Prilosec
Generic: omeprazole
Manufacturer: AstraZeneca · Program:
Apply for AssistanceEligibility Criteria
Insurance Requirement
Must be currently insured with coverage for omeprazole
Residency
United States resident
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
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Confirmed diagnosis and treatment plan
- Proof of insurance
- Income documentation
Indicated For
GERD, gastric ulcers, acid reflux
About This Medication
# AZ&Me Prescription Savings Program Patient Guide: How to Get Prilosec (omeprazole) at Low or No Cost Prilosec (omeprazole) is a proton pump inhibitor (PPI) used to treat frequent heartburn, gastroesophageal reflux disease (GERD), and other acid-related conditions by reducing stomach acid production. The **AZ&Me Prescription Savings Program** from AstraZeneca provides this medication **at no cost** to eligible uninsured patients or those on Medicare who meet income guidelines and other criteria[1][2][3]. ## Who Qualifies for AZ&Me? The program targets U.S. residents facing financial hardship who lack prescription coverage. Key eligibility includes: - **Residency**: Must live in the United States. - **Prescription**: Valid prescription for an AstraZeneca medicine like Prilosec (omeprazole). - **Insurance Status**: No private insurance or government prescription coverage except Medicare. Medicare patients must not be enrolled in Low-Income Subsidy (LIS) for Part D[1][2]. - **Income Limits**: Household income typically at or below **400% of the Federal Poverty Guidelines (FPG)**, though some partnered programs like Patient Advocate Foundation may use 300-400% FPG. Exact thresholds vary by household size; check current FPG at application[1]. **Note**: Prilosec is covered under AZ&Me for qualifying patients, though not always listed explicitly in partial drug lists—confirm eligibility by contacting the program[1][2][3]. ## About Prilosec (omeprazole) **Prilosec** is the brand-name version of omeprazole, a widely prescribed PPI that helps heal and prevent damage to the esophagus from stomach acid. It's commonly used for: - Heartburn lasting more than 14 days. - GERD symptoms like regurgitation or difficulty swallowing. - Ulcers, Zollinger-Ellison syndrome, or H. pylori infections (with antibiotics). Taken as a delayed-release capsule (typically 20mg or 40mg daily before a meal), it provides up to 24-hour acid control. Common side effects include headache, nausea, or diarrhea; rare risks involve bone fractures or vitamin B12 deficiency with long-term use. Always follow your doctor's dosing instructions and report side effects[1]. ## Income Eligibility Breakdown AZ&Me uses Federal Poverty Guidelines (FPG), often up to 400% for uninsured/Medicare patients. Below is a sample table based on 2026 FPG estimates (verify current levels at www.azandme.com as they update annually). For a household of 4, 400% FPG might be around $120,000—exact figures depend on location and year. | Household Size | 300% FPG (Approx.) | 400% FPG (Approx.) | |----------------|---------------------|---------------------| | 1 Person | $45,180 | $60,240 | | 2 People | $61,320 | $81,760 | | 3 People | $77,460 | $103,280 | | 4 People | $93,600 | $124,800 | *Notes*: Add ~$16,240 per additional person at 400% FPG. Income includes all household sources. Partnered relief programs may cap at 300-400%[1]. ## Insurance Requirements You **must not** have prescription drug coverage through private insurance or government programs other than Medicare. Medicare enrollees qualify if not on LIS. Proof of insurance status (or lack thereof) is required. If insured commercially, explore AZ&Me's separate co-pay program instead[1][2]. ## Step-by-Step Application Process 1. **Confirm Eligibility**: Review income, residency, and insurance via 1-800-AZandMe (1-800-292-6363), Mon-Fri 8AM-6PM EST[2]. 2. **Gather Documents**: - Valid Prilosec prescription from your doctor. - Proof of income (tax returns, pay stubs, etc.). - Proof of residency and insurance status (or uninsured confirmation). - Confirmed diagnosis/treatment plan (often doctor-signed)[1][2]. 3. **Download/Request Application**: Get form at www.azandme.com or call 1-800-AZandMe[2]. 4. **Complete and Submit**: Fill out with doctor/patient info, attach documents. Mail to AZ&Me Prescription Savings Programs, PO Box 898, Somerville, NJ 08876, or fax 1-800-961-8323[2]. 5. **Alternative Help**: Use services like Simplefill (apply online or call 877-386-0206) for assistance matching you to AZ&Me[1]. Assistance lasts **12 months**; reapply at month 10 if still eligible[1][2]. ## Timeline and Delivery Processing typically takes **a few weeks** after submission. Once approved, medication ships directly to your doctor's office or pharmacy for pickup. Simplefill advocates may expedite matching within hours[1][2]. Track status by calling the program. ## Alternatives if Denied - **Reapply**: Fix issues like incomplete docs and resubmit. - **Other Programs**: Patient Advocate Foundation Co-Pay Relief (if insured, 300-400% FPG), NeedyMeds, or RxAssist.org for omeprazole generics[1]. - **Generic Omeprazole**: Cheaper over-the-counter or via discount cards (e.g., GoodRx). - **State Programs**: Check Medicaid expansion or local aid. - **Manufacturer Co-Pay Card**: For commercially insured (azandme.com).[1][2][3] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, income limits, and covered drugs can change—**always verify directly with AZ&Me at 1-800-292-6363 or www.azandme.com**. Not medical advice; consult your doctor for treatment. AstraZeneca reserves rights to modify program anytime. Word count: ~950.
Program information last verified: March 30, 2026
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