AstraZeneca Foundation Patient Assistance Program (PAP)

AstraZeneca Foundation Patient Assistance Program (PAP)

Senior Mag Home

Search

Elder Law

Assisted Living Senior Residence & Care

Senior Home Care & Healthcare Agencies

Canadian Pharmacies

Senior Health

Medical Glossaries

Personal Growth

Senior Money

State/Local Svcs

Wisdom 'n Humor

Computer Corner

Senior Travel

Senior Resources 
More Resources

About Senior Mag
 

 

 

Make text on page larger and easier to readMake text smaller to get more text on the page  

AstraZeneca 

AstraZeneca Foundation Patient Assistance Program (PAP)

Sponsor Organization
AstraZeneca

Prescription Medication Assistance Organization Contact
Patient Assistance Program (PAP)
AstraZeneca Foundation
PO Box 66551
St Louis, MO 63166-6551
Phone: (800) 424-3727

Medications sent to: Patientís Doctor

Prescription Medications/Products Covered:
Accolate Tablets
Arimidex
Atacand
Atacand HCT
Casodex
Crestor
Emla Cream
Faslodex
Nexium
Nolvadex
Plendil Tablets
Pulmicort Respules
Pulmicort Turbuhaler
Rhinocort Aqua Nasal Spray
Seroquel
Toprol XL
Zoladex

Program Information And Resources:
AstraZeneca Foundation Patient Assistance Program (PAP) Application Form

Program Information And Resources:
AstraZeneca Foundation Patient Assistance Program (PAP) Application Form in Spanish

Program Information And Resources:

Program Eligibility Requirements:
Patient Application Forms are evaluated on a case-by-case basis by the AstraZeneca Foundation. Eligibility is based on income level/assets and absence of outpatient private prescription insurance, third-party coverage, or participation in a public program. Income eligibility is based upon multiples of the U.S. poverty level adjusted for household size.

Patients approved into the Patient Assistance Program (PAP) should receive their shipment of product within 1-2 weeks. They will not receive an acceptance letter. However, patients and their physicians will receive a denial letter if the patient does not meet the financial guidelines of the Patient Assistance Program (PAP).

Additional Information and/or Requirements (known):
If approved, a three-month supply of the medication is sent directly to the patient's home or other designated location with the exception of Seroquel, Faslodex, and Zoladex from the mail-order fulfillment pharmacy. Refills may be written by the physician. With the shipment, patient receives instructions on how to request next supply of medication.

Patient/family members/physician can obtain Application Form forms from the AstraZeneca Foundation by calling (800) 424-3727. Physicians also can obtain a packet of Application Forms from their AstraZeneca sales representative. Application Form forms can also be obtained from the AstraZeneca website: http://www.astrazeneca-us.com/pap/

ReApplication Form is required every 12 months. A reApplication Form is automatically sent to enrolled patients.

Enrollment in the program requires a valid Social Security or Green Card number. Patient is required to submit financial documentation.


Link: Prescription Medication Program Website

 

 

- www.SeniorMag.com  
Advertising

Terms/Disclaimer

Subscribe to the SeniorMag Newsletter

Upcoming

Mother's Day Gift Ideas
Send Flowers
Sponsored Links

Hot Links
Tax Help
Wheelchairs
Long Term Care Insurance
Glucose monitors 
Electric Scooters
Diabetic Supplies
Hearing Aids
Senior Travel
Walking canes

Visit MealCall.org to find Meals on Wheels & Congregate Meal 
sites for seniors

advertising

 © SeniorMag