PATIENT SAVINGS & 360o OF SUPPORT

$0 CoPay for Your Patients

FASLODEX Patient Savings Program $0 Copay
FASLODEX Patient Savings Program $0 Copay

 

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.

AstraZeneca Access 360

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]
AstraZeneca Access 360
AstraZeneca Access 360

How to Enroll Your Patients in Access 360

To get your patients started, choose the most convenient method of enrollment:

Download FASLODEX Enrollment Form
Download FASLODEX Enrollment Form

DOWNLOAD

the FASLODEX Enrollment Form

 

COMPLETE and FAX to

1-844-FAX-A360 (1-844-329-2360)

 

 

Call AZ Access 360
Call AZ Access 360

CALL Access 360 at

1-844-ASK-A360 (1-844-275-2360)

 

Monday to Friday, 8 AM to 8 PM ET

 

 

Access 360 Provider Portal
Access 360 Provider Portal

VISIT the provider portal at

ProviderPortal.MyAccess360.com

 

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).

 

Additional Access 360 Resources

 

Download the FASLODEX Coding Resource

Download the FASLODEX Affordability Brochure

 

To learn more about the AstraZeneca Access 360 program, please call 1-844-ASK-A360 (1-844-275-2360) Monday-Friday, 8 AM – 8 PM ET or visit www.MyAccess360.com.