Breztri Aerosphere

Indicated For

COPD

About This Medication

# AZ&Me Prescription Savings Program Patient Guide: How to Get Breztri Aerosphere at Low or No Cost Breztri Aerosphere (budesonide/glycopyrrolate/formoterol fumarate) is a prescription inhaler used to treat chronic obstructive pulmonary disease (COPD) in adults, combining an inhaled corticosteroid, a long-acting muscarinic antagonist (LAMA), and a long-acting beta2-adrenergic agonist (LABA) to improve lung function and reduce flare-ups. The **AZ&Me Prescription Savings Program** from AstraZeneca helps eligible patients get **Breztri Aerosphere** at no cost if you meet income limits, have limited or no insurance, and live in the US or Puerto Rico. ## Who Qualifies for the Program? This program targets patients facing financial barriers to AstraZeneca medications like Breztri Aerosphere. You may qualify if you: - Are a **US resident** (including Puerto Rico). - Have **household income at or below 400% of the Federal Poverty Level (FPL)**, adjusted for family size. - Are **uninsured, underinsured, or on Medicare** (but not on government insurance like Medicaid if using commercial copay help). - Have a valid prescription from your doctor. **Important:** Eligibility is reviewed case-by-case. Even if you don't perfectly match, apply—exceptions happen.[1][2] ## About Breztri Aerosphere **Breztri Aerosphere** is an inhaled triple therapy for maintenance treatment of COPD, including chronic bronchitis and emphysema. It contains: - **Budesonide**: Reduces airway inflammation. - **Glycopyrrolate**: Relaxes airway muscles to ease breathing. - **Formoterol fumarate**: Opens airways quickly and sustains relief. Taken as one inhalation twice daily, it helps control symptoms, prevent exacerbations, and improve quality of life. Always use as prescribed; it's not for asthma or sudden attacks—keep a rescue inhaler handy. Common side effects include oral thrush, pneumonia risk, and heart effects; discuss with your doctor.[1] ## Income Eligibility Breakdown Income limits are **400% of the FPL or less**, based on household size. Here's a clear table for 2026 (approximate; confirm current FPL at application): | Household Size | Max Annual Income | |----------------|-------------------| | 1 (Individual) | $50,000 | | 2 (Couple) | $67,500 | | 3 | $85,000 | | 4 | $102,500 | | 5+ | Add ~$17,500 per person | **Notes:** Include all household income sources. Provide proof like tax returns or pay stubs. Limits may vary slightly by year—program uses latest FPL data.[1][2] ## Insurance Requirements - **Eligible:** Uninsured, underinsured (high copays/deductibles), or Medicare patients. - **Not Eligible:** If on Medicaid, Medicare Low-Income Subsidy (LIS), or other government programs when using copay cards. Commercial insurance OK for copay help, but full free med for no/low coverage. Check your status: If insured but costs are unaffordable, you might get copay savings up to $0 out-of-pocket. No private insurance? Instant free med potential.[1][2] ## Step-by-Step Application Process Applying is straightforward—your doctor can help. Multiple methods available: 1. **Visit the website:** Go to [AZ&Me Breztri page](https://www.azandme.com/breztriaerosphere.html). Select Breztri Aerosphere and download the form. 2. **Call for help:** Dial **(800) 292-6363** (Mon-Fri, 9 AM-6 PM ET) for applications, questions, or doctor assistance. 3. **Gather documents:** - Proof of income (W-2, 1040, pay stubs). - Proof of residency (utility bill, ID). - Prescription for Breztri Aerosphere. - Insurance info (if any). 4. **Complete and submit:** Doctor signs; fax to 1-877-239-0867 or mail to AZ&Me, PO Box 898, Somerville, NJ 08876. Alternate fax: 1-800-961-8323.[1][2] 5. **Wait for approval:** 2-4 weeks typical. **Pro Tip:** Ask your doctor's office to handle it—they often fax directly. ## Timeline and Delivery - **Processing:** 2-4 weeks after submission. - **Delivery:** Free shipping to your home or doctor's office. One-time or ongoing supply based on approval (usually 12 months).[1] - **Refills:** Reauthorization needed annually; reapply before supply ends. Track status by calling (800) 292-6363. ## Alternatives if Denied or Ineligible Don't give up—other options exist: - **AstraZeneca Copay Cards:** For commercial/Medicare, save up to $0 copay. - **NeedyMeds/PAN Foundation:** General COPD funds. - **State programs:** Check your state's patient assistance. - **Generic alternatives:** No biosimilars for Breztri, but discuss Anoro Ellipta or Trelegy with your doctor. - **Patient Access Network (PAN):** COPD-specific grants. Search rxassist.org or call 1-866-278-2827 for matches.[2] ## Disclaimer This guide is for informational purposes only and based on 2026 program details—rules change, so verify at azandme.com or by phone. AstraZeneca can modify/terminate anytime. Not medical/financial advice; consult your doctor and advisor. Eligibility not guaranteed.[1][2] (Word count: 942)

Program information last verified: March 30, 2026