Access 360 General Patient Authorization Form (PAF)

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Access 360 General Patient Authorization Form (PAF)

Access 360 Patient Authorization Form (PAF)

Fill this form out to allow Access 360 to provide assistance for your LYNPARZA prescription. Available in English and Spanish. The Access 360 General Patient Authorization Form must be signed for you to utilize Access 360 support.

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LYNPARZA Affordability Brochure

LYNPARZA Affordability Brochure

This brochure explains affordability options for LYNPARZA if you are eligible.