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Activate your MySavingsRx Card NOW

Just fill in the information below to get the MySavingsRx card. By completing the registration, you may also receive ongoing information and support related to your condition, including treatment information.

Eligibility Requirements and Terms of Use below

AstraZeneca, the sponsor of this Program, respects your personal health information. Your personal health information will be used solely to send you health-related materials and to develop products, services, and Programs.

The information you provide, as well as the information associated with your participation in the Program, may be used to contact you about or to send you health-related materials and to develop AstraZeneca products, services, and Programs. Certain information pertaining to your participation in this Program will be shared with AstraZeneca and third parties working on its behalf. The information shared will include the date of card activation, the date the transaction was processed, the number of pills dispensed by your pharmacist, and your savings under the Program. AstraZeneca, or third parties working on our behalf, will not sell or rent personal health information. If in the future you no longer want to receive these materials, please call 1-800-236-9933. Please visit www.azprivacynotice.com to review our Privacy Notice.

All fields are required

 
 
  Web (pre-activated)
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Note: For example, if you started in January, 2012, you would enter 012012.

To complete your registration, please read the statement below, then click "Submit".

I confirm that I have read the eligibility requirements and terms of use, and that the information I have provided is correct to the best of my knowledge.


Based on the medicine your doctor prescribes, you may be able to:

PAY AS LITTLE AS $0* FOR
(save up to $150 per month)

 
 
 

PAY JUST $25* FOR

 
 
 
 

for as long as your doctor prescribes

Eligibility Requirements and Terms of Use apply.

Not available for government-insured patients.