Registration Successful...
null you have successfully logged registered and logged in
  • Home >
  • Frequently Asked Questions

Frequently Asked Questions

Expand All +
Collapse All -

We’ve compiled a list of some of the most common questions you might have about our program. If you don’t find the answers that you need here, please contact us at
1-800-AZandMe (1-800-292-6363).

What is the AZ&Me Prescription Savings Program?

The AZ&Me Prescription Savings Program for people without insurance provides AstraZeneca medicines at no cost to qualified patients. This prescription assistance program can help patients who do not have prescription drug coverage and who meet other eligibility criteria.

The AZ&Me Prescription Savings Program for people with Medicare provides AstraZeneca medicines at no cost to qualifying people who are enrolled in Medicare and have spent at least 3% of their household income on prescription medicines during the current calendar year, but are having difficulty affording their AstraZeneca medicines.

What medications are covered in the AZ&Me Prescription Savings Program?

Most AstraZeneca medicines are included in the Program. Please visit our Prescription Product List for an up-to-date listing of the products covered by each program.

How much will I pay for my AstraZeneca medicine(s)?

The AZ&Me Prescription Savings Program for people without insurance and the AZ&Me Prescription Savings Program for people with Medicare are both free, mail-based programs.

Does it cover generic medications?

The AZ&Me Prescription Savings Program only provides assistance with AstraZeneca brand name medications.

Is there a fee to enroll in the AZ&Me Prescription Savings Program?

There is no fee to enroll in the AZ&Me Prescription Savings Program.

How do I enroll in the AZ&Me Prescription Savings Program?

You can apply to the AZ&Me Prescription Savings Program in 3 ways:

  1. Call 1-800-AZandMe (1-800-292-6363) to speak with an assistance specialist

  2. Complete a hard-copy application and mail to:

    AZ&Me™ Prescription Savings Program
    PO Box 222178
    Charlotte, NC 28222

  3. Complete a hard-copy application and have your doctor’s office fax it to:

    For Oncology & Respiratory Biologics products: 1-877-239-0867
    For all other products: 1-800-961-8323

    NOTE: Faxed applications MUST be faxed from your doctor’s office in order for us to process your prescription.

What are the eligibility requirements for the AZ&Me™ Prescription Savings Program?

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

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

You must be without prescription drug coverage through commercial/private insurance or government programs.

You must not be eligible for Medicaid in your state of residence.

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

If you are a Medicare Beneficiary:

  • You must not be eligible for or enrolled in Low Income Subsidy (LIS) for Medicare Part D
  • Your annual income should be at or below a certain level
  • You must have spent at least 3% of your total household income on prescription medicines during the current calendar year
  • You must not be eligible for Medicaid in your state of residence

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

How do you define household income?

Your household income is the total combined pre-tax income for yourself, your spouse, and dependents. It is requested that you report either your monthly or yearly household income.

Do I have to submit proof of income to the AZ&Me Prescription Savings Program?

Proof of income may be required. In the event a proof of income documentation is requested to determine your eligibility for the AZ&Me Prescription Savings Program, acceptable documents include:

  • A copy of the most recent Federal Income Tax Returns for yourself, your spouse, and dependents
  • All income statements from jobs from the past year (W2 or 1099)
  • Social Security Income Yearly Benefits Statement (stating income you received from Social Security in the last year)
  • If your income is zero, a letter explaining your financial situation from a family member, healthcare provider, or yourself

If you don’t have any of these documents, please call 1-800-AZandMe (1-800-292-6363).

What paperwork do I need to submit to the AZ&Me Prescription Savings Program?

For the AZ&Me Prescription Savings Program for people without insurance
The following items will need to be submitted with your fully completed AZ&Me Prescription Savings Program application:

  • Your completed application, including the section completed by your physician
  • If your income is zero, a letter explaining your financial situation from a family member, healthcare provider, or yourself

For the AZ&Me Prescription Savings Program for people with Medicare
The following items will need to be submitted with your fully completed AZ&Me Prescription Savings Program application:

  • Your completed application, including the section completed by your physician
  • If your income is zero, a letter explaining your financial situation from a family member, healthcare provider, or yourself
  • A copy of your Medicare Part B or Part D Prescription Drug Plan statement (Explanation of Benefits-EOB), pharmacy receipts or a summary document from your pharmacy indicating what you have spent for prescriptions in the current calendar year

Where do I send my AZ&Me Prescription Savings Program application?

AZ&Me™ Prescription Savings Program
PO Box 222178
Charlotte, NC 28222

Or

Fax*:
For Oncology & Respiratory Biologics products:
1-877-239-0867
For all other products: 1-800-961-8323

*PLEASE NOTE: Faxed applications MUST be sent from your doctor’s office in order for us to process your prescription.

How long am I enrolled in the AZ&Me Prescription Savings Program?

For the AZ&Me Prescription Savings Program for people without insurance
As long as you meet all eligibility requirements and have submitted your appropriate paperwork, you may be enrolled in the Program for up to 12 months. You may be able to re-enroll if you continue to meet the Program eligibility criteria.

For the AZ&Me Prescription Savings Program for people with Medicare
As long as you meet all eligibility requirements and have submitted your appropriate paperwork, you may be enrolled in the Program for up to 12 months through December 31st of the calendar year in which you are enrolled. You may be able to re-enroll if you continue to meet the Program eligibility criteria.

How do I submit my prescription?

Since a valid prescription for AstraZeneca medicine is required in order to qualify for the program, your healthcare provider will need to be involved with your enrollment. The AZ&Me Prescription Savings Program application includes a section for your healthcare provider to complete, including your prescription information. As long as this section of the application is completed correctly, a separate prescription form is not necessary.

How many days of medication can I get from the AZ&Me Prescription Savings Program?

The quantity dispensed is determined by the quantity indicated by your physician on the prescription, in addition to the program’s pharmacy guidelines for each medicine. The prescription may indicate up to a 90 day supply per fill.

When can I refill my prescription?

Refills will be allowed after you have taken 2/3 of your prescription. This percentage is calculated from the last date of fill.

For Prescription Refills, call 1-800-292-6363. Once you are enrolled in the Program, your prescriptions can easily be refilled by calling our phone line.

How long will it take to get my medicine from the AZ&Me Prescription Savings Program?

It can take 1-2 weeks to get your first shipment of medicine. Refills typically are received within 5-7 business days.

Why is AstraZeneca offering the AZ&Me Prescription Savings Program?

AstraZeneca recognizes that some people may experience difficulty affording their AstraZeneca medicines. The AZ&Me Prescription Savings Program fits with AstraZeneca’s long history of helping to ensure that those who use AstraZeneca medicines are able to access them when they need them.

When did the AZ&Me Prescription Savings Program start?

AstraZeneca has offered patient assistance programs for over 40 years.

Can I withdraw from the program?

AZ&Me Prescription Savings Program enrollees may voluntarily withdraw from the program at any time by calling 1-800-AZandMe (1-800-292-6363).