. Home
NewsLetter Sign-Up
News Journals
About iSafetyNet
User Tips
Contact PGI
Legal Notices
.
Search Links
.
National Agencies
State Agencies
State, County & City
State & Local Courts
.
African-American
American Indian
Asian-American
Hispanic-American
.
General Spiritual
Spiritual Sites by State
Religious Services Locator
Counseling & Retreats
.
Holiday Safety & Fun
Lifestyle & Home
Politics & Voting
.
Assistive Services
Benefits Eligibility
CareGiving
Children & Family
Consumer
Disability Resources
Domestic Violence
End-of-Life & Living Will
Homeless & Housing
Long-term Care
Maternity & Pregnancy
Medical & Health
Older Americans
Parenting
Pharmaceuticals
Risk Calculators
Services Locators
.
Search Database
.
Addiction Treatment
Dialysis Facilities
Durable Medical
Food Distribution
Home Healthcare
Medicare Plans
MediGap Providers
Nursing Homes
Rx Assistance by State
Rx Assistance by Drug
.
African-American
Asian-American
Hispanic-American
American Indian
Non-Citizens
.
Assistive Services
Addiction Sites
Aging Advocacy
Aging & Seniors
Alzheimer's & Dementia
CareGiving
Children & Family
Children's Health
Consumer
Counseling & Therapy
Death & Bereavement
Disability
Domestic Violence
Farmers & Rural Areas
Education & Aid
Energy Assistance
Employment & Training
Financial Assistance
Health General
Health & Medical
Housing Financing
Housing Insurance
Legal Services
Long-term Care
Maternity & Pregnancy
Prescription Drugs
Public Health & Safety
Risk Calculators
Services Locator
Sexual Orientation
Tax Information
Veterans
Women
.

View Prescription Drug Assistance Program Details

Program Name: AstraZeneca Foundation Patient Assistance Program
Program Type: Pharmaceutical Company
Drugs Covered:  
Brand Name: Atacand
Generic Name:  
Company Name: Astrazeneca Pharmaceuticals
Address: AstraZeneca Foundation<br>Patient Assistance Program <br>P.O. Box 66551
City: St. Louis
State: MO
Zip Code: 63166-6551
Telephone: 8004243727
Telephone: 8006980085
Fax Number 3028868337
E-Mail: Dale.Ciccarelli@astrazeneca.com
Web Site: http://www.astrazeneca-us.com/content/drugAssistance/patientAssistanceProgram/default.asp
Enrollment Fee:  
Who Can Apply: Patient and Physician / Licensed Practitioner
Eligibility: 
Applications are evaluated on a case-by-case basis.Eligibility is based on income level/assets, absence of outpatient private insurance, third-party coverage, or participation in a public program. Income eligibility is based upon multiples of the U.S. poverty level adjusted for household size.You must forward a valid form of income documentation for each source of income with your application. Valid forms include: Social Security Benefit statementIncome documentation or pay stubs1099-INT for interest incomepension or annuity statementsfederal income tax return You must be a U.S. citizen with a valid Social Security Number.If you appear to be eligible for Medicaid, you will be required to provide proof of denial from state Medicaid coverage.
Note: 
<b>For Iressa call 1-866-992-9276 option #1.</b>Your application will be processed 4 to 6 weeks after it is received by the foundation. You will be notified if you've been denied. If approved, the prescription portion of the application will be forwarded to the mail order pharmacy where a 3-month supply of medication will be express mailed to the "Ship To" address on the application. Two weeks before your 3-month supply of medication is depleted, you must call for a refill at 1-800-698-0085. You must re-apply to the Foundation every 12 months to see if you are still eligible to participate in the program. A reapplication is automatically sent to enrollees 45 days prior to their one-year expiration date.