CALQUENCE Financial Assistance

Affordability options may be available for CALQUENCE

CALQUENCE Co-pay Savings Program

The CALQUENCE Co-pay Savings Program helps assist eligible, commercially insured patients with out-of-pocket costs.

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AZ&Me Prescription Savings Program provides AstraZeneca medicines at no cost to qualifying patients.

Independent Patient Assistance Foundations

Assistance may be available through independent foundations such as those listed below. Foundations can provide a variety of assistance types: co-pay, transportation, premium, patient education, etc.

Who can apply?

  • 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 State or Federally funded programs, including but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE
  • Patients with a valid prescription to accompany the CALQUENCE Co-pay Savings Program offer
If the patient is enrolled in a State or Federally funded prescription insurance program, he or she may not use this program even if he or she elects to be processed as an uninsured (cash-paying) patient. ENROLL A PATIENT

What to know

What happens once an eligible patient is enrolled in the CALQUENCE Co-pay Savings Program(s)?

A Co-pay Savings Program account will be created for the eligible patient. This can be done by the pharmacy or by calling an Access 360 representative. Once enrolled, the patient will continue to pay a set amount of his or her out-of-pocket costs for CALQUENCE. The pharmacy will use the Co-pay Savings Program to cover the balance, up to the program maximum.

What are the specific costs associated with the CALQUENCE Co-pay Savings Program?

Eligible patients may pay as little as $0 per month for CALQUENCE.

What does the CALQUENCE Co-pay Savings Program cover?

The CALQUENCE Co-pay Savings Program covers the cost of the drug, but does not cover costs for office visits or any other associated costs.

Are there income requirements to participate in the program?

No. There are no income requirements to participate in the program.

Where can I find additional information?

For additional information, please visit www.azpatientsupport.com or call an Access 360 representative at 1-844-ASK-A360 (1-844-275-2360).

A Co-pay Savings Program account will be created for the eligible patient. This can be done by the pharmacy or by calling an Access 360 representative. Once enrolled, the patient will continue to pay a set amount of his or her out-of-pocket costs for CALQUENCE. The pharmacy will use the Co-pay Savings Program to cover the balance, up to the program maximum.

Eligible patients may pay as little as $0 per month for CALQUENCE.

The CALQUENCE Co-pay Savings Program covers the cost of the drug, but does not cover costs for office visits or any other associated costs.

No. There are no income requirements to participate in the program.

For additional information, please visit www.azpatientsupport.com or call an Access 360 representative at 1-844-ASK-A360 (1-844-275-2360).

Who can apply?

  • People without health insurance
  • Medicare Part D and/or B recipients
  • Those who have recently experienced a financial crisis
  • Residents of the United States
Medicare Part B covers medically necessary services and supplies. It also covers drugs prescribed and administered by a healthcare provider. ENROLL A PATIENT

What to know

Eligibility rules apply, please call an AZ&Me representative for more information at 1-800-AZandMe (1-800-292-6363).

Who can apply?

These foundations are not associated with AstraZeneca; specific details and eligibility requirements can be found directly at the foundations’ websites.

Patient Access Network Foundation

www.PANfoundation.org 1-866-316-7263

Good Days Fund

www.mygooddays.org 1-877-968-7233

Patient Advocate Foundation

www.patientadvocate.org 1-800-532-5274

HealthWell Foundation

www.healthwellfoundation.org 1-800-675-8416

CancerCare Co-Payment Assistance Foundation

www.cancercare.org 1-866-552-6729

The Assistance Fund

www.tafcares.org 1-855-845-3663

Leukemia & Lymphoma Society

www.lls.org 1-800-955-4572

Accessia Health

www.accessiahealth.org 1-800-366-7741

What to know

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).