Sample banner to show where potential messaging would go in case of announcements or important information.
for a form description
For patients and their Legally Authorized Representatives (LARs) to provide program consent needed to facilitate the application/enrollment process
for a form description
For new and re-enrolling Specialty and Rare Disease Medicare patients, Legally Authorized Representatives (LARs), and HCPs when providing required documentation to finalize the patient's Conditionally Approved enrollment. The form is required and must be submitted with applicable supporting documentation
for a form description
For patients, Legally Authorized Representatives (LARs), and HCPs to discontinue a patient's enrollment when AZ&Me support is no longer needed
The fastest way to apply is to do it online—see New Patient Application.
To download a hard-copy application that you can fax to AZ&Me, please select your medication below.
This AZ&Me brochure provides an overview of AZ&Me.
You can download to learn more or send to someone else to share information about the program.
This AZ&Me brochure provides an overview of AZ&Me.
You can download to learn more or send to someone else to share information about the program.
Patient/LAR User Guide
This user guide is for patients and legally authorized representatives (LARs) using the AZ&Me website. It offers clear, step-by-step instructions for registering, signing in, navigating the Patient Dashboard, confirming shipments, and uploading documents—to support you throughout your application.
Home Page Overview
Patients and Healthcare Providers will learn how to navigate the website and find helpful resources.
Patient/LAR Website Registration/Sign In
Learn how Patients and their LARs can register and sign in to the AZ&Me Website.
Patient/LAR Applying to AZ&Me
Learn how Patients and LARs can apply to AZ&Me online.
Patient/LAR Dashboard Overview
Learn how Patients and their LARs can navigate patient dashboard features and find actions needed to complete and manage enrollment.
Patient/LAR Document Upload
Learn how Patients and their LARs can upload documents required for their enrollment into the AZ&Me program.
Patient/LAR Refill Management
Learn how Patients and LARs can manage refills for AZ&Me enrollment.
Home Page Overview
Patients and Healthcare Providers will learn how to navigate the website and find helpful resources.
Patient/LAR Applying to AZ&Me
Learn how Patients and LARs can apply to AZ&Me online.
Patient/LAR Document Upload
Learn how Patients and their LARs can upload documents required for their enrollment into the AZ&Me program.
Patient/LAR Website Registration/Sign In
Learn how Patients and their LARs can register and sign in to the AZ&Me Website.
Patient/LAR Dashboard Overview
Learn how Patients and their LARs can navigate patient dashboard features and find actions needed to complete and manage enrollment.
Patient/LAR Refill Management
Learn how Patients and LARs can manage refills for AZ&Me enrollment.
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©2026 AstraZeneca. All rights reserved. US-94004; US-99057; US-103769; US-106756; US-112368 Last Updated 5/26
