In order to make this process as smooth as possible, make sure that you have everything you need before you begin the pre-screening process, including:

the name(s) of your AstraZeneca medication(s)
information about whether you have prescription drug coverage
information about your total household income

Once you do, please click the role below that fits you best.

I am a Healthcare Provider

Patient/Caregiver

Yes No

Select Number

$ monthly or

$ yearly

Pre-screening Results

We're sorry, but based on the information that you've entered, it appears that you are not eligible to enroll in the AZ&Me Prescription Savings Program. Please see our eligibility requirements if you have questions about these results.

Even though your patient doesn't appear to qualify, you may want to continue the application process on their behalf or re-enter the information in the pre-screening process and try again.

Are You Eligible?

Patient/Caregiver

Based on the information that you've entered, you may qualify for one of our programs.

Call Us

Mail or Fax

Fax*

Pre-screening Results