.
Fax your completed application to 877-239-0867.
Step 2: Eligibility Determination
- If you apply online, a decision may be made immediately.
- If your application is submitted by fax or is missing information, AZ&Me will reach out to you and your doctor with a decision or request for additional information within 2-4 business days.
Step 3: Your Doctor Sends Your Prescription to AZ&Me
If your application is approved, AZ&Me may need to contact your doctor to obtain a prescription for your AstraZeneca medication. Prescribers can click HERE for instructions to ePrescribe.
Step 4: The Pharmacy Fills Your Prescription & Your Medication is Delivered
Up to a 90-day supply of your prescription will be filled by AZ&Me’s pharmacy partner and can be delivered directly to your home or your doctor's office at no cost to you.
Step 5: Getting a Refill
- Most medications will be automatically refilled and shipped directly to your home or doctor’s office.
- Some Specialty and Rare Disease Medications will require you or your doctor to confirm shipping information for each refill. When it’s time for your refill, you or your doctor will be able to confirm your shipping information by using the AZ&Me Dashboard, AZ&Me Digital Assistant, or by speaking with an AZ&Me representative.
You may report side effects related to AstraZeneca products 
.
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