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 must not be currently receiving prescription drug coverage under a private insurance or government program, or receiving and other assistance to help pay for medicine.

Your annual income must be at or below a certain level.

If you are a Medicare Part D Beneficiary:

• You must not be eligible for or enrolled in Limited Income Subsidy (LIS) for Medicare Part D
• You must have spent at least 3% of your annual household income on prescription medicines through your Medicare Part D plan in the current year.

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

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