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Helping you get the medicines you need
AstraZeneca has offered prescription savings programs since 1978. The AZ&Me™ Prescription Savings program for people without insurance is designed to provide AstraZeneca medicines at no cost to qualified patients. This program can help patients who do not have prescription drug coverage and who meet other eligibility criteria.
Highlights- You may be eligible to receive up to a 90-day AstraZeneca prescription at no cost, delivered to your home or physician’s office. Review the list of medicines available through this program.
- You or your doctor can request refills when needed.
- You can get one-on-one support to help you identify and access health and drug coverage and services for which you may qualify.
- Once accepted, you remain enrolled for one year. At the end of that year you can reapply.
You may be eligible if you meet the following criteria:
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You have an annual household income* equal to or less than:
- $30,000 for a single person
- $40,000 for a family of two
- $50,000 for a family of three
- $60,000 for a family of four
- $70,000 for a family of five
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You do not receive drug coverage under any private insurance or any other coverage that provides assistance to help pay for medicines, such as:
- Employer furnished or private drug coverage
- Military or veteran benefits
- Medicare Part B (covers some medicines)
- Medicare Prescription Drug Program (Part D)
- Medicaid
- State assistance program for medicines (SPAP, SCHIP, PACE, etc.)
* Current income limits are based on 2007 guidelines and might change; income limits might be higher in Alaska and Hawaii.
Patients who are in Medicare and may be eligible for the Limited Income Subsidy can apply to AZ&Me™ Prescription Savings program for people without insurance.
- When you apply to this program, you will receive information and one-on-one education designed to help with the Limited Income Subsidy application process.
- During the processing of your Limited Income Subsidy application, you will be temporarily enrolled in the AZ&Me™ Prescription Savings program, and you can receive your AstraZeneca medicines.
- Once the Social Security Administration confirms that you have qualified for the Limited Income Subsidy, you are no longer eligible for the AZ&Me™ Prescription Savings program because you will have access to affordable, comprehensive coverage.
- If the Social Security Administration denies your application for the Limited Income Subsidy, our counselors can help you complete the enrollment process for the AZ&Me™ Prescription Savings program for people without insurance.
- You may apply to AZ&Me™ Prescription Savings program for people without insurance and get one-on-one support to help you identify and access health and drug coverage and services for which you may qualify.
- If you have not enrolled in a Part D plan and if you meet the other enrollment criteria, you may be eligible for the AZ&Me™ Prescription Savings program for people without insurance.
If you would like to apply for the AZ&Me™ Prescription Savings program for people without insurance, you can download the enrollment form here (In English | En Español)
How to applyAZ&Me™ Prescription Savings program for people without insurance offers a simple application process that can help you receive your medicines quickly.
It’s easy to apply to this program:
- Download the application (In English | En Español)
- Have your doctor's office help you complete the appropriate sections of the application.
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Include the required financial information and your signature.
- If you are not a US citizen, you must also provide a valid US Green Card number or a confirmation letter from the government stating that you have applied for a US Green Card or a work visa number.
- Get a current prescription for an AstraZeneca medication from your doctor.
- Mail the completed application, financial information, and prescription to:
AZ&Me™ Prescription Savings programs
PO Box 66551
St. Louis, MO 63166-6551
- If you have questions about this program application process, or to learn more about whether or not you or a family member may qualify for this program, call this program toll-free at 1-800-AZandMe (1-800-292-6363), Monday through Friday, 8:00 AM TO 7:00 PM EST.
AZ&Me™ Prescriptions Savings program for people without insurance medicine list
These are the medicines you currently may have access to through AZ&Me™ Prescription Savings program for people without insurance. Click on a medicine name for more details, to access the product web site, or to read the full prescribing information.
| Medicine name | Strength |
|---|---|
| Cardiovascular and Metabolic | |
| ATACAND® (candesartan cilexetil) | 8 mg, 16 mg, 32 mg |
| CRESTOR® (rosuvastatin calcium) | 5 mg, 10 mg, 20 mg, 40 mg |
| PLENDIL® (felodipine) | 2.5 mg, 5 mg, 10 mg |
| TOPROL-XL® (metoprolol succinate) | 50 mg, 100 mg, 200 mg |
| Gastrointestinal | |
| NEXIUM® (esomeprazole magnesium) | 20 mg, 40 mg |
| NEXIUM® (esomeprazole magnesium) For Oral Suspension | 20 mg, 40 mg |
| NEXIUM® I.V. (esomeprazole sodium) Injection | 20 mg, 40 mg |
| Infection | |
| MERREM® I.V. (meropenem for injection) | 15 mL, 30 mL |
| Neuroscience | |
| SEROQUEL XR™ (quetiapine fumarate) | 5 mg, 10 mg, 20 mg, 40 mg |
| SEROQUEL® (quetiapine fumarate) | 50 mg, 400 mg, 25 mg, 200 mg, 300 mg, 100 mg |
| ZOMIG-ZMT® (zolmitriptan) Orally Disintegrating Tablets | 2.5 mg/6 tablets, 5.0 mg/3 tablets |
| ZOMIG® (zolmitriptan) Nasal Spray | 5 mg |
| ZOMIG® (zolmitriptan) Tablets | 2.5 mg, 5.0 mg |
| Oncology | |
| ARIMIDEX® (anastrozole) | 1 mg |
| CASODEX® (bicalutamide) 50 mg Tablets | 50 mg |
| FASLODEX® (fulvestrant) Injection | 2.5 mL, 5 mL |
| ZOLADEX® (goserelin acetate implant) 10.8 mg 3-month Depot | 10.8 mg depot |
| ZOLADEX® (goserelin acetate implant) 3.6 mg 1-month Depot | 3.6 mg depot |
| Respiratory | |
| ACCOLATE® (zafirlukast ) Tablets | 20 mg, 10 mg |
| PULMICORT FLEXHALER™ (budesonide inhalation powder, 90 mcg & 180 mcg) | 90 mcg, 180 mcg |
| PULMICORT RESPULES® (budesonide inhalation suspension) | 0.25 mg/2 mL, 0.5 mg/2 mL, 1 mg/1 mL |
| RHINOCORT AQUA® (budesonide) Nasal Spray | 32 mcg |
| SYMBICORT® (budesonide/formoterol fumarate dihydrate) | 160/4.5 mcg, 80/4.5 mcg |
For ATACAND, ATACAND HCT, SEROQUEL, SEROQUEL XR, SYMBICORT and TOPROL-XL, please note boxed WARNING.
Learn about other assistance programsIn addition to the programs offered by AstraZeneca, other organizations also offer programs that make medicines affordable for people who need assistance. Learn more about additional programs offered by AstraZeneca and other organizations.
