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REGISTER

By completing the registration, you may receive ongoing information and support related to your condition, including treatment information.


AstraZeneca respects your personal health information.The information you provide may be used to send you health-related materials and to develop products, services, and programs. Certain information pertaining to your participation will be shared with AstraZeneca, the sponsor of the program. The information shared will include the date that you filled the prescription, the quantity of medication 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.

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Note: For example, if you started in January, 2012, you would enter 012012.