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If you are enrolled in Medicare Part D, you may be eligible for the program if you meet the following criteria: 1. Enrolled in Medicare Part D; 2. You are an individual with an annual income at or below $35,000, or if a couple, at or below $48,000; 3.
AstraZeneca medicines. If you have been prescribed an AstraZeneca medication and cant afford it, the AZMe Prescription Savings Programmay be able to help. If you have been prescribed an AstraZeneca medication and cant afford it, AZMe may be able to help.
Brand Name Medications Bevespi Aerosphere aerosol; inhalationIressa tabletBrilinta tabletLokelma oral suspensionBydureon BCise extended-release injectable suspensionLynparza tabletByetta penOnglyza tabletCalquence tablet; film coatedPulmicort Flexhaler powder; inhalation10 more rows
If you do not meet the requirements listed above but you have recently experienced a change in your financial circumstances (income level and/or prescription drug coverage) and can provide supporting documentation, you may still qualify for the Program. Please call 1-800-AZandMe (1-800-292-6363) for more information.
You may be eligible if you meet the following criteria: 1. You have an annual household income* at or below: $35,000 for a single person $48,000 for a family of two $60,000 for a family of three $70,000 for a family of four $80,000 for a family of five * Income limits may be higher in Alaska and Hawaii.
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This program provides brand name medications at no or low cost.
You may be eligible if you meet the following criteria: 1. You have an annual household income* at or below: $35,000 for a single person $48,000 for a family of two $60,000 for a family of three $70,000 for a family of four $80,000 for a family of five * Income limits may be higher in Alaska and Hawaii.
completed, sign and fax to 1-877-239-0867 with AZME Provider Form. Both forms must be received to determine eligibility. For questions or assistance, please call AZMe, MondayFriday, 9 AM6 PM ET at 1-800- 292-6363.

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