Xigduo

Indicated For

Type 2 diabetes

About This Medication

# AZ&Me Prescription Savings Program Patient Guide: How to Get Xigduo at Low or No Cost ## About This Program The AZ&Me Prescription Savings Program is offered by AstraZeneca, the manufacturer of Xigduo, to help patients afford their diabetes medications. This program can help you get Xigduo (dapagliflozin/metformin) at little to no cost if you qualify. ## What is Xigduo? Xigduo is a combination medication used to treat Type 2 Diabetes. It contains two active ingredients: - **Dapagliflozin**: An SGLT2 inhibitor that helps your kidneys remove excess glucose through urine - **Metformin**: A biguanide that helps control blood sugar levels by reducing glucose production in the liver Together, these medications help lower blood sugar levels and improve blood sugar control when combined with diet and exercise. ## Who Qualifies for AZ&Me? You may qualify for this program if you meet ALL of the following requirements: 1. **You are a U.S. resident** (including Puerto Rico) 2. **You do not have prescription drug coverage** that helps pay for AstraZeneca medicines, OR you participate in Medicare Part B or Part D 3. **Your household income falls within the limits** (see income table below) 4. **You have a valid prescription** for Xigduo from your doctor ### Income Eligibility Guidelines The program uses household income limits based on the Federal Poverty Level. Below is a general guide: | Household Size | Maximum Annual Income (approx.) | |---|---| | 1 person | $14,500 | | 2 people | $19,500 | | 3 people | $24,500 | | 4 people | $29,500 | | 5 people | $34,500 | | 6 people | $39,500 | | 7 people | $44,500 | | 8+ people | $49,500 | **Note:** These are approximate guidelines. Income thresholds may vary based on current federal poverty guidelines. Contact the program directly to confirm your specific eligibility. ## Insurance Requirements - **Uninsured patients**: You qualify if you have no health insurance that covers prescription drugs - **Underinsured patients**: You qualify if your insurance doesn't help pay for AstraZeneca medicines - **Medicare patients**: You may qualify even if you have Medicare Part B or Part D coverage - **Medicaid patients**: Eligibility varies; contact the program to check - **Employer insurance**: You may still qualify if your plan doesn't cover Xigduo ## Step-by-Step Application Instructions ### Step 1: Gather Required Documents Before you apply, collect the following: - A completed application form (signed by you) - A completed prescription from your doctor (signed by your prescriber) - A copy of your Medicare card (if applicable) - Proof of household income (recent tax return, pay stub, or benefit statement) - Proof of identity and residency ### Step 2: Choose Your Application Method You can apply in multiple ways: **Online:** - Visit https://www.azandmeapp.com - Complete the online application form - Upload or attach required documents - Receive confirmation immediately **By Phone:** - Call (800) 292-6363 - A representative will help you complete the application - Have your documents ready to reference **By Fax:** - Complete the application form - Fax to (800) 961-8323 - Include all required documents - You will receive confirmation by mail or phone **By Mail:** - Contact the program for a paper application form - Complete and sign the form - Mail with supporting documents ### Step 3: Submit Your Application - Ensure your doctor signs the prescription - Make sure you sign the application form - Double-check that all required documents are included - Keep a copy for your records - Submit through your chosen method ### Step 4: Wait for Approval The program typically processes applications in **4-8 weeks**. You may receive approval sooner depending on the completeness of your application and current processing volume. ### Step 5: Receive Your Medication Once approved: - Your Xigduo will be shipped directly to you - You won't need to pick it up at a pharmacy - Follow the shipping instructions provided - If you have questions about your shipment, call the program number above ## What to Expect After Approval ### Medication Delivery - Xigduo will be mailed to your home address - Delivery is free - Allow 1-2 weeks for delivery after approval - You'll receive tracking information ### Refills and Reauthorization - **Annual reauthorization required**: You must renew your eligibility every year - You will receive a notice 30 days before your authorization expires - Follow the same process to reapply - If approved again, you can continue receiving medication ### Ongoing Support - Contact the program if you need to update your information - Call if you move or change contact information - Ask about refill timing to avoid running out of medication ## What If Your Application Is Denied? If you don't qualify for AZ&Me, here are alternative options: 1. **Ask your doctor about generic alternatives** – Metformin alone may be available at a lower cost 2. **Check for other manufacturer programs** – Some diabetes medications have assistance programs 3. **Visit NeedyMeds.org** – Free database of patient assistance programs 4. **Call 211** – Free helpline that connects you to local assistance programs 5. **Ask about state pharmaceutical assistance programs** – Many states offer programs for low-income residents 6. **Look into community health centers** – May offer discounted medications based on income 7. **Speak with your doctor** – They may have samples or know of other resources ## Contact Information **AZ&Me Prescription Savings Program** - **Phone:** (800) 292-6363 - **Fax:** (800) 961-8323 - **Website:** https://www.azandmeapp.com - **Hours:** Monday-Friday, 8 AM - 8 PM ET ## Important Reminders - **Keep your prescription filled**: If you're approved, keep taking Xigduo as prescribed by your doctor - **Follow up on your application**: If you haven't heard back in 8 weeks, call to check status - **Update your information**: Tell the program if you move, change phone numbers, or have other changes - **Plan ahead for refills**: Contact the program at least 2 weeks before you run out - **Don't stop taking medication**: While waiting for approval, talk to your doctor about temporary options ## Legal Disclaimer This guide is for informational purposes only and does not constitute legal or medical advice. Program eligibility, requirements, and benefits may change at any time. For the most current information, visit the official program website or contact the program directly at the phone number listed above. Always consult with your healthcare provider about your treatment plan and medication options. AstraZeneca reserves the right to modify or terminate the AZ&Me program at its discretion.

Program information last verified: March 25, 2026