Bydureon BCise

Indicated For

type 2 diabetes

About This Medication

# AZ & Me Prescription Savings Program Patient Guide: How to Get Bydureon BCise at Low or No Cost ## About This Program The **AZ & Me Prescription Savings Program** is a patient assistance program offered by AstraZeneca Pharmaceuticals designed to help Medicare-enrolled patients access their medications at reduced or no cost. If you take Bydureon BCise (exenatide extended-release) for diabetes management and are struggling with medication costs, this program may help you receive your medication at no cost. ## About Bydureon BCise Bydureon BCise is a once-weekly injectable medication used to treat type 2 diabetes. It helps control blood sugar levels and may reduce the risk of heart disease in patients with diabetes. The medication is administered as a subcutaneous injection once per week. Understanding your medication and its role in your treatment plan is important before applying for assistance. ## Who Can Qualify To be eligible for the AZ & Me Prescription Savings Program, you must meet ALL of the following criteria: - **Medicare Enrollment**: You must be enrolled in Medicare Part D (prescription drug coverage) - **Income Limits**: Your household income must fall within AstraZeneca's qualifying income thresholds (specific limits are not publicly published; you will learn your eligibility status during the application process) - **Not in Limited Income Subsidy (LIS)**: You cannot currently be enrolled in the Medicare Limited Income Subsidy (also called "Extra Help"), as this program is designed for patients without other prescription drug assistance - **Valid Prescription**: You must have a current prescription for Bydureon BCise from your doctor ## Income Eligibility While AstraZeneca does not publicly disclose exact income thresholds, the program uses qualifying income criteria to determine eligibility. Based on similar AstraZeneca programs, income limits typically range from $30,000–$35,000 for individuals and $40,000–$48,000 for couples, though your specific eligibility will be determined during application review. | Household Type | Estimated Income Range | Notes | |---|---|---| | Individual | ~$30,000–$35,000 | Exact threshold determined during application | | Couple | ~$40,000–$48,000 | Exact threshold determined during application | | Larger Families | Contact program | Call for specific guidance | **Important**: These are estimates based on related programs. Contact the program directly at **(800) 292-6363** to confirm your specific income eligibility before applying. ## Insurance Requirements You **must** be enrolled in Medicare Part D to qualify. However, if you are currently in the Medicare Limited Income Subsidy (LIS/Extra Help), you are **not eligible** for this program because you already have access to affordable prescription drug coverage through Medicare. If you apply and later qualify for LIS while your application is being processed, you will be temporarily enrolled in the AZ & Me program while awaiting your LIS decision. Once Medicare approves your LIS application, your enrollment in AZ & Me will end, and you will receive your medications through your LIS coverage instead. ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Proof of Income**: One of the following documents showing your current household income: - Last year's federal income tax return (for yourself, spouse, and dependents) - Social Security Benefit Verification Statement - Current income statements from employment (W-2 or 1099 forms) - Year-to-date prescription spend history (optional but helpful) - **Valid Prescription**: A current prescription for Bydureon BCise from your doctor - **Medicare Information**: Your Medicare Part D enrollment details ### Step 2: Complete the Application You have two options to apply: **Option A: Apply by Phone** - Call **(800) 292-6363** (toll-free) - A program specialist will guide you through the application process - You can provide information verbally and ask questions in real-time - This option is helpful if you need assistance or have questions **Option B: Apply Online or by Mail** - Download the application form at **www.azandme.com** - Applications are available in English and Spanish - Complete the form with your personal, financial, and prescription information - Include copies of your proof of income documents - Include a copy of your valid prescription - Mail the completed application to: - **AZ&Me Prescription Savings Programs** - **PO Box 898** - **Somerville, NJ 08876** - Alternatively, fax to: **(800) 961-8323** ### Step 3: Submit Your Application Ensure all required documents are included before submitting. Incomplete applications may delay processing. Keep copies of everything you submit for your records. ## Timeline and Delivery **Processing Time**: Your application will typically be reviewed and processed within **0–1 week**. You will be notified of your eligibility status by mail or phone. **Medication Delivery**: Once approved, your Bydureon BCise will be: - Shipped directly to your home, or - Sent to your doctor's office for pickup You and your doctor can request refills at any time. Refills are typically processed quickly to ensure you don't run out of medication. **Cost**: Approved patients receive their Bydureon BCise at **no cost** through this program. ## What Happens If Your Application Is Denied If you do not qualify for the Medicare Part D version of this program, AstraZeneca offers other patient assistance options: - **AZ & Me Program for Uninsured Patients**: If you are not enrolled in Medicare or do not have insurance, you may qualify for a separate AZ & Me program - **Contact Program Specialists**: Call **(800) 292-6363** to discuss alternative assistance options - **Appeal Process**: Ask about reapplying if your circumstances change (such as a change in income) ## Reauthorization Your enrollment in the AZ & Me Prescription Savings Program is on a **calendar year basis**. This means: - Your eligibility is reviewed annually - You will need to reapply each year to continue receiving assistance - AstraZeneca will notify you when reauthorization is needed - Keep your contact information current with the program ## Important Considerations **Limited Income Subsidy (LIS) Applicants**: If you believe you may qualify for Medicare's Limited Income Subsidy (Extra Help), you can apply to both programs simultaneously. The AZ & Me program will provide temporary assistance while your LIS application is being reviewed. Once LIS is approved, you will transition to that program. **No Application Fee**: There is absolutely **no cost** to apply for or enroll in this program. **Privacy**: Your financial and medical information is kept confidential and used only to determine eligibility. ## Disclaimer This guide provides general information about the AZ & Me Prescription Savings Program for Medicare Part D patients. Program details, eligibility criteria, and covered medications may change. For the most current and accurate information, visit **www.azandme.com** or call **(800) 292-6363**. This information is not a substitute for professional medical advice. Always consult with your healthcare provider about your diabetes treatment and medication options. If you have questions about whether Bydureon BCise is right for you, discuss this with your doctor before applying for assistance.

Program information last verified: January 26, 2026