Call 1-833-360-HELP (4357) today. You could be eligible for support even if you don’t have insurance coverage or have been denied insurance coverage. The FASENRA Savings Program provides eligible commercially insured patients with information and financial support. The patient pays $0 per injection, program pays remaining out-of-pocket costs up to a maximum of $13,000 per year. FASENRA is a prescription medicine used with other asthma medicines for the maintenance treatment of asthma in people 12 years and older whose asthma is not controlled with their current asthma medicines. FASENRA Savings Program . Set your location for drug prices near you. The most common side effects of FASENRA include: headache and sore throat. Patients who are residents of Massachusetts, Michigan, Minnesota, or Rhode Island are not eligible for injection administration or injection training assistance. This site is intended for US audiences only. There are no income requirements to participate in the program. Talk to your healthcare provider about the best way to feed your baby if you use FASENRA. FASENRA is an add-on maintenance treatment for patients 12 and older with severe eosinophilic asthma. US-42732; US-48941 Last Updated 1/21. Access 360 Monday through Friday, 8 AM – 8 PM ET, excluding holidays Phone: 1-844-ASK-A360 (1-844-275-2360) Access360@AstraZeneca.com. AZ&Me Prescription Savings Program. Patient assistance programs (PAPs) are programs created by drug companies, such as ASTRAZENECA PHARMACEUTICALS, to offer free or low cost drugs to individuals who are unable to pay for their medication. You may report side effects related to AstraZeneca products by clicking here. Most eligible patients will pay as little as $0 per month for FASENRA itself and its injection administration or injection training. DOWNLOAD. Once enrolled, patient-specific account information will be presented in the portal for immediate use. If you are enrolled in a state or federally funded prescription insurance program, you may not use this program even if you elect to be processed as an uninsured (cash-paying) patient. Phone: • The AZ&Me Prescription Savings Programs (the Program) are a group of programs offered by AstraZeneca that allow you to get free medicines if you qualify. if you are insured by commercial insurance. The price after coupon is $5,307.43. This program is only administered by approved Specialty Pharmacies. Restrictions apply. You can also create a custom Dose Calendar to see when your future doses are scheduled. AZ&Me Prescription Savings Program provides AstraZeneca medicines at no cost to qualifying patients. A FASENRA welcome kit, including a treatment journal. A FASENRA welcome kit, including a treatment journal. Once enrolled, the patient will continue to pay a set amount of his or her out-of-pocket costs for FASENRA. *† Other restrictions may apply. FASENRA 360 provides a range of support services if you are on FASENRA including reimbursement support, affordability programs if you are eligible, nursing support for FASENRA questions, and ongoing education If you have private insurance you may be eligible … Assistance may be available through independent foundations such as those listed below. TEL: 800-292-6363 Languages Spoken: English, Spanish. Rituxan® (rituximab) RITUXAN Patient Assistance Programs . Medicare Part D is Prescription Drug Coverage, which are generally self-administered drugs. Medicare Part B covers medically necessary services and supplies. If you are approved by your health plan to receive FASENRA, the Savings Program will cover your out-of-pocket costs for the product and its administration up to $13,000 per calendar year. For additional information, please call an AZ&Me representative at 1-800-AZandMe (1-800-292-6363). You can also use the nurse scheduler to set up an appointment. If you don't see your medication on this page, please contact us at 1-800-292-6363. We have savings programs for patients whether insurance covers FASENRA or not. Get savings and support resources like Eosinophil Calculator, Injection Tracker, Welcome Kits and Saving Program details. FASENRA and AstraZeneca Access 360 are trademarks of the AstraZeneca group of companies. The out-of-pocket costs covered by the program can include the cost of the product itself and the cost of injection administration of the product (program maximum of $100 per injection administration or training injection.). For questions regarding order status, contact Diplomat at 1-877-977-9118 x48606 . All rights reserved. Patient Savings Center - beta. See more. They’re available via text, email, or on your calendar. What are the AZ&Me Prescription Savings Programs? allergic (hypersensitivity) reactions, including anaphylaxis. FOR 12 HOURS (within 24 hours) 30 PATCHES PER CARTON . Access 360 your Doctor’s Office. FASENRA is not used to treat other problems caused by eosinophils and is not used to treat sudden breathing problems. You can place a refill for a patient already enrolled in the program by contacting our program at: (800) 292-6363. This includes patients enrolled in Medicare Part B, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DoD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees. To access and reimbursement support for Fasenra® (benralizumab). LUMOXITI is a registered trademark of Innate Pharma S.A.All other trademarks are property of their respective owners. This may cause other symptoms that were controlled by the corticosteroid medicine to come back. CALQUENCE, FASENRA, FASLODEX, FLUMIST, IMFINZI, IRESSA, LYNPARZA, and TAGRISSO are registered trademarks, and KOSELUGO, AZ&Me, and AstraZeneca Access 360 are trademarks of the AstraZeneca group of companies.ENHERTU® is a registered trademark of Daiichi Sankyo Company, Limited.LUMOXITI is a registered trademark of Innate Pharma S.A. All other trademarks are property of their respective owners. To help make sure you have what you need for a smooth injection experience, you can request: Get your supplies now by calling FASENRA 360 at 1-833-360-HELP (4357). Prices as low as $5,176.25. APPLY UP TO 3 PATCHES. enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees. ©2020 AstraZeneca. Some of our medications do have special requirements, so please read carefully. Non-transferable, limited to one person, cannot be combined with any other offer. AstraZeneca reserves the right to rescind, revoke or amend this offer, eligibility, and terms of use at any time without notice. You can also call 1-833-360-HELP (4357) to create your Dose Reminders. If you are currently using or have a physician’s order to begin using this product for an unlisted condition and you have questions related to whether or not we can offer you infusion services, please call our office or fill out a form and a member of our team will reach out to you as soon as possible. are taking prescription and over-the-counter medicines, vitamins, or herbal supplements. Your health information may be seen by AstraZeneca and companies working on its behalf for this savings program. ENTER PORTAL. The prescriber will need to submit a new Prior Authorization for you to access your insurance benefits. All rights reserved. ©2020 AstraZeneca. Access360@AstraZeneca.com. It is not known if FASENRA will harm your unborn baby. Your role in the program will vary, depending on how your practice acquires FASENRA. Tell your healthcare provider if your asthma does not get better or if it gets worse after you start treatment with FASENRA. How the FASENRA Savings Program Works The FASENRA Savings Program helps eligible commercially insured patients receive FASENRA for as little as $0 out-of-pocket for the medication and its injection administration through a Virtual Debit Card. This offer is not insurance and is restricted to residents of the United States and Puerto Rico. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. No. Subject to eligibility. Do not stop taking your corticosteroid medicines unless instructed by your healthcare provider. The FASENRA Savings Program provides eligible commercially insured patients with information and financial support. Fasenra Coupons and Rebates Fasenra offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Rob would qualify for AZ&Me if all other eligibility requirements are met. You may be eligible for this offer if you are insured by commercial insurance. The out-of-pocket costs covered by the program can include the cost of the product itself and/or the cost of injection of the product (program maximum of $100 per infusion assistance). Do not use FASENRA if you are allergic to benralizumab or any of the ingredients in FASENRA. provide information about support programs for which you may be eligible. PO Box 222178. A helpful, doctor discussion guide. Most Popular. Prices for the following pharmacy: Harris Teeter. We have nurses ready to answer questions about FASENRA.† Just call 1-833-360-HELP (4357), Monday–Friday, 8 AM to 8 PM ET, or Saturday–Sunday, 10 AM to 6 PM ET. The pharmacy/practice will use the Co-pay Savings Program to cover the balance, up to the program maximum. COVID-19 Update: At AstraZeneca, we view the safety and wellbeing of our patients as the highest priority. All rights reserved. have had your Prior Authorization and Prior Authorization appeal denied by your insurance company, have FASENRA prescribed for an approved use. FASENRA Savings Program Affordability Information. †Information from our nurses does not replace the advice or training from your physician or other healthcare providers. Looking for information about the FASENRA Co-pay Savings Program? AZ&Me Prescription Savings Program for people with Medicare Part D This program only helps people enrolled in Medicare Part D: Provided by: AstraZeneca Pharmaceuticals : PO Box 222178 Charlotte, NC 28222. The FASENRA Savings Program is designed to facilitate your access to FASENRA. LUMOXITI is a registered trademark of Innate Pharma S.A. US-26240; US-35255; US-38470; US-33493 Last Updated 3/20, https://www.astrazeneca-us.com/medicines/Affordability.html, Patients who are covered by commercial insurance, and their insurance does not cover the full cost of their prescription, Residents of the United States or Puerto Rico, Patients are ineligible if prescriptions are paid by any, Patients with a valid prescription to accompany the FASENRA Co-pay Savings Program offer, Those who have recently experienced a financial crisis. It is not known if FASENRA is safe and effective in children under 12 years of age. It is not known if FASENRA passes into your breast milk. Enroll Now AstraZeneca Access 360! Find out how to request patch samples, how to find prior authorization support, and how to help patients get a copay savings card. There are no income requirements to participate in the program. Access 360 provides patients and their providers with access and reimbursement support for AstraZeneca products. If you enroll you will receive support for up to 24 months from the date of initial prescription. Medicare Part B refers to Medical Insurance. Prescribing ZTlido. Whether you’re thinking about FASENRA or already on it, you can sign up for: An informative FASENRA brochure. People enrolled in a state or federally funded prescription insurance program, including Medicare, are not eligible. with free Coupon. BY USING THIS PROGRAM, YOU AND YOUR PHARMACIST AND/OR PHYSICIAN UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. For Oncology & Respiratory Biologics: 1-877-239-0867. Patients in the Denied Patient Savings Program will receive FASENRA through Diplomat Specialty Pharmacy. 1-844-ASK-A360 (1-844-275-2360) Popular. You must have commercial health insurance. Offer is invalid for claims or transactions more than 180 days from the date of service. Example: Rob’s take-home pre-tax income is $30,000 per year. CALQUENCE, FASENRA, FASLODEX, FLUMIST, IMFINZI, IRESSA, LYNPARZA, and TAGRISSO are registered trademarks, and KOSELUGO, AZ&Me, and AstraZeneca Access 360 are trademarks of the AstraZeneca group of companies. Sign up for these resources from FASENRA. Not for other eosinophilic conditions or sudden breathing problems. or click here to sign up for the FASENRA Savings Program. Eligible commercially insured patients with a valid prescription for FASENRA who enroll in this program may pay as little as $0 per administration of FASENRA dependent upon patient’s prescription coverage of FASENRA. Allows online submission of requests and prior authorizations. Serious allergic reactions can happen after you get your FASENRA injection. Important tips via e-mail. The Access 360 program provides personal support to connect patients to affordability programs and streamline access and reimbursement for FASENRA. FASENRA helps prevent severe asthma attacks (exacerbations) and may improve your breathing. ©2017 AstraZeneca. The patient will pay a set amount of his or her out-of-pocket costs, based on the product. Most eligible patients will pay as little as $0 per month for FASENRA itself and its injection administration or injection training. If FASENRA is covered by your health plan: You may receive up to $13,000 per calendar year in assistance for out-of-pocket expenses. *Enrollment is open through June 30, 2020. You can learn how to self-administer your FASENRA Pen with a range of simple, step-by-step guides: If you have any questions about self-injection, check out our FAQ or talk to your doctor. No prices . Nurses cannot provide diagnosis or treatment advice to callers. are taking oral or inhaled corticosteroid medicines. If you are still working, retired, or have purchased a private insurance policy and are receiving prescription coverage through an employer, union, or private insurance plan, you are not eligible for AZ&Me. ... or federal programs. Do not stop taking your other asthma medicines unless instructed to do so by your healthcare provider. Patient must be a resident of the US. For more information and additional resources, visit: https://www.astrazeneca-us.com/medicines/Affordability.html or call an Access 360 representative at 1-844-ASK-A360 (1-844-275-2360). Genentech . These Programs may also be called indigent drug programs, charitable drug programs or medication assistance programs. If FASENRA is Not covered by your health plan: Prescription fills for 24 months from the date of the initial prescription, A PA Denial and PA Appeal Denial by your health plan are required to be eligible for this program. NOTE: Faxed applications MUST be sent from your doctor’s office in order for us to process your prescription. For additional information, please visit www.astrazenecaspecialtysavings.com or call an Access 360 representative at 1-844-ASK-A360 (1-844-275-2360). For all other products: 1-800-961-8323. Do not use to treat sudden breathing problems. Enrolling is easy: OR OR Visit www.Fasenrasignup.com Call AstraZeneca FASENRA 360 at 1-833-360-HELP (4357) Ask your doctor or your doctor’s office staff to enroll you Additionally, ask your specialty pharmacy to make sure you’re enrolled in co-pay savings 2 FAQs Program Details ASTRAZENECA PHARMACEUTICALS AZ & Me Prescription Savings Program for people with Medicare Fasenra Pen (benralizumab) CONTACT INFO: Address: PO Box 222178 Charlotte, NC 28222 : Phone: 1-800-292-6363: Provider Phone: Fax: Visit program website: Website: AZ & Me Website: ELIGIBILITY Eligibility Info: Patient must meet qualifying … FASENRA Savings Program Affordability Information A two-page resource describing ways in which patients can pay for FASENRA if it is approved or denied. These are not all the possible side effects of FASENRA. ENHERTU® is a registered trademark of Daiichi Sankyo Company, Limited. FASENRA is administered only once every 8 weeks after the first 2 months.# ¶ For people taking oral steroids daily. Mail Order. REMEMBER TO: WRITE DAW to make sure ZTlido is dispensed as written … Also covers drugs prescribed and administered by a healthcare provider. Tell your healthcare provider or get emergency help right away if you have any of the following symptoms of an allergic reaction: fainting, dizziness, feeling lightheaded (low blood pressure). Download a Copay Card. Program covers the cost of the drug and administration, and does not cover the costs for office visits or any other associated costs. are breastfeeding or plan to breastfeed. Please see accompanying full Prescribing Information including Patient Information and Instructions for Use. If you are enrolled in a state or Federally funded prescription insurance program, you may not use this program even if you elect to be processed as an uninsured (cash paying) patient. There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to FASENRA during pregnancy. are pregnant or plan to become pregnant. Generally, these are drugs administered by a doctor or in an outpatient setting. US … Rob’s out of pocket expenses on his prescription cholesterol medication is $100 per month, which is 4% of his annual income. Patients who are residents of Massachusetts, Michigan, Minnesota, or Rhode Island are not eligible for infusion assistance. A change in your insurance coverage or the insurance company’s PA requirements may provide the opportunity for you to transition from the Denied Patient Savings Program to insurance coverage benefits. Use this guide to navigate when starting on FASENRA. This site is intended for US consumers only. The FASENRA Savings Program helps eligible commercially insured patients receive FASENRA for as little as $0 out-of-pocket for the medication and its injection administration through a Virtual Debit Card. Your role in the program will vary, depending on how your practice acquires FASENRA. This can be done by the pharmacy/practice or by calling an Access 360 representative. Xolair® (omalizumab) XOLAIR Financial Support Options for … A Patient Savings Program account will be created for the eligible patient.
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