Iressa Patient Assistance Programs

Iressa: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Iressa. 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 4 — Scroll down to see them all )

Provided by: AstraZeneca Pharmaceuticals
Access 360 One Medimmune Way Gaitherburg, MD 20878
TEL: 844-275-2360
FAX: 844-329-2360
Languages Spoken:
English, Spanish
Program Website
Program Applications and Forms
Medications
  • Iressa (gefitinib)
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 October 2, 2018

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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AZ&Me Prescription Savings Program for people with Medicare Part D

(Program 2 of 4 — Scroll down to see them all )

Provided by: AstraZeneca Pharmaceuticals
PO Box 898 Somerville, NJ 08876
TEL: 800-292-6363
Languages Spoken:
English, Spanish
Program Website
Medications
  • Iressa (gefitinib)
Eligibility Requirements
  • Insurance Status May have Medicare Part D
  • Those with Part D Elibible? Required
  • Income Varies
  • 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 Call, download or apply online
  • Receiving Faxed, mailed or downloaded from website
  • Returning The completed application must be faxed or mailed from the doctor's office.
  • Doctor's Action Give prescription to patient
  • Applicant's Action Complete section, sign, attach proof of income and any insurance information
  • Decision Communicated Patient notified
  • Decision Timeframe Within 2 weeks
Medication
  • Amount/Supply Up to 90 day supply
  • Sent To Doctor's office or patient's home
  • Delivery Time Within 5-7 business days
  • Refill Proces Patient or Doctor must contact company
  • Limit None
  • Re-application Must re-enroll at end of calendar year
Additional Information
Eligibility determined on a case-by-case basis. *Patients with Medicare Part B coverage may also be eligible. Contact program for details.
Updated September 27, 2018

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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AZ&Me Prescription Savings Program for people without insurance

(Program 3 of 4 — Scroll down to see them all )

Provided by: AstraZeneca Pharmaceuticals
PO Box 898 Somerville, NJ 08876
TEL: 800-292-6363
Languages Spoken:
English, Spanish
Program Website
Medications
  • Iressa (gefitinib)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage
  • Those with Part D Elibible? No
  • Income Varies
  • 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 Call, download or apply online
  • Receiving Faxed, mailed or downloaded from website
  • Returning The completed application should be faxed back from the doctor's office.
  • Doctor's Action Give prescription to patient
  • Applicant's Action Complete section, sign, attach proof of income and any insurance information
  • Decision Communicated Patient notified in writing
  • Decision Timeframe Within 2 weeks
Medication
  • Amount/Supply Up to 90 day supply
  • Sent To Doctor's office or patient's home
  • Delivery Time Within 5-7 business days
  • Refill Proces Patient or Doctor must contact company
  • Limit None
  • Re-application New application yearly
Additional Information
People who are in Medicare and may be eligible for the Limited Income Subsidy can apply. However, if they are accepted into the LIS, they are no longer eligible for the AZ& Me Prescription Savings Program. Eligibility determined on a case-by-case basis.
Updated September 27, 2018

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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Patient Access Network Foundation (PAN)

(Program 4 of 4 — Scroll down to see them all )

Provided by: Patient Access Network Foundation
None
TEL: 866-316-7263
FAX: 866-316-7261
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Medications
  • Iressa (gefitinib)
Eligibility Requirements
  • Insurance Status *See Additional Information section below
  • Those with Part D Elibible? Determined case by case
  • Income Between 400-500% of FPL
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? Must reside and receive treatment in US
Application
  • Obtaining Call or complete online
  • Receiving Complete online or by phone
  • Returning Complete online or by phone
  • Doctor's Action Will be discussed with patient and Doctor after request is received
  • Applicant's Action Call for information or inform doctor that he/she is in need
  • Decision Communicated Patient and Doctor notified in writing
  • Decision Timeframe Within 48 hours
Medication
  • Amount/Supply Not applicable
  • Sent To Patient sent card to be used at pharmacy
  • Delivery Time Once approved; shipped same day
  • Refill Proces Patient presents voucher/card to pharmacy for each refill
  • Limit None
  • Re-application New application every 12 months
Additional Information
*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Updated July 10, 2018

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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