PATIENT SAVINGS & 360o OF SUPPORT
The FASLODEX Patient Savings Program helps most eligible patients pay $0 per dose, and they may have access to up to $6,000 per year to assist with FASLODEX out-of-pocket costs. There are no income requirements to participate in the program. For eligibility requirements, visit astrazenecaspecialtysavings.com.
Helping Patients Access the Care They Need
The AstraZeneca Access 360™ program provides personal support to help streamline access and reimbursement for FASLODEX. Access 360 provides:
- Assistance with understanding patient insurance coverage and pharmacy options
- Assistance with AstraZeneca’s Co-pay Savings Programs
- Referrals to AZ&Me™ Prescription Savings Program [AstraZeneca’s patient assistance program]
How to Enroll Your Patients in Access 360
To get your patients started, choose the most convenient method of enrollment:
NOTE: For Access 360 to best support your patient, a Patient Authorization Form (PAF) is required. The PAF can be completed either by completing the Enrollment Form or online with the Electronic Patient Authorization Form (ePAF).