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The document outlines the AZ&Me Prescription Savings program by AstraZeneca, which provides free medicines for individuals without insurance who meet specific income qualifications. It details the application process, eligibility criteria, and necessary documentation required to apply for the program. The program offers a one-year supply of medications, with options for renewal, and emphasizes that it is not a government initiative.

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Who is eligible for the AzMe program?

For AZMes Specialty and Primary products, your annual adjusted gross income must be at or below 300% of the Federal Poverty Level. For AZMes Rare Disease product(s) (WAINUA), your annual adjusted gross income must be at or below 500% of the Poverty Level.

What is the AstraZeneca Assistance Program?

Patient Assistance Information. The patient must have Medicare Part D, and have an income less than or equal to $30,000 for an individual (less than or equal to $40,000 for a couple.)

What is the AstraZeneca patient Assistance Program?

If you have been prescribed an AstraZeneca medication and cant afford it, the AZMe Prescription Savings Program may be able to help. AZMe provides medications at no cost to eligible patients who have been prescribed AstraZeneca medications and cannot afford them.

What is the purpose of AstraZeneca?

Our purpose is to push the boundaries of science to deliver lifechanging medicines. We cant do this alone. The life sciences sector is an ecosystem. Pharmaceutical companies, universities, health charities, the NHS and patients themselves all work together to help increase our understanding of effective treatment.

What is the income limit for AzMe?

Eligibility Requirements 2024 Program Income Requirement For Specialty and Primary Medications Annual adjusted gross income must be at or below 300% of the Federal Poverty Level (FPL) For Rare Disease Medications (WAINUA) Annual adjusted gross income must be at or below 500% of the Federal Poverty Level (FPL)1 more row

az and me application pdf

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Who is eligible for the patient assistance program?

Eligibility and enrollment Be a US citizen or legal resident. Have a total household income at or below 400% of the federal poverty level. Must be uninsured, or have Medicare. Note: if you have private or commercial insurance, you are not eligible for the PAP.

Does Farxiga have a patient assistance program?

AZMe provides medications at no cost to eligible patients who have been prescribed AstraZeneca medications and cannot afford them. AZMe supports patients who: Do not have health insurance. Are covered under Medicare but still cannot afford their AstraZeneca medications.

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