Apply to Amgen Safety Net Foundation
Free Amgen medicines for people with limited income who have no insurance, and for certain products, Medicare patients with an affordability gap. Apply directly with the program; here is what it asks and what happens next.
Who can apply?
| Household | 1 person | 2 people | 3 people | 4 people |
|---|---|---|---|---|
| Yearly income up to | $47,880 | $64,920 | $81,960 | $99,000 |
Pre-screener uses $47,880 for 1 (300% FPL; higher for Alaska and Hawaii). Eligibility page also shows a second table at $79,800 for 1 (500% FPL) without naming which products; income guidelines vary by product. Medicare Part D screener asks whether income is under 150% FPL and assets are under Extra Help limits.
Main rule: no insurance coverage. Uninsured patients must not be eligible for Medicaid, Medicare or other support. For certain products, Medicare patients with an affordability gap qualify if they have no access to other help such as Extra Help or independent copay foundations; Part D patients must have met plan requirements and prior authorizations. Supports underinsured patients with limited coverage for Amgen medicines in certain situations (case by case). VA/TRICARE not named.
Then what?
Sign
- patient application
Attach
- supporting documents as requested
Your prescriber
- completes the product prescription form or facility and prescribing physician information
Send
- Fax 1-833-959-1409 (pharmacy products); 1-866-549-7239 (physician-administered)
- Mail to Amgen Safety Net Foundation, PO Box 15980, Phoenix, AZ 85060-5980
Questions: call Amgen Safety Net Foundation at 1-800-932-3060. Up to 12 months; submit a new application to re-enroll..
Free. "Amgen Safety Net Foundation does not charge patients a fee for its assistance." Third parties charging fees are not affiliated. EveryCard Rx isn't paid by the program and never sends anything for you. Form , rules checked 2026-11-06 from the program's own pages. Something out of date? Tell us.