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 TAGRISSO 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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TAGRISSO Affordability Brochure

TAGRISSO Affordability Brochure

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