Fill this form out to allow Access 360 to provide assistance for your IMFINZI and/or IMJUDO* prescription. Available in English and Spanish. The Enrollment Form must be signed by the patient to utilize Access 360 patient-specific support.
Click here to fill out the form online.
This brochure explains both the IMFINZI Patient Savings Program and the IMJUDO Patient Savings Program.
*Support services for IMJUDO are available only when prescribed with IMFINZI for certain FDA-approved indications. IMJUDO is not approved as a monotherapy. Please refer to the full Prescribing Information when prescribing IMFINZI and IMJUDO.
