|
This program provides brand name medications at no or low cost.
|
| Pharmaceutical Company |
AstraZeneca Pharmaceuticals |
| Program Name |
AZ&Me Prescription Savings Program for people with Medicare Part D |
| Program Address |
P.O. Box 52087
Phoenix, AZ 85072 |
| Phone Number |
800-292-6363
800-957-6285
|
| Fax Number |
888-386-4104 |
| Medications on Program |
Accolate Tablets 10mg, 20mg (zafirlukast)
Arimidex Tablets 1mg (anastrozole)
Atacand Tablets 4mg,8mg, 16mg, 32mg (candesartan cilexetil)
Atacand HCT Tablets 16mg, 32mg (candesartan cilexetil with hydrochlorothiazide)
Casodex Tablets 50mg (bicalutamide)
Crestor Tablets 5mg, 10mg, 20mg, 40mg (rosuvastatin)
Faslodex Injection 1 (fulvestrant)
Merrem Injection 1 (meropenem)
Nexium Capsules 20mg, 40mg (esomeprazole)
Nexium IV 20mg, 40mg (esomeprazole sodium)
Nexium Oral Suspension 10mg, 20mg, 40mg (esomeprazole sodium)
Pulmicort Flexhaler Powder for Inhalation 90mcg, 180mcg (budesonide inhaled)
Rhinocort Aqua Nasal Spray 32mcg (budesonide nasal spray)
Seroquel Tablets 25mg, 50mg, 100mg 200mg, 300mg, 400mg (quetiapine)
Seroquel XR Extended Release Tablets 50mg, 150mg, 200mg, 300mg, 400mg (quetiapine fumarate)
Symbicort Inhaler 80/4.5mcg, 160/4.5mcg (budesonide/formoterol)
Toprol XL Tablets 25mg, 50mg, 100mg, 200mg (metoprolol)
Zoladex Implant 1 (goserelin)
Zomig Tablets 2.5mg, 5.0mg (zolmitriptan)
Zomig Nasal Spray nasal spray 5mg (zolmitriptan)
Zomig-ZMT Tablets 2.5mg, 5mg (zolmitriptan)
|
| Application Forms |
Not Applicable |
On-line Application
|
|
| Web Site |
Click to go to program's web site |
| Eligibility Guidelines and Notes |
Applicants with insurance are eligible. have an income less than or equal to $30,000 for an individual (less than or equal to $40,000 for a couple.) Medical diagnosis necessary for this program is not specified. The patient must also be a US resident, green card or work visa holder. The applicant must have spent at least 3% of the annual household income on prescription drugs this year. Applicant may print out a membership card to be shown at the pharmacy and one is also sent. Depending on income, one will pay between $15-25 for a 30 day supply of medication, $22.50-37.50 for a 60 day supply and $30-50 for a 90 day supply.
|
| Application Process |
Not applicable.
|
| Application Requirements |
Not applicable.
|
| Program Details |
The medication can be picked up by the patient at the pharmacy.
|
| Last Updated |
October 13, 2009 |
|
