Any administering physician, hospital, home health company, or community pharmacy may sponsor a patient by applying to the program on his or her behalf. The program is based on a 12-month patient year rather than on a calendar year. Phone-in or written applications are acceptable for program enrollment. Upon receipt and approval of a completed application, a three-month supply of medication will be shipped to the physician's office on the patient's behalf in approximately two weeks. If the patient has insurance coverage for outpatient prescription drugs, he or she may be eligible for assistance with deductibles or maximum benefit limits.
Eligibility is determined by the company based on income information provided by the physician.
Income eligibility is based upon multiples of the U.S. poverty level adjusted for household size. Reapplication is required every 12 months. A reapplication is automatically sent to enrolled patients. Physicians also can obtain a packet of applications from their Zeneca sales representative. Enrollment in the program requires a valid Social Security Number.