Helping you save on the medicines you need.
The AZ&Me™ Prescription Savings program for people with Medicare Part D is designed to provide significant savings to qualifying people enrolled in Medicare Part D prescription drug coverage plans but are having difficulty affording their AstraZeneca medicines.
For more information, 
download the program brochure.
Highlights
- Enrollees pay no more than $25 for a typical 30-day supply of AstraZeneca medicines
- The AZ&Me™ Prescription Savings program for people with Medicare Part D is available at most local pharmacies
- There is no program enrollment fee
- Sign-up is easy
Are you eligible?
If you are enrolled in Medicare Part D, you may be eligible for the program if you meet the following criteria:
- You are an individual with an annual income below $30,000 or a couple earning less than $40,000 per year
- You are taking an eligible AstraZeneca medicine
- You have spent at least 3% of your annual household income on prescription drugs this year
Program cost structure
Upon completion of the documentation requirements and full enrollment, you will have a choice of getting a 30-, 60-, or 90-day prescription filled at your local pharmacy (if prescribed by your health care professional), which could mean additional savings on the 60- and 90-day fills.
Individuals with annual incomes at or below $15,000:
- $15 for a typical 30-day prescription
- $22.50 for a typical 60-day prescription
- $30 for a typical 90-day prescription
Individuals with annual incomes between $15,001 and $30,000:
- $25 for a typical 30-day prescription
- $37.50 for a typical 60-day prescription
- $50 for a typical 90-day prescription
How to apply
The AZ&Me™ Prescription Savings program for people with Medicare Part D offers a simple enrollment process. Learn more about whether or not you or a family member may qualify for the program by calling the AZ&Me™
Prescription Savings program for people with Medicare Part D hotline at 1-800-AZandMe (1-800-292-6363) Monday through Friday, 8:00 a.m.
TO
8:00 p.m. EST, excluding holidays or click here to enroll online.
AZ&Me™ Prescription Savings program for people with Medicare Part D medicine list
If you are seeking assistance for ONGLYZA please contact the BMS Patient Assistance Foundation at 1 (800) 736-0003 for help or visit their web site www.bmspaf.org for Program information or an application. Please note that the AZ&Me™ Prescription Savings Programs may have different eligibility requirements than the BMS Patient Assistance Foundation Program.
The AZ&Me™ Prescription Savings program for people with Medicare Part D is not part of the Medicare program, but is an independent assistance program provided by AstraZeneca designed to help people with limited income.
This is just one of the patient assistance offerings that provide AstraZeneca medicines at significant savings or free of charge to individuals.
Ordering Program Materials
To order program materials please call 1-800-AZandMe (1-800-292-6363). Please note that the minimum order quantity is 25.
