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ASTRAZENECA PHARMACEUTICALS

AZ & Me Prescription Savings Program for people with Medicare

Information last checked May 7, 2026

Contact info

Phone
1-800-292-6363
Fax
1-877-239-0876
Mailing address
1 Medimmune WayGaithersburg, MD 20878
Website
AZ & Me Website (opens in a new tab)

Eligibility

  • Visit AZ&Me website to apply online or to download an application.
  • Patient must meet qualifying income criteria.
  • Patient must be enrolled in Medicare and are not enrolled in Limited Income Subsidy (LIS).
  • 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
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
  • Year-to-date prescription spend history
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 or patient
Supply per shipment
Varies by product
Time to first delivery
0–2 weeks
Refills
Refills can be requested by calling the Program
Staying enrolled
  • Enrollment is on a calendar year basis, with opportunity to re-enroll.

More from the program

Individuals can also apply online, download an application at www.azandme.com.

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)
  • Lynparza Capsule (olaparib)
  • Saphnelo (anifrolumab-fnia)
  • Tagrisso (osimertinib)
  • Truqap (capivasertib)
  • Wainua (eplontersen)

Application forms & instructions

This program doesn't publish a form. Call or visit the program website to apply.