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pfizer patient assistance fax form

by Rebeka Rogahn Published 3 years ago Updated 2 years ago
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What is the Pfizer Patient Assistance Program?

*The Pfizer Patient Assistance Program is a joint program of Pfizer Inc and the Pfizer Patient Assistance Foundation™. Free medicines from Pfizer are provided through the Pfizer Patient Assistance Foundation. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc with distinct legal restrictions.

How do I contact Pfizer rxpathways?

Pfizer RxPathways connects eligible patients to assistance programs that offer insurance support, co-pay†assistance, and medicines for free or at a saving. Learn more by visiting www.PfizerRxPathways.comor calling 1‑844‑989‑PATH (7284). Visit Pfizer RxPathwaysDo your patients need support?

How do I qualify for the Pfizer drug incentive program?

To qualify: Patients must not have any prescription drug coverage, or not enough coverage to pay for their Pfizer medicines. Patients must meet program income guidelines, which vary by product and household size.

How do I get help with Pfizer oncology together?

Pfizer Oncology Together provides personalized support and financial assistance resources to help patients access their prescribed Pfizer Oncology medications. Learn more by visiting www.pfizeroncologytogether.com/hcpor calling 1‑877‑744‑5675.

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What is Pfizer Patient Assistance Program?

The Pfizer Patient Assistance Program provides eligible patients with select Pfizer medicines for free. To qualify: Patients must not have any prescription drug coverage, or not enough coverage to pay for their Pfizer medicines. Patients must meet program income guidelines, which vary by product and household size.

What to do if a patient has no income and does not file taxes?

NOTE: If patient has no income and does not file taxes, a letter from the physician stating the patient has no income OR a notarized letter from a family member is required.

Do patients have to meet income guidelines?

Patients must meet program income guidelines, which vary by product and household size.

Cutaquig Co-Pay information

The cutaquig Co-Pay Program provides eligible, commercially insured patients assistance of up to $12,500 per calendar year* for claims received by the program. Eligible enrolled patients may pay as little as $0 per treatment. No membership fees. Federal and state health care beneficiaries are not eligible. Private insurance only.

PANZYGA Co-Pay information

The PANZYGA Co-Pay Program provides eligible, commercially insured patients assistance of up to $5,000 per calendar year † for claims received by the program. Eligible enrolled patients may pay as little as $0 per treatment. No membership fees. Federal and state health care beneficiaries are not eligible. Private insurance only.

Uninsured Patients

If a patient does not have health insurance and cannot afford cutaquig or PANZYGA treatment, Pfizer IGuide™ can connect them to resources that may help cover the cost of cutaquig or PANZYGA, including how to apply to Medicaid if they appear eligible.

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