Your health information may be seen by Talk to your healthcare provider about the best way to feed your baby if you use FASENRA. No prices . Check your patient’s insurance plan to accurately determine the type of coverage they receive. Your role in the program will vary, depending on how your practice acquires FASENRA. All rights reserved. Rob would qualify for AZ&Me if all other eligibility requirements are met. The Fasenra Savings Program covers up to $13,000 of copay costs for Fasenra per calendar year. Whether you’re thinking about FASENRA or already on it, you can sign up for: An informative FASENRA brochure. FASENRA Savings Program . To access and reimbursement support for Fasenra® (benralizumab). 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 … This may cause other symptoms that were controlled by the corticosteroid medicine to come back. Important tips via e-mail. Nurses cannot provide diagnosis or treatment advice to callers. A Patient Savings Program account will be created for the eligible patient. Non-transferable, limited to one person, cannot be combined with any other offer. Sign up for these resources from FASENRA. Fasenra Coupons and Rebates Fasenra offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. It is not known if FASENRA passes into your breast milk. For questions regarding order status, contact Diplomat at 1-877-977-9118 x48606 . FASENRA is not used to treat other problems caused by eosinophils and is not used to treat sudden breathing problems. allergic (hypersensitivity) reactions, including anaphylaxis. You can also use the nurse scheduler to set up an appointment. 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. Do not stop taking your other asthma medicines unless instructed to do so by your healthcare provider. NOTE: Faxed applications MUST be sent from your doctor’s office in order for us to process your prescription. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office. This program serves as another option for patients who pay full price at the pharmacy, including those who don’t have insurance, or who are in the deductible phase of a high-deductible commercial insurance plan. Restrictions apply. There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to FASENRA during pregnancy. Most Popular. Please see accompanying full Prescribing Information including Patient Information and Instructions for Use. All rights reserved. Offer is invalid for claims or transactions more than 180 days from the date of service. 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. FASENRA and AstraZeneca Access 360 are trademarks of the AstraZeneca group of companies. FASENRA helps prevent severe asthma attacks (exacerbations) and may improve your breathing. Patient Savings Center - beta. Do not use to treat sudden breathing problems. are taking prescription and over-the-counter medicines, vitamins, or herbal supplements. FASENRA added to standard asthma treatments worked better than standard treatments alone. 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. †Patients who are residents of Massachusetts, Michigan, Minnesota, or Rhode Island are not eligible for injection administration assistance. • 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. 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. For Oncology & Respiratory Biologics: 1-877-239-0867. enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees. ©2021 AstraZeneca. Please click on a medicine name to read the full Prescribing Information. Simplifies patient enrollment and access assistance. Patients who are residents of Massachusetts, Michigan, Minnesota, or Rhode Island are not eligible for injection administration or injection training assistance. ENHERTU® is a registered trademark of Daiichi Sankyo Company, Limited. The prescriber will need to submit a new Prior Authorization for you to access your insurance benefits. Patient pays $0 per infusion, program pays remaining out-of-pocket costs up to a maximum of $26,000 per year. Nucala® (mepolizumab) Gateway to NUCALA . The most common side effects of FASENRA include: You may report side effects related to AstraZeneca products by, FASENRA and FASENRA Pen are registered trademarks and AstraZeneca. You may be eligible for this offer if you are insured by commercial insurance. Some of our medications do have special requirements, so please read carefully. By providing your authorization, you allow your health care providers, insurance companies and pharmacies to use and share your health care information with the FASENRA Savings Program so that you can participate in this savings program. 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. Learn more about Medicare prescription drug plans and savings with GoodRx. You can place a refill for a patient already enrolled in the program by contacting our program at: (800) 292-6363. It is not known if FASENRA is safe and effective in children under 12 years of age. A helpful, doctor discussion guide. BY USING THIS PROGRAM, YOU AND YOUR PHARMACIST AND/OR PHYSICIAN UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. 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. 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. Most eligible patients will pay as little as $0 per month for FASENRA itself and its injection administration or injection training. You must be enrolled in the program before use. provide information about support programs for which you may be eligible. If you have any questions regarding the offer, please call 1-833-360-HELP (1-833-360-4357). for drug prices near you. Also, if you are a current or retired Federal employee (non-military), and receive prescription coverage through the Federal Employees Health Benefits Program (FEHB), you are not eligible for AZ&Me. If you enroll you will receive support for up to 24 months from the date of initial prescription. A change in your insurance coverage or the insurance company’s Prior Authorization requirements may provide the opportunity for you to transition from the Denied Patient Savings Program to insurance coverage benefits. Find out how to request patch samples, how to find prior authorization support, and how to help patients get a copay savings card. REMEMBER TO: WRITE DAW to make sure ZTlido is dispensed as written … 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. COVID-19 Update: At AstraZeneca, we view the safety and wellbeing of our patients as the highest priority. The pharmacy or provider will use the Patient Savings Program to cover the balance, up to the program maximum. †Information from our nurses does not replace the advice or training from your physician or other healthcare providers. 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.). Most of the best known and most prescribed drugs can be found in … 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. Allows online submission of requests and prior authorizations. The FASENRA Savings Program provides eligible commercially insured patients with information and financial support. Dose Reminders to help you stay on track with your treatment. There are no income requirements to participate in the program. US-26240; US-35255; US-38470; US-33493 Last Updated 3/20, Click for Prescribing Information, including. This site is intended for US consumers only. APPLY UP TO 3 PATCHES. ©2017 AstraZeneca. For additional information, please call an AZ&Me representative at 1-800-AZandMe (1-800-292-6363). *† Other restrictions may apply. The prescriber will need to submit a new PA for you to access your insurance benefits. Below is a list of the medicines available through the AZ&Me Prescription Savings Program. FASENRA Savings Program so that you can participate in this savings program. Access 360 Monday through Friday, 8 AM – 8 PM ET, excluding holidays Phone: 1-844-ASK-A360 (1-844-275-2360) Access360@AstraZeneca.com. Finally, if you are military (active or non-active duty) and receive prescription coverage through TRICARE or Veterans Affairs (VA), you are not eligible for AZ&Me. Looking for information about the FASENRA Co-pay Savings Program? have had your Prior Authorization and Prior Authorization appeal denied by your insurance company, have FASENRA prescribed for an approved use. are pregnant or plan to become pregnant. Medicare Part D is Prescription Drug Coverage, which are generally self-administered drugs. US-42732; US-48941 Last Updated 1/21. The pharmacy/practice will use the Co-pay Savings Program to cover the balance, up to the program maximum. Mail Order. your Doctor’s Office.
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