Flumist quadrivalent Prescription Assistance Programs

Flumist quadrivalent: Apply for prescription assistance below

If you are eligible, the programs below can help you afford FluMist Quadrivalent. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Access 360

(Program 1 of 1 — Scroll down to see them all )

Provided by: AstraZeneca Pharmaceuticals
Access 360 One Medimmune Way Gaitherburg, MD 20878
TEL: 844-275-2360
Languages Spoken:
English, Spanish
Program Website
Program Applications and Forms
Medications
  • FluMist Quadrivalent (influenza vaccine live)
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Determined case by case
  • Income Varies. *See below for details
  • Diagnosis/Medical Criteria Not specified
  • U.S. Residency Required? The patient must also be a US resident, green card or work visa holder.
Application
  • Obtaining Anyone can enroll online
  • Receiving Faxed, mailed or complete online
  • Returning The completed application must be faxed or mailed from the doctor's office.
  • Doctor's Action Varies
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Not specified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Not specified
  • Sent To Not specified
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
Access 360™ can help identify patient-specific coverage for AstraZeneca medicines. The representatives can create an in-depth report identifying the patient's full coverage and out-of-pocket costs for medical, pharmacy, and home health benefits related to AstraZeneca products. Contact program for more details: www.myaccess360.com
Updated May 9, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

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