Register for the BYDUREON BCise Savings Program.
Sign Up for Additional Support.

Save on your prescription Pay as low as $0 every month* with your prescription for BYDUREON BCise* …And support to help you get the most out of treatmentYou can sign up to receive important information, helpful tips, and dosing reminders directly through e-mail or text message.*See eligibility requirements. Restrictions apply.

Registration Form

Sample Basic Survey

REGISTRATION FORM

*Indicates required field

 
*
*
*

By providing your date of birth, you verify that you are at least 18 years of age.

 
 
 
 
*
*
 
 

Why is this important?

We want to send you the right information at the time that’s most helpful to you. Knowing about your upcoming doctor visits can help us make sure we do.

 
 Yes, please send me a BYDUREON BCise Savings Program.
 Yes, but I already have a BYDUREON BCise Savings Program Card.
 No, I do not wish to participate in the BYDUREON BCise Savings Program at this time.
 

Message and data rates may apply.

 
 
 I would be willing to share my experience as a patient taking BYDUREON BCise with an AstraZeneca representative.
 
 
 By completing registration, you may also receive ongoing information and support related to your condition, including treatment information.
 Register For The BYDUREON Savings Program. Sign Up For Additional Support.