AstraZeneca
AstraZeneca Foundation (Iressa) Patient Assistance Program (PAP)
Sponsor Organization
AstraZeneca
Prescription Medication Assistance Organization Contact
Patient Assistance Program (PAP)
AstraZeneca Foundation Patient Assistance Program (PAP)
PO Box 66548
St Louis, MO 63166-6548
Phone: (866) 992-9276
Medications sent to: Patient’s Doctor
Prescription Medications/Products Covered:
Iressa
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.
Medication will ship within 48-72 hours of receipt Application Form for those accepted into the program, but they will not receive an acceptance letter. Patients and their physicians, however, 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):
All Iressa applicants must call 866-992-9276 prior to submitting an Application Form for the AZ Foundation PAP. If this is not done, it will cause a delay in the determination of eligibility into the program.
Link: Prescription Medication Program Website
