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Synagis
Specialty Drug

Palivizumab

PALIVIZUMAB is an antibody. It is used in infants and children to prevent severe cases of respiratory syncytial virus (RSV) infection. Children treated with this medicine may still get RSV but will not get as sick as if they were not treated at all. This medicine does not protect against other infections. Compare monoclonal antibodies.
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Synagis Savings Tips

Patient Assistance Program

Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost. Eligibility is often based on income, insurance or Medicare status, and other factors. You’ll need to apply through each program, either online, over the phone, or with your doctor's help. The following program is offered by the manufacturer of this drug.

Program Name:AZ&Me Prescription Savings Program
Provider:AstraZeneca
Phone Number:1-800-292-6363
Website:http://www.astrazeneca-us.com/medicines/help-affording-your-medicines/azandme-prescription-savings-programs
How do I apply?Go to the program website and fill out the application with appropriate documentation and your physician's signature. You may submit the application by mail or your doctor may fax it.
What are the benefits?You can enroll for 12 months at a time, and your medication will be shipped to you or your doctor, depending on the medication, every 90 days at no charge if you are approved.
What are the restrictions?Most people without insurance and with limited incomes will qualify. Medicare Part D patients must not be enrolled in LIS.
Keep in mindIf you do not meet the requirements listed above but you have recently experienced a change in your financial circumstancesa, you may still qualify for the program.

Patient Assistance Program

Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost. Eligibility is often based on income, insurance or Medicare status, and other factors. You’ll need to apply through each program, either online, over the phone, or with your doctor's help. The following program is offered by the manufacturer of this drug.

Program Name:Access 360
Provider:AstraZeneca
Phone Number:1-844-275-2360
Website:https://www.myaccess360.com/access-360-for-healthcare-professionals-and-patients.html
How do I apply?Go to the program website and call the number provided for more information.
What are the benefits?Contact the program to see how they can financially help you out.
What are the restrictions?Most people without insurance and with limited incomes will qualify. Medicare Part D patients must not be enrolled in LIS.
Keep in mindN/A

Patient Assistance Program

Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost. Eligibility is often based on income, insurance or Medicare status, and other factors. You’ll need to apply through each program, either online, over the phone, or with your doctor's help. The following program is offered by the manufacturer of this drug.

Program Name:PAN Foundation Patient Assistance
Provider:PAN Foundation
Phone Number:1-866-316-7263
Website:https://panfoundation.org/index.php/en/patients/how-to-apply
How do I apply?Go to the program website and find out if you are eligible. You can get more information and start the enrollment by calling or submitting an application online.
What are the benefits?Contact the program to see how they can financially help you out.
What are the restrictions?To qualify, you must have insurance and a valid prescription. You will also need to have been diagnosed with a disease that the program covers. Call or check online to see if you are eligible.
Keep in mindOnly patients with specific diagnoses will be eligible for assistance.

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