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With the AstraZeneca Prescription Savings Program eligible Medicare patients

and non-insured patients may receive savings off their prescription of Symbicort. Call 1-800-292-6363 for questions on the program. Doctor's fax and mail applications are accepted. Offer provided by: AstraZeneca. NOTE: This is an offer provided by the manufacturer.

AstraZeneca medicines provided at no cost. Click here to review the list of

medicines available through this program. • There is NO cost to sign up for the program. • Once enrolled, you remain enrolled for up to one year. • At the end of that year you can reapply. • Medicines are mailed to the patient’s home or physician’s office.

For Medicare/Medicaid/ Uninsured Patients, only Pay $0 for Your first SYMBIC

ORT Prescription. More details on this AstraZeneca SYMBICORT savings card. Please call 1-844-798-3617. If you are taking SYMBICORT, see your health care provider if your asthma does not improve or gets worse.

The list price for a 30-day supply of SYMBICORT is $303.42 * (80/4.5 mcg) an

d $346.83 * (160/4.5 mcg). However, it is important to understand that this list price may not be reflective of your cost for SYMBICORT.

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SYMBICORT combines an ICS, budesonide and a LABA medicine, formoterol. LABA

medicines, such as formoterol, when used alone can increase the risk of hospitalizations and death from asthma problems. When an ICS and LABA are used together, this risk is not significantly increased. Do not use SYMBICORT for sudden severe symptoms of COPD or asthma.

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Use this coupon on allprescriptions including. SYMBICORT 160-4.5 MCG INHALER

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References: Data on File, US-30684, AZPLP. SYMBICORT [package insert]. Wilmi

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