Amgen Safety Net Foundation (ASNF) is a nonprofit patient assistance program that helps patients with financial need gain access to Amgen medicines at no cost.

Find patient applications along with provider forms such as product prescription forms, on demand product request forms and product replacement request forms.

Download patient applications and learn about the steps in applying for Amgen medicines at no cost.

Learn about eligibility requirements to see if you may qualify for your Amgen medicine at no cost.

Since 2008, the Amgen Safety Net Foundation (ASNF) has provided nearly $15 billion worth of Amgen medicines to help hundreds of thousands of qualifying patients gain access to their therapy in the United States.

For U.S. medical information clinical inquiries, to report adverse events, or product complaints, please call 1-800-77-AMGEN (1-800-772-6436). Local contact information by country can be found here at: amgen.com/contact-us/locations

Amgen Safety Net Foundation online portal. ONLINE ACCESS How does ONLINE ACCESS work? ONLINE ACCESS is an online portal provided by Amgen Safety Net Foundation (ASNF) that enables providers to conduct paperless transactions. To access the online portal users must first obtain an invitation code and register for ONLINE ACCESS.

Amgen Safety Net Foundation “the Foundation” is a nonprofit patient assistance program that helps qualifying patients access Amgen medicines at no cost. Printed name of patient

Amgen Safety Net Foundation “the Foundation” is a nonprofit patient assistance 2C1 program that helps qualifying patients access Amgen medicines at no cost. Patient Certification

Amgen Safety Net Foundation is a nonprofit patient assistance program sponsored by Amgen that helps qualifying uninsured patients access Amgen medicines at no cost.