ASTRAZENECA PHARMACEUTICALS
AZ & Me Prescription Savings Program for people without insurance
Information last checked September 22, 2026
Contact info
- Phone
- 1-800-292-6363
- Fax
- 1-877-239-0876
Eligibility
- Visit AZ&Me website to apply online or to download an application.
- Patients must meet qualifying income eligibility criteria.
- Patient must be a resident of the US.
- Patient must not have prescription drug coverage under a private insurance or government program, or receiving any other assistance to help pay for medicine.
- Patients who have experienced a life changing event in the past year are encouraged to apply for the AZ&Me Prescription Savings Program. Examples of this type of event include: Loss of employment, Change in income, Loss of, or change in, prescription drug coverage, Marriage or Change in household number.
- NOTE: Effective May 1, 2026, the AZ&Me program will no longer accept new patients for FARXIGA and XIGDUO XR. Actively enrolled patients will continue to receive assistance for FARXIGA and XIGDUO XR until December 31, 2026
- Income limit, single
- Not published
- Income limit, couple
- Not published
- Other income rules
- For Specialty and Primary products, annual adjusted gross income must be at or below 300% of the Federal Poverty Level.
- For Rare Disease product(s), (WAINUA) your annual adjusted gross income must be at or below 500% of the Federal Poverty Level.
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- No
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Proof of income
- Prescription
- Prescriber license number
- NPI number
- State license number
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Providers receive a fax, patient receives letter and phone call
Getting the medication
- Patient receives
- Medication
- Shipped to
- Provider. To get medication delivered directly to the patient's home the following must be written on the prescription - Ship to patient's address: (then put address)
- Supply per shipment
- Varies by product
- Time to first delivery
- 0–2 weeks
- Refills
- Refills can be requested by calling the Program
- Staying enrolled
- New application every 12 months
- New proof of income every 12 months
- New prescription every 12 months
Medications covered
- Airsupra (albuterol/budesonide)
- Baxfendy (baxdrostat)
- Bevespi Aerosphere (glycopyrrolate and formoterol fumarate)
- Breztri Aerosphere inhalation aerosol (budesonide/glycopyrrolate/formoterol fumarate)
- Calquence (acalabrutinib)
- Fasenra (benralizumab)
- Fasenra Pen (benralizumab)
- Imfinzi (durvalumab)
- Imjudo (tremelimumab-actl)
- Lokelma (sodium zirconium cyclosilicate)