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.Learn More
The offer is valid for 120 days from the date of service. Any claims or transactions made after 120 days from the date of service will not be valid.
A Co-pay Savings Program account will be created for the eligible patient. This can be done by the pharmacy/practice 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 LUMOXITI. The pharmacy/practice will use the Co-pay Savings Program to cover the balance, up to the program maximum.
The patient pays $0 per infusion, program pays remaining out-of-pocket costs up to a maximum of $26,000 per year. The out-of-pocket costs covered by the program can include the cost of the product itself and/or the cost of infusion of the product (program maximum of $100 per infusion assistance). Patients who are residents of Massachusetts, Michigan, Minnesota, or Rhode Island are not eligible for infusion assistance.
The LUMOXITI Co-pay Savings Program covers the cost of the drug and administration but does not cover costs for office visits or any other associated costs.
No. There are no income requirements to participate in the program.
These foundations are not associated with AstraZeneca; specific details and eligibility requirements can be found directly at the foundations’ websites.Find a foundation