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Patient Assistance Program

AstraZeneca Patient Assistance
Handout  (PDF)

Information on AstraZeneca Patient Assistance
What is it?
A traditional Patient Assistance Program for AstraZeneca brand medications
90-day supply of medications provided at no cost
Mailed to the home
Medicines shipped when completed application is filed
Eligibility
Annual income at or below $30,000/individual or $40,000/couple
Not eligible for the Medicare Low-Income Subsidy
Do not have prescription coverage through private insurance or government programs
US resident or green card holder
GSK Patient Assistance

Partnership for Prescription Assistance
Colon Cancer Screen (PDF)

What is it?
Free service to help identify Patient
Assistance Programs (PAP) and other resources that may match your needs
Single point of contact for more than 475 public and private programs
Assistance filling out PAP applications
Elligibility
Determined by individual PAP
1-888-4PPA-NOW

Together Rx Access
Information About Together Rx Access

What is it?
Savings card for 275 brand medicines from 10 manufacturers
Approximately 25% to 40% savings
Eligibility
US resident not eligible for Medicare
Annual income at or below $30,000/individual or $40,000/couple
Under the age of 65
Not enrolled in Medicare Part D
Do not have prescription coverage through private insurance or government programs


Useful Links
List of Available Patient Assistance Programs by Company