800-292-6363
Fax Number 888-810-5282
Medications on Program Crestor Tablets 5mg, 10mg, 20mg, 40mg (rosuvastatin)
Application Forms AZ & Me Prescription Saving Program For People Without Insurance
AZ & Me Prescription Saving Program For People Without Insurance (Spanish Application)
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes The patient cannot have prescription insurance, be ineligible for any federal or state programs and have an income at or below $30,000 for an individual; $40,000 for a couple; $50,000 for a family of three; $60,000 for a family of four. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident or have a valid visa or is a green card holder. Patients who are eligible for Medicare Part D but have not enrolled may still eligible for this program. The application for this program and the AstraZeneca Cancer Support Network Patient Assistance Program is the same and says 'Application for Free AstraZeneca Medicines' on the upper left side. People who are in Medicare and may be eligible for the Limited Income Subsidy can apply.However, if they are accepted into the LIS, they are no longer eligible for the AZ& ME program. This program has expanded the eligibility for assistance for qualifying patients who have lost their jobs, prescription drug coverage, had a change in income or household size.
Application Process Anyone requesting assistance can call to request a mailed application or download it from the website. The completed application can be faxed or mailed back. If the patient is denied, both patient and doctor are notified. Once approved medicines are shipped out with in 5-7 business days.
Application Requirements The doctor needs to provide a prescription to the patient. The patient must fill out a section, sign the application and attach proof of income.
Program Details Up to a 90-day supply is sent to the doctor's office or the patient's home. The patient or doctor must contact the company for refills. The patient must reapply once a year.
Last Updated July 23, 2009
Program 2 of 3 Scroll down to see them all.
This program provides brand name medications at no or low cost.
Pharmaceutical Company AstraZeneca Pharmaceuticals
Program Name AZ&Me Prescription Savings Program for people with Medicare Part D
Program Address P.O. Box 52087
Phoenix, AZ 85072
Phone Number 800-292-6363
800-957-6285
Fax Number 888-386-4104
Medications on Program Crestor Tablets 5mg, 10mg, 20mg, 40mg (rosuvastatin)
Application Forms Not Applicable
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes Applicants with insurance are eligible have an income less than or equal to $30,000 for an individual (less than or equal to $40,000 for a couple.) Medical diagnosis necessary for this program is not specified. The patient must also be a US resident or have a valid visa or is a green card holder. The applicant must have spent at least 3% of the annual household income on prescription drugs this year. Applicant may print out a membership card to be shown at the pharmacy and one is also sent. Depending on income, one will pay between $15-25 for a 30 day supply of medication, $22.50-37.50 for a 60 day supply and $30-50 for a 90 day supply.
Application Process Not applicable.
Application Requirements Not applicable.
Program Details The medication can be picked up by the patient at the pharmacy.
Last Updated August 03, 2009
Program 3 of 3.
This program provides brand name medications at no or low cost.
Pharmaceutical Company Xubex Pharmaceuticals
Program Name Xubex Free 30 Day Medication Supply
Program Address PO Box 1244
Winter Park, Fl 32790-1244
Phone Number 866-699-8239
Fax Number 407-671-7960
Medications on Program Crestor Tablets 5mg, 10mg, 20mg, 40mg (rosuvastatin)
Application Forms Not Applicable
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes Applicants with insurance are eligible Not applicable Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This program is non-need based and offers a 30 day supply of medication at no cost.Check the program's website as the medications change frequently.
Application Process Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application should be faxed back from the doctor's office. Once the application is received, the medication will be shipped within 24 hours.
Application Requirements The doctor must fill out a section and sign the application.
Program Details Up to a 30-day supply is sent to the patient's home.
Last Updated August 14, 2009
Copyright ©2009 by NeedyMeds, Inc.
Contents may not be reproduced in any form
except for personal use
and may not be used on any other website without permission.
Airicept
Program Name Faith In Action
Program Address Wake Forest University School of Medicine
Medical Center Boulevard
Winston-Salem, NC 27157
Phone Number 877-324-8411
336-716-0101
Fax Number 336-777-3284
Email None
Diseases Mental Illness, Terminal Illness, Physical Disability, Mental Disability, HIV/AIDS, Alzheimers and Dementia.
Web Site Go to Website
Details This national program provides links to local programs that can provide transportation, respite care relief and other support services. Each local chapter (many states have more than one) provides different help to different populations of people. Diseases or conditions include mental illness, terminal illness, physical disability, mental disability, HIV/AIDS, Alzheimers and dementia.
Eligibility Guidelines Contact the program directly for information on eligibility details.
How To Apply Contact the program directly to apply for assistance.
Area of Service National
Last Updated January 24, 2008
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