Pulmicort

Indicated For

asthma

About This Medication

# AZ&Me Prescription Savings Program Patient Guide: How to Get Pulmicort at Low or No Cost ## About This Program The **AZ&Me Prescription Savings Program** is a patient assistance program offered by AstraZeneca, the manufacturer of Pulmicort (budesonide). This program has been helping qualifying patients access AstraZeneca medications since 1978. It is not a government program or insurance plan, but rather a manufacturer-sponsored initiative designed to provide free or reduced-cost medications to eligible patients who meet specific income and insurance requirements. Pulmicort is an inhaled corticosteroid used to control and prevent asthma symptoms. If you struggle to afford this essential medication, the AZ&Me program may be able to help. ## Who Qualifies for This Program? You may be eligible for the AZ&Me Prescription Savings Program if you meet ALL of the following criteria: - You are a U.S. resident - Your household income is at or below 300% of the Federal Poverty Level (FPL) - You meet one of these insurance requirements: - You do not have prescription drug insurance coverage - You are enrolled in Medicare Part B or Part D - You do not have coverage that helps pay for AstraZeneca medicines ## Income Eligibility Breakdown Your household income must not exceed 300% of the Federal Poverty Level. Use this table as a general reference for 2026 income limits: | Household Size | Maximum Annual Income (300% FPL) | |---|---| | 1 person | Approximately $42,660 | | 2 people | Approximately $57,330 | | 3 people | Approximately $72,000 | | 4 people | Approximately $86,670 | | 5 people | Approximately $101,340 | | 6 people | Approximately $115,980 | *Note: These figures are estimates based on 2026 Federal Poverty Guidelines. For exact current income limits, contact the program directly at 1-800-292-6363 or visit www.azandmeapp.com.* ## Insurance Requirements The program is designed for patients who are **uninsured or underinsured**. You qualify if: - You have no prescription drug insurance at all, OR - You are a Medicare patient (Part B or Part D) and meet income requirements, OR - Your current insurance does not cover Pulmicort or does not help pay for AstraZeneca medications If you have private prescription drug insurance that covers Pulmicort, you may not qualify unless you meet other specific criteria. Contact the program to discuss your individual situation. ## How to Apply ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Proof of residency**: A utility bill, lease agreement, or other document showing your current U.S. address - **Proof of income**: Recent pay stubs, tax returns, Social Security statements, or other documentation of household income - **Valid prescription**: A prescription for Pulmicort from your doctor - **Medicare documentation** (if applicable): Your Medicare card or documentation if you're enrolled in Medicare Part B or Part D ### Step 2: Complete Your Application You can apply online at **www.azandmeapp.com**. The online application will guide you through the process step-by-step. You will need to: - Provide your personal information and household details - Report your household income - Describe your current insurance status - Upload or provide your required documentation - Have your doctor sign the prescription portion of the application Alternatively, you can request a paper application by calling 1-800-292-6363 (Monday–Friday, 9:00 AM–6:00 PM EST). ### Step 3: Submit Your Application **For online applications**: Submit directly through www.azandmeapp.com. **For paper applications**: Mail or have your doctor's office fax your completed application with all required documents to: AZ&Me Prescription Savings Program PO Box 222178 Charlotte, NC 28222 Fax (non-specialty products): 1-800-961-8323 *Important: Paper applications must be faxed from your doctor's office to be considered valid. Applications not faxed from the doctor's office will be deemed invalid.* ### Step 4: Await Approval The program will review your application and determine your eligibility. During this process, the program may also check if you qualify for other assistance programs, such as Medicaid. You may be asked to provide additional documentation. ## Timeline and Medication Delivery Once you are approved, your Pulmicort will be **shipped directly to you**. The program will provide you with information about when to expect delivery. For prescription refills after you're enrolled, simply call **1-800-292-6363** (Monday–Friday, 9:00 AM–6:00 PM EST) to request a refill. ## What If Your Application Is Denied? If your application is denied, the program will explain the reason. Common reasons include: - Income exceeds 300% FPL - You have prescription drug insurance that covers Pulmicort - Missing or incomplete documentation - You do not meet residency requirements If denied, ask about: - Whether you can reapply if your circumstances change - Other patient assistance resources in your area - Whether your doctor can help you find alternative affordable options - State or local prescription assistance programs ## Reauthorization Requirements Your enrollment in the AZ&Me program is not permanent. **You will need to reauthorize your enrollment periodically** to continue receiving assistance. The program will notify you when reauthorization is required. Be prepared to provide updated income and residency documentation. ## Important Information - The AZ&Me program can be changed or stopped by AstraZeneca at any time for any reason. - Information you provide may be used to determine eligibility for other assistance programs. - This program is for U.S. residents only. - Keep a copy of your application and approval documentation for your records. ## Questions? For more information or to apply: - **Phone**: 1-800-292-6363 (Monday–Friday, 9:00 AM–6:00 PM EST) - **Website**: www.azandmeapp.com - **Refill requests**: Call 1-800-292-6363 ## Disclaimer This guide provides general information about the AZ&Me Prescription Savings Program as of March 2026. Program eligibility, requirements, and benefits may change. Always verify current program details by contacting AstraZeneca directly or visiting www.azandmeapp.com. This guide is not a guarantee of eligibility or enrollment. Consult with your healthcare provider about whether Pulmicort is appropriate for your medical condition.

Program information last verified: March 25, 2026