AstraZeneca
AZ&Me Prescription Savings Program
Free medication for 12 months
Income cap
300% FPL
Processing
~14 days
Approval period
12 months
Phone
1-800-292-6363
Must be uninsured
US citizen or legal resident
⚠Medicaid recipients excluded
Application steps
- 1.Verify household income ≤300% FPL (≤500% FPL for Medicare Part D members)
- 2.Complete the AZ&Me application online or download PDF
- 3.Have prescriber complete the medical portion
- 4.Submit application + supporting documents
- 5.AZ&Me ships medication to prescriber or pharmacy of choice
Documents needed
- •Federal tax return (most recent year)
- •Proof of US residency
- •Prescriber signature
Byetta and Bydureon BCise (exenatide) were discontinued in 2024 and are no longer manufactured — this AZ&Me program is historical and cannot supply them. Listed for reference only.
Source: www.azandmeapp.com · Last verified 2026-06-03