Iressa
Generic: gefitinib
Manufacturer: AstraZeneca (brand); Ingenus (generic) · Program:
Apply for assistanceFree to apply. Service from $40/month, payable only when your application is ready to submit.
Eligibility Criteria
Insurance Requirement
See program details
Residency
US residency required
Income Threshold
Up to 300% FPL
Individual Income Limit
$43,740/year
Must be uninsured or underinsured; Medicaid patients not eligible
Program Information
Processing Time
2–3 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Indicated for
non-small cell lung cancer (NSCLC)
About This Medication
Iressa (Gefitinib) Patient Guide: How to Get Iressa at Low or No Cost
Iressa (gefitinib) is a prescription medication used to treat certain types of advanced non-small cell lung cancer (NSCLC) in adults. This guide explains how to access it through AstraZeneca's AZ&Me Prescription Savings Program, which provides the drug free of charge to eligible uninsured or Medicare patients struggling with costs[1].
About Iressa (Gefitinib)
Iressa is a targeted therapy known as a tyrosine kinase inhibitor (TKI). It works by blocking proteins that cause cancer cells to grow and divide, specifically targeting tumors with EGFR mutations in NSCLC[1]. It's taken as a daily oral tablet, typically 250 mg once a day, with or without food. Common side effects include diarrhea, rash, fatigue, nausea, and lung problems—always discuss risks with your doctor.
Approved by the FDA for first-line treatment of metastatic NSCLC with specific EGFR mutations, Iressa offers an alternative to chemotherapy for eligible patients. It's available as a brand from AstraZeneca and potentially as a generic from Ingenus, though assistance programs primarily cover the brand[1]. Without insurance, a month's supply can cost over $10,000, making patient assistance crucial.
Who Qualifies for AZ&Me?
The AZ&Me Prescription Savings Program helps U.S. residents who meet strict criteria. Key requirements include:
- A valid prescription for Iressa from your doctor.
- Residency in the U.S.
- No private insurance or government prescription coverage (except Medicare; Medicare patients must not be enrolled in Low-Income Subsidy/LIS for Part D).
- Household income below program guidelines (typically 400% of the Federal Poverty Level (FPL) or less, though exact thresholds vary—see table below).
- Assistance lasts 12 months, with option to reapply[1].
Private insurance holders may qualify for separate co-pay cards, but AZ&Me focuses on uninsured/Medicare[1].
Income Eligibility Breakdown
AZ&Me bases eligibility on total household income compared to the Federal Poverty Level (FPL). While exact figures aren't always listed publicly and can update yearly, programs like this commonly use up to 400-500% FPL. Contact the program for your situation. Here's a sample table based on 2026 FPL estimates (confirm current levels):
| Household Size | 400% FPL (Annual Income) | Notes |
|---|---|---|
| 1 (Individual) | ~$60,000 | Common threshold; higher for some programs. |
| 2 (Couple) | ~$81,000 | Add ~$21,000 per extra person. |
| 3 | ~$102,000 | Includes all household dependents. |
| 4 | ~$123,000 | Assets may be reviewed. |
Notes: Income includes wages, Social Security, etc. Deductions for medical expenses possible. Always verify with AZ&Me as guidelines adjust annually[1].
Insurance Requirements
- Uninsured: Fully eligible if other criteria met.
- Medicare: Eligible if no Part D coverage or LIS; program ships free meds directly.
- Private Insurance: Not eligible for free meds via AZ&Me; use co-pay assistance instead (up to $0 copay for eligible specialty drugs like Iressa).
- Medicaid/Other Government: Generally ineligible[1].
If you have insurance, explore Simplefill or other advocates to match you with options[1].
Step-by-Step Application Process
-
Get Prescribed: Ask your oncologist for an Iressa prescription and confirm it's covered by AZ&Me.
-
Gather Documents:
- Proof of income (tax returns, pay stubs, SSI letters—last 1-3 months).
- Proof of residency (utility bill, lease).
- Prescription copy.
- Insurance status proof (benefits summary or 'no coverage' letter).
- Doctor's info and patient ID[1].
-
Apply via Simplefill (Recommended): Call (877) 386-0206 or apply online at simplefill.com. A patient advocate reviews your case within hours, handles paperwork, and submits to AZ&Me[1].
Direct AZ&Me: Visit azandme.com or call program line (details via doctor/pharmacy).
-
Doctor Signs: Your physician completes the application section.
-
Submit: Mail/fax/upload. Simplefill streamlines this.
Timeline and Delivery
- Processing: 1-2 weeks after complete submission; Simplefill speeds it up[1].
- Delivery: Free meds shipped directly to your home or doctor's office in 7-10 days post-approval. Covers 1-3 months supply initially.
- Refills: Auto-ship or reapply every 12 months; notify of changes[1].
Alternatives if Denied or Ineligible
- Generic Gefitinib: Check Ingenus programs or pharmacies for lower costs.
- Other PAPs: Partnership for Prescription Assistance (pparx.org), NeedyMeds, or RxAssist.org[2].
- Co-Pay Cards: AstraZeneca specialty co-pay program for insured (search 'Iressa savings card').
- State Programs: Medicaid expansion or charity care.
- Manufacturer Biosimilars: None listed for Iressa[1][2].
- Simplefill: Matches to 1,000+ programs if AZ&Me denies[1].
Important Disclaimer
This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, income limits, and processes can change—always contact AZ&Me or Simplefill directly for personalized advice. Not medical advice; consult your healthcare provider. AstraZeneca/Ingenus reserve rights to modify programs. Success not guaranteed.
Program information last verified: March 30, 2026
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