ACCESS SHOULDN'T BE A BARRIER TO MANAGING UNCONTROLLED BLOOD PRESSURE
PRESCRIBING INFORMATION / ACCESS
PRESCRIBE BAXFENDY TODAY TO ANY RETAIL PHARMACY
Supporting physicians and patients with cost-lowering programs and helpful resources
ACCESS & AFFORDABILITY
From Day 1, AstraZeneca helps patients get BAXFENDY with programs that lower out-of-pocket costs
- With Savings Card: Commercially insured patients pay as little as $15[*]
- Without Savings Card: Commercially insured patients pay no more than $50 at most pharmacies with automatically applied pharmacy programs

*^ Terms and conditions apply. Government restrictions exclude people in federal government insurance programs from co-pay support.
PRIOR AUTHORIZATION SUPPORT & OTHER RESOURCES
Conducts benefit verifications
Supports Prior Authorizations and Medical Exceptions (you will have to sign)
Applies available discounts to provide your patients the lowest out-of-pocket costs available to them
Offers patients the convenience of choosing home delivery or the pharmacy of their choice
IF YOU'D LIKE TO REGISTER
- Visit www.aspnpharmacies.com
- Select Login, then Prescriber Login, then New User and follow the prompts. Each user or prescriber must set up their own account
For questions or support, contact the dedicated ASPN Pharmacies team: 1-888-898-0545
Receive faster[†] Prior Authorization determinations, often in real time
Prior Authorization request monitoring with alerts when action is needed
Available at no cost to providers and their staff
Streamlined appeals, if needed
†^ Compared to phone or fax.
GET YOUR QUESTIONS ANSWERED
Visit CoverMyMeds.com for more information and support, including live chat
Visit nowYou may also call 1-866-452-5017
Monday-Friday: 8 AM to 11 PM ET
Saturday: 8 AM to 6 PM ET
SUPPORT
- Assistance with understanding patient insurance coverage and pharmacy options
- Prior Authorization support
- Claims and appeal process support
- M3P smoothing education and support
SAVINGS
- Eligibility requirements and enrollment assistance with AstraZeneca's Co-Pay Savings Programs
- Referrals to AZ&Me™ Prescription Savings Program, AstraZeneca’s patient assistance program
- Information about independent charitable patient assistance foundations Savings Programs
TO LEARN MORE ABOUT ACCESS 360
Visit MyAccess360.com/BAXFENDY
You may also call 1-844-ASK-A360 (1-844-275-2360)
Monday-Friday: 8 AM to 6 PM ET
Download the Access 360 form, complete it and fax to 1-844-ASK-A360 (1-844-275-2360)
Need additional support to help get access to BAXFENDY?
FIND ADDITIONAL RESOURCESELIGIBILITY: You may be eligible for this offer if you are insured by commercial insurance and your insurance does not cover the full cost of your prescription, or you are not insured and are responsible for the cost of your prescriptions. Co-pay support is not valid for patients who are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs, or TRICARE, even if they elect to be processed as an uninsured (cash-paying) patient and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees. This offer is not insurance and is restricted to residents of the United States and its territories.
TERMS OF USE: Eligible commercially insured/covered patients with no restrictions (step-edit, prior authorization, or NDC block) and a valid prescription for BAXFENDY® (baxdrostat) who present this savings card at participating pharmacies may pay as low as $15 for each 30-day supply, subject to a maximum savings limit of $150 per 30-day supply. Patient out-of-pocket expenses may vary. If you are insured and your insurance does not cover, AstraZeneca will pay up to the first $900, and you will be responsible for any remaining balance for each 30-day supply. If you pay cash for your prescription, AstraZeneca will pay up to the first $100, and you will be responsible for any remaining balance for each 30-day supply. Other restrictions may apply. Patient is responsible for applicable taxes, if any. Non-transferable, limited to one per person, cannot be combined with any other offer. Void where prohibited by law, taxed, or restricted. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer, including flexible spending account or healthcare savings account.
Maximum Savings Limit, Total Program Benefit, Benefits May Change, End or Vary: The program provides up to a Maximum Savings Limit of assistance to reduce a patient's out-of-pocket medication costs that AstraZeneca will provide per patient for each use, which must be applied to the patient's out-of-pocket costs (co-pay, deductible, or co-insurance). Total Program Benefit amounts are unilaterally determined by AstraZeneca in its sole discretion and will not exceed the Maximum Savings Limit. The Total Program Benefit may be less than the Maximum Savings Limit, depending on the terms of a patient's plan, and may vary among individual patients covered by different plans, based on factors determined solely by AstraZeneca, to ensure all programs funds are used for the benefit of the patient. Each patient is responsible for costs above the Patient Total Program Benefit amounts.
AstraZeneca reserves the right to rescind, revoke, or amend this offer, eligibility, and terms of use at any time without notice. This offer is not conditioned on any past, present, or future purchase, including refills. Offer must be presented along with a valid prescription at the time of purchase. Maximum savings limit applies. For additional details on this offer, please visit BAXFENDYsavings.com. If you have any questions regarding this offer, please call 1-844-CHAT-BAX (1-844-242-8229).
BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.


