Financial Assistance

Affordability options may be available for SAPHNELO

SAPHNELO™ Supports Logo

Resources to help you along your SAPHNELO treatment journey.

Learn More

SAPHNELO Co-pay Savings Program

The SAPHNELO Co-pay Savings Program may help you pay a set amount of out-of-pocket costs.

Learn More
AZ&ME Logo

AZ&Me Prescription Savings Program provides AstraZeneca medicines at no cost if you qualify.

Learn More

Independent Patient Assistance Foundations

Assistance may be available through independent foundations such as those listed below. Foundations can provide a variety of assistance types: co-pay, transportation, premium, patient education, etc.

Learn More
 
 
 
 

Who can apply?

  • Patients who are covered by commercial insurance, and their insurance does not cover the full cost of their prescription
  • Residents of the United States or Puerto Rico
  • You are ineligible if prescriptions are paid by any state or Federally funded programs, including but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE.
    • (Additional content) If you are enrolled in a state or Federally funded prescription insurance program, you may not use this program even if you elect to be processed as an uninsured (cash-paying) patient.
  • Patients with a valid prescription to accompany the SAPHNELO Co-pay Savings Program offer
ENROLL

What to know

SAPHNELO Supports Has Everything You May Need—In One Place

Connect with SAPHNELO Supports to get personalized support along the way, including answers to your insurance questions, cost support options, and more. Access 360 is a part of SAPHNELO Supports and can help you find information about coverage, costs, and affordability programs.

We can answer your questions about:

  • Insurance coverage
  • Out-of-pocket costs
  • Making your medicine more affordable

Contact SAPHNELO Supports to learn more, Monday to Friday, 8 AM to 6 PM ET, excluding holidays

Phone 1-866-SAPHNELO (1-866-727-4635)
Fax 1-866-511-2360
Web
www.SAPHNELO.com www.MyAccess360.com
Mail One MedImmune Way, Gaithersburg, MD 20878

Who can apply?

  • Patients who are covered by commercial insurance, and their insurance does not cover the full cost of their prescription
  • Residents of the United States or Puerto Rico
  • You are ineligible if prescriptions are paid by any state or federally funded programs, including but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE
  • Patients with a valid prescription to accompany the SAPHNELO Co-pay Savings Program offer
ENROLL

What to know

Header

What happens once I’m enrolled in the SAPHNELO Co-pay Savings Program?

A Co-pay Savings Program account will be created for you. This can be done by the pharmacy, your doctor, or by calling an Access 360 representative. Once enrolled, you will continue to pay a set amount of your out-of-pocket costs for SAPHNELO. The pharmacy or your doctor will use the Co-pay Savings Program to cover the balance, up to the program maximum.

What are the specific costs associated with the SAPHNELO Co-pay Savings Program?

The patient may pay as little as $0 per administration; program pays remaining out-of-pocket costs up to a maximum of $16,500 per year. The out-of-pocket costs covered by the program can include the cost of the product itself and/or the cost of infusion of the product (program maximum of $150 per infusion administration). Patients who are residents of Massachusetts, or Rhode Island are not eligible for infusion administration assistance.

What does the SAPHNELO Co-pay Savings Program cover?

The SAPHNELO Co-pay Savings Program covers the cost of the drug and administration but does not cover costs for office visits or any other associated costs.

Are there income requirements to participate in the program?

No. There are no income requirements to participate in the program.

Where can I find additional information?

For additional information, please visit www.astrazenecaspecialtysavings.com or call an Access 360 representative at 1-866-SAPHNELO (1-866-727-4635).

Who can apply?

  • People without health insurance
  • Medicare Part D and/or B recipients
  • Those who have recently experienced a financial crisis
  • Residents of the United States
ENROLL

What to know

Eligibility rules apply, please call an AZ&Me representative for more information at 1-800-AZandMe (1-800-292-6363).

Who can apply?

These foundations are not associated with AstraZeneca; specific details and eligibility requirements can be found directly at the foundations’ websites.

Find a foundation

Patient Access Network Foundation

www.PANfoundation.org 1-866-316-7263

Good Days Fund

www.mygooddays.org 1-877-968-7233

Patient Advocate Foundation

www.patientadvocate.org 1-800-532-5274

HealthWell Foundation

www.healthwellfoundation.org 1-800-675-8416

CancerCare Co-Payment Assistance Foundation

www.cancercare.org 1-866-552-6729

The Assistance Fund

www.theassistancefund.org 1-855-845-3663

Leukemia & Lymphoma Society

www.lls.org 1-800-955-4572

Patient Services, Inc.

www.patientservicesinc.org 1-800-366-7741

What to know

For more information and additional resources, visit: https://www.astrazeneca-us.com/medicines/Affordability.html or call an Access 360 representative at 1-866-SAPHNELO (1-866-727-4635).

 
If you are enrolled in a state or federally funded prescription insurance program, you may not use this program even if you elect to be processed as an uninsured (cash paying) patient. Medicare Part B covers medically necessary services and supplies. Also covers drugs prescribed and administered by a healthcare provider If you are still working, retired, or have purchased a private insurance policy and are receiving prescription coverage through an employer, union, or private insurance plan, you are not eligible for AZ&Me. Also, if you are a current or retired Federal employee (non-military), and receive prescription coverage through the Federal Employees Health Benefits Program (FEHB), you are not eligible for AZ&Me. Finally, if you are military (active or non-active duty) and receive prescription coverage through TRICARE or Veterans Affairs (VA), you are not eligible for AZ&Me. For additional information, please call an AZ&Me representative at 1-800-AZandMe (1-800-292-6363). Medicare Part B refers to Medical Insurance. Generally, these are drugs administered by a doctor or in an outpatient setting. Medicare Part D is Prescription Drug Coverage, which are generally self-administered drugs. Check your patient’s insurance plan to accurately determine the type of coverage they receive. Example: Rob’s take-home pre-tax income is $30,000 per year. Rob’s out of pocket expenses on his prescription cholesterol medication is $100 per month, which is 4% of his annual income. Rob would qualify for AZ&Me if all other eligibility requirements are met.