What is the coverage for Xeljanz?
XELJANZ is covered for 99% of commercially-insured, moderate to severe rheumatoid arthritis patients with a prescription. †‡ * The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™.
How do I apply for the xelsource Patient Assistance Program?
XELSOURCE Patient Assistance Program Application 1 PATIENT APPLICATION PFIZER PATIENT ASSISTANCE PROGRAM* Phone 1-844-935-5269 | Fax 1-866-297-3471 | 2730 S. Edmonds Lane, Suite 300, Lewisville TX 75067
How do I contact Xeljanz?
Phone 1-844-XELJANZ (1-844-935-5269) • Fax 1-866-297-3471 • 2730 S. Edmonds Lane, Suite 300, Lewisville, TX 75067 Patient Declaration– By signing below, I affirm that my answers and my proof-of-income documents are complete, true, and accurate to the best of my knowledge.
What is the Xeljanz+you support program?
The XELJANZ+YOU Support Program provides tools and information to help you take an active role in your treatment with XELJANZ/XELJANZ XR and better manage your disease. You’ll also receive a welcome kit in the mail. By completing this registration, you’ll also receive resources in the mail to help you understand how RA may be impacting you.
What are the most common adverse reactions to Xeljanz?
What does XELJANZ XR look like?
Can XELJANZ XR be administered with strictures?
Does XELJANZ inhibit gastrointestinal perforation?
Can Xeljanz cause TB?
Is tofacitinib safe for pregnant women?
See 1 more
How much is a 30 day supply of XELJANZ?
The cost for Xeljanz XR oral tablet, extended release 11 mg is around $5,487 for a supply of 30 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
What is Xelsource?
Psoriatic Arthritis. • XELJANZ/XELJANZ XR (tofacitinib) is indicated for the treatment of adult patients with active psoriatic arthritis who have had an inadequate response or intolerance to methotrexate or other disease-modifying antirheumatic drugs (DMARDs).
How much does XELJANZ cost per month?
Xeljanz cost without insurance will vary depending on where you buy it. As a guide, Xeljanz oral solution (1 mg/mL) usually costs $4,350 for 240 milliliters. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
What is Pfizer patient assistance program?
Pfizer Patient Assistance Program Provides free Pfizer medicines to eligible patients through their doctor's office or at home.
Does tofacitinib cause hair loss?
Official answer. Hair loss is not a side effect of Xeljanz (tofacitinib citrate), according to the results of clinical trials used to gain approval of the drug. During clinical development, hair loss was not reported as an adverse effect.
What drug class is Xeljanz?
It belongs to a class of drugs called Janus kinase inhibitors. These drugs help to decrease inflammation in your body. Xeljanz comes as a tablet and solution that's taken by mouth. You'll take it either once or twice a day, depending on the form of the drug your doctor prescribes.
Does Xeljanz cause hair growth?
Researchers found that more than 50 percent of 66 patients treated with the drug Xeljanz (tofacitinib citrate) saw hair regrowth in three months.
What is the success rate of Xeljanz?
After eight weeks, 18.5% of the patients with ulcerative colitis receiving Xeljanz, 10 mg twice a day, achieved remission. This was in comparison to a remission rate of 8.2% in those who received the placebo.
When will there be a generic Xeljanz?
The United States and Japan will most likely be the first major markets with a Xeljanz generic, in 2026. A generic in the EU5 will follow as early as 2027, although additional market protections could occur if Xeljanz launches in a new indication where it brings significant clinical benefit over existing therapies.
How do you qualify for free eliquis?
You may be eligible for the Free 30-Day Trial Offer for ELIQUIS® (apixaban) if:You have not previously filled a prescription for ELIQUIS;You have a valid 30-day prescription for ELIQUIS;You are being treated with ELIQUIS for an FDA-approved indication that an HCP has planned for more than 35 days of treatment;More items...
What is Pfizer connect?
The Pfizer Patient Assistance Program provides certain medicines for free to eligible financially needy insured and uninsured patients.
What is Pfizer enCompass?
Pfizer enCompass offers various services to patients including reimbursement support for insured patients; co-pay assistance for eligible commercially insured patients who cannot afford their co-pays, co-insurances, or deductibles; and a free medicine patient assistance program for eligible uninsured or underinsured ...
How much does Xeljanz cost per year?
Xeljanz costs around $6,156.08 but luckily you can reduce the price of Xeljanz to $4,416.01 for 1, 60 Tablets Tablet by using our SingleCare coupons. Talk to your pharmacist about using SingleCare free coupons at checkout.
How much does a bottle of Xeljanz cost?
The cost for Xeljanz oral solution (1 mg/mL) is around $4,391 for a supply of 240 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
What is the safest drug for rheumatoid arthritis?
Methotrexate is widely regarded as one of the safest of all arthritis drugs, though it carries some potential downsides. Gastrointestinal symptoms such as nausea and vomiting are its most frequent side effects.
What is the generic name for Xeljanz?
Generic Name: tofacitinib Tofacitinib is used to treat certain types of arthritis (such as psoriatic arthritis, rheumatoid arthritis, ankylosing spondylitis, polyarticular course juvenile idiopathic arthritis-pcJIA).
XELSOURCE Patient Assistance Program Application - Pfizer pro
1 PATIENT APPLICATION PFIZER PATIENT ASSISTANCE PROGRAM* Phone 1-844-935-5269 | Fax 1-866-297-3471 | 2730 S. Edmonds Lane, Suite 300, Lewisville TX 75067
XELSOURCE Patient Assistance Program Application - Pfizer pro
1 Patient Declaration – By signing below, I affirm that my answers and my proof-of-income documents are complete, true, and accurate to the best of my knowledge. I understand that: • Completing this application form does not guarantee that I will qualify for the Pfizer Patient Assistance Program.
Get Xelsource Patient Portal - US Legal Forms
USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else".
XELSOURCE Prescription Information and XELSOURCE Enrollment Form
1 PRESCRIPTION INFORMATION AND XELSOURCE ENROLLMENT FORM FOR USE WITH APPROPRIATE RHEUMATOID ARTHRITIS OR PSORIATIC ARTHRITIS PATIENTS ONLY Please complete and fax this form, along with a fax cover sheet, to 1-866-297-3471.
PATIENT ASSISTANCE APPLICATION FOR XELJANZ® (tofacitinib ... - RxHope
Patient Declaration – By signing below, I affirm that my answers and my proof-of-income documents are complete, true, and accurate to the best of my knowledge. I understand that: • Completing this application form does not guarantee that I will qualify
What is the phone number for Xeljanz?
To speak to someone at XELSOURCE about your insurance coverage and medication costs for XELJANZ or XELJANZ XR, Monday through Friday, 8:00 AM - 8:00 PM ET, call 1-844-935-5269 and say “Representative.”.
How to contact XELSOURCE?
Commercial patients prescribed XELJANZ or XELJANZ XR should call XELSOURCE at 1-844-935-5269 to determine if they qualify for a Co-Pay Savings Card. Terms and conditions can be accessed here.
How to speak with someone at XELSOURCE?
To speak with someone at XELSOURCE about your insurance coverage and medication costs for XELJANZ or XELJANZ XR , call 1-844-935-5269 and say “Representative.”. XELJANZ is covered for 98% of commercially-insured, moderate to severe rheumatoid arthritis patients with a prescription. †‡.
Can you save on Xeljanz?
Savings may be just a phone call away. If you have a financial hardship and you’ve been prescribed XELJANZ or XELJANZ XR, call XELSOURCE to learn how you may be able to save on your XELJANZ prescription. See below for details. Terms and conditions/eligibility requirements apply.
How to receive XSAVINGS?
Elect to receive one via text message by texting “XPROGRAM” to 50336 and enrolling in the XSAVINGS Co-Pay Program for XELJANZ. †
Can you get XELJANZ if you don't have insurance?
If turned down, we will evaluate you for the Pfizer Patient Assistance Program. If you are eligible, we will provide you XELJANZ or XELJANZ XR at no cost to you. See limits, terms, and conditions.
Can XELSOURCE change your health insurance?
Health plans can change—so can your health insurance and prescription benefits. Once your new plan begins, XELSOURCE can help review your plan information, verify your coverage if needed, and assist with the Prior Authorization (PA) process.
What is Xeljanz used for?
XELJANZ® (tofacitinib citrate) is indicated for the treatment of adult patients with moderately to severely active rheumatoid arthritis who have had an inadequate response or intolerance to methotrexate. It may be used as monotherapy or in combination with methotrexate or other nonbiologic disease-modifying antirheumatic drugs (DMARDs).
What are the most common adverse reactions to Xeljanz?
The most commonly reported adverse reactions during the first 3 months in controlled clinical trials with XELJANZ 5 mg twice daily and placebo, respectively, (occurring in greater than or equal to 2% of patients treated with XELJANZ with or without DMARDs) were upper respiratory tract infections (4.5%, 3.3%), headache (4.3%, 2.1%), diarrhea (4.0%, 2.3%), and nasopharyngitis (3.8%, 2.8%).
What is an attached authorization?
The attached Authorization, when signed by your patient, documents the patient’s permission for you to share certain medical and personal information with Pfizer in connection with Pfizer’s patient assistance programs. This Authorization is strictly for your records and should not be returned with your patient’s application.
What infections are associated with Xeljanz?
The most common serious infections reported with XELJANZ included pneumonia, cellulitis, herpes zoster, and urinary tract infection . Avoid use of XELJANZ in patients with an active, serious infection, including localized infections. Consider the risks and benefits of treatment before initiating XELJANZ in patients:
Can Xeljanz cause TB?
Serious infections. XELJANZ can lower the ability of your immune system to fight infections. Some people have serious infections while taking XELJANZ, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses that can spread throughout the body. Some people have died from these infections. Your healthcare provider should test you for TB before starting XELJANZ, and monitor you closely for signs and symptoms of TB infection during treatment. You should not start taking XELJANZ if you have any kind of infection unless your healthcare provider tells you it is okay.Before starting XELJANZ, tell your healthcare provider if you:
What is XELJANZ support?
The XELJANZ+YOU Support Program provides tools and information to help you take an active role in your treatment with XELJANZ/XELJANZ XR and better manage your disease. You’ll also receive a welcome kit in the mail.
What to tell your healthcare provider before taking Xeljanz?
Before you use XELJANZ, tell your healthcare provider if you: Are being treated for an infection, have an infection that won’t go away or keeps coming back, or think you have symptoms of an infection.
What are the side effects of Xeljanz?
Shortness of breath. Weight loss. Diarrhea or stomach pain. Feeling very tired. Increased risk of death in people 50 years of age and older with rheumatoid arthritis who have at least 1 heart disease (cardiovascular) risk factor and who are taking a higher than recommended dose of XELJANZ/XELJANZ XR.
Does Xeljanz cause cancer?
Cancer. XELJANZ may increase your risk of certain cancers by changing the way your immune system works. Lymphoma and other cancers, including skin cancers, can happen. Tell your healthcare provider if you have ever had any type of cancer.
Does Xeljanz affect pregnancy?
XELJANZ may affect the ability of females to get pregnant. It is not known if this will change after stopping XELJANZ. It is not known if XELJANZ will harm an unborn baby.
Can Xeljanz cause tears?
Tell your healthcare provider if you have had diverticulitis (inflammation in parts of the large intestine) or ulcers in your stomach or intestines. Some people taking XELJANZ can get tears in their stomach or intestine.
Is Xeljanz XR a high risk drug?
Higher dose. People taking the higher dose of XELJANZ (10 mg twice daily) or XELJANZ XR (22 mg one time each day) have a higher risk of serious infections, shingles, or skin cancers. Immune System Problem.
What is the phone number for Xeljanz?from xeljanz.com
To speak to someone at XELSOURCE about your insurance coverage and medication costs for XELJANZ or XELJANZ XR, Monday through Friday, 8:00 AM - 8:00 PM ET, call 1-844-935-5269 and say “Representative.”.
What is Xeljanz oral solution?from xeljanz.pfizerpro.com
XELJANZ/XELJANZ Oral Solution is indicated for the treatment of active polyarticular course juvenile idiopathic arthritis (pcJIA) in patients 2 years of age and older.
How does Xeljanz work?from xeljanz.com
How XELJANZ Works. XELJANZ is a Janus kinase (JAK) inhibitor that helps disrupt JAK pathways from inside the cells, which are believed to play a role in inflammation. Watch to learn more about the science of XELJANZ and how JAK inhibitors are thought to work. Video Player is loading. Play Video.
What infections can Xeljanz cause?from xeljanz.pfizerpro.com
The most common serious infections reported with XELJANZ included pneumonia, cellulitis, herpes zoster, urinary tract infection, diverticulitis, and appendicitis. Avoid use of XELJANZ in patients with an active, serious infection, including localized infections, or with chronic or recurrent infection.
How much does Xeljanz cost?from drugs.com
The cost for Xeljanz oral solution (1 mg/mL) is around $4,127 for a supply of 240 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
How to speak with someone at XELSOURCE?from xeljanz.com
To speak with someone at XELSOURCE about your insurance coverage and medication costs for XELJANZ or XELJANZ XR , call 1-844-935-5269 and say “Representative.”. XELJANZ is covered for 98% of commercially-insured, moderate to severe rheumatoid arthritis patients with a prescription. †‡.
How long is the free trial of Xeljanz XR?from drugs.com
Xeljanz XR FREE Trial Offer: New patients may receive a one-time 30-day supply; for additional information contact the program at 844-935-5269.
What is anaphylaxis after a previous dose?from cdc.gov
Severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a component of an mRNA COVID-19 vaccine (Moderna or Pfizer-BioNTech) Immediate allergic reaction † of any severity to a previous dose or known (diagnosed) allergy to a component of the vaccine.
How many patients does Pfizer help?from startgrants.com
From 2012 to 2016, Pfizer has supported more than 1.6 millions of patients. They worked for more than 19 million of Pfizer prescriptions at low-cost or free. As their commitment, they also provide the charitable donations to the independent, non-profitable organizations. These organizations are available to help eligible patients who have to pay the costs of medicines. However, they only help patients who cannot afford, such as co-pays and co-insurance.
How much does a free drug card save?from drugs.com
The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.
Is Pfizer a patient assistance program?from startgrants.com
It is beneficial to apply for Pfizer patient assistance program. In fact, most of the programs are popular along with most prescribed drugs available in these programs. Besides, major drug companies offer patient assistance program even though each company has the different requirement of eligibility and application.
Can you send a copy of a prescription for Lyrica?from startgrants.com
If you request for Lyrica, you must send the copy of photo id. Other than that, you must send the prescription signed by MD/DO. In addition, this application only allows DEA or state physician license. For the prescriber signature, they only allow a physician.
Can you use other resources to reduce the cost of your medications?from startgrants.com
In addition, they can use other available resources to reduce the cost of your medications. You can look at their database. Alternatively, you can check the frequently asked questions to know more about the program application. Speaking of the application, usually, you have to attach your financial record.
Can you be eligible for Pfizer patient assistance?from startgrants.com
To be eligible in Pfizer patient assistance program, for example in Lyrica (Pregabalin), there are several things to know: As the patients, you must not have prescription drug coverage. They can accept you if you have not enough coverage to pay for the Pfizer medicines.
What is XELSOURCE support?
Use XELSOURCE support programs to help your eligible patients receive their XELJANZ treatment after a prescribing decision is made.
What setting of care must a patient be treated in?
Patient must be treated in the outpatient setting of care.
Does interim care require purchase?
Interim Care Rx offer does not require, nor will be made contingent on, purchase requirements of any kind.
Is the offer valid for cash paying patients?
Patient must have private insurance. Offer is not valid for cash-paying patients.
Can you claim reimbursement for a prescription?
No claim for reimbursement or credit for any costs associated with the medicine (s) may be submitted to any prescription insurance provider or payer, including Medicare Part D plans.
What is anaphylaxis after a previous dose?from cdc.gov
Severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a component of an mRNA COVID-19 vaccine (Moderna or Pfizer-BioNTech) Immediate allergic reaction † of any severity to a previous dose or known (diagnosed) allergy to a component of the vaccine.
How much does a free drug card save?from drugs.com
The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.
What are the most common adverse reactions to Xeljanz?
The most common serious adverse reactions were serious infections. The most commonly reported adverse reactions during the first 3 months in controlled clinical trials in patients with rheumatoid arthritis (RA) with XELJANZ 5 mg twice daily and placebo, respectively, (occurring in greater than or equal to 2% of patients treated with XELJANZ with or without DMARDs) were upper respiratory tract infection, nasopharyngitis, diarrhea, headache, and hypertension. The safety profile observed in patients with active psoriatic arthritis treated with XELJANZ was consistent with the safety profile observed in RA patients.
What is XELJANZ XR?
XELJANZ/XELJANZ XR (tofacitinib) is indicated for the treatment of adult patients with active psoriatic arthritis who have had an inadequate response or intolerance to methotrexate or other disease-modifying antirheumatic drugs (DMARDs).
What are the side effects of Xeljanz?
Your healthcare provider may do blood tests before you start treatment with XELJANZ/XELJANZ XR and while you are using XELJANZ/XELJANZ XR. Tell your healthcare provider if you have any of the following symptoms of a possible hepatitis B or C infection: feel very tired, little or no appetite, clay-colored bowel movements, chills, muscle aches, skin rash, skin or eyes look yellow, vomiting, fevers, stomach discomfort, or dark urine.Common side effects of XELJANZ/XELJANZ XR in rheumatoid arthritis and psoriatic arthritis patients include upper respiratory tract infections (common cold, sinus infections), headache, diarrhea, nasal congestion, sore throat, and runny nose (nasopharyngitis), and high blood pressure (hypertension).
Can you take Xeljanz twice daily?
Use of XELJANZ/XELJANZ XR in patients with severe hepatic impairment is not recommended.For patients with moderate hepatic impairment or with moderate or severe renal impairment taking XELJANZ 5 mg twice daily, reduce to XELJANZ 5 mg once daily.For UC patients with moderate hepatic impairment or with moderate or severe renal impairment taking XELJANZ 10 mg twice daily, reduce to XELJANZ 5 mg twice daily.
Can XELJANZ XR be administered with strictures?
Caution should be used when administering XELJANZ XR to patients with pre-existing severe gastrointestinal narrowing. There have been rare reports of obstructive symptoms in patients with known strictures in association with the in gestion of other drugs utilizing a non-deformable extended release formulation.
Can XELJANZ cause death?
Patients treated with XELJANZ/XELJANZ XR are at increased risk for developing serious infections that may lead to hospitalization or death. Most patients who developed these infections were taking concomitant immunosuppressants, such as methotrexate or corticosteroids.
Is Xeljanz XR safe for pregnancy?
Available data with XELJANZ/XELJANZ XR use in pregnant women are insufficient to establish a drug associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. There are risks to the mother and the fetus associated with rheumatoid arthritis and UC in pregnancy. In animal studies, tofacitinib at 6.3 times the maximum recommended dose of 10 mg twice daily demonstrated adverse embryo-fetal findings. The relevance of these findings to women of childbearing potential is uncertain. Consider pregnancy planning and prevention for females of reproductive potential.
How to contact Pfizer Rxpathways?from pfizerrxpathways.com
For more information about Pfizer RxPathways, please visit www.PfizerRxPathways.com. Patients can also call the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor.
How many Pfizer medicines are free?from pfizerrxpathways.com
The Pfizer Patient Assistance Program provides more than 60 Pfizer medicines for free to eligible patients through their doctor’s office, or in some cases, through home delivery.
How to be evaluated for Pfizer?from pfizerrxpathways.com
To be evaluated for assistance, patients and their healthcare providers must submit a completed enrollment form. Patients must also provide proof of income, such as a W2 form, a paycheck stub, or prior year’s tax return. In some cases, patients prescribed certain Pfizer medicines may first be required to seek alternate forms of assistance before they can be considered for free medicine through the Pfizer Patient Assistance Program.
What is RX Outreach?from pfizerrxpathways.com
Rx Outreach – A nonprofit charitable organization that provides eligible patients with access to more than 500 medications at an affordable cost. To learn more, go to www.rxoutreach.org
Is Pfizer still available to uninsured patients?from pfizerrxpathways.com
Pfizer medicines that have lost their patent exclusivity and have reasonably priced, multisource generic alternatives (costing $30 or less for a 30-day supply) are no longer offered for free through Pfizer’s Patient Assistance Program. They are , however, still being made available to uninsured patients through the Pfizer Savings Program.
Does Pfizer have a copay?from pfizerrxpathways.com
Pfizer provides access to co-pay and savings cards to help eligible patients save on a variety of brand-name medicines, regardless of their income.
Does Pfizer have a support program?from pfizerrxpathways.com
Some Pfizer medicines have support programs designed just for their patients. Select a medicine to learn more.
What are the most common adverse reactions to Xeljanz?
The most commonly reported adverse reactions during the first 3 months in controlled clinical trials with XELJANZ 5 mg twice daily and placebo, respectively, (occurring in greater than or equal to 2% of patients treated with XELJANZ with or without DMARDs) were upper respiratory tract infections (4.5%, 3.3%), headache (4.3%, 2.1%), diarrhea (4.0%, 2.3%), and nasopharyngitis (3.8%, 2.8%).
What does XELJANZ XR look like?
When you take XELJANZ XR, you may see something in your stool that looks like a tablet. This is the empty shell from the tablet after the medicine has been absorbed by your body.
Can XELJANZ XR be administered with strictures?
Caution should be used when administering XELJANZ XR to patients with pre-existing severe gastrointestinal narrowing. There have been rare reports of obstructive symptoms in patients with known strictures in association with the in gestion of other drugs utilizing a non-deformable extended release formulation.
Does XELJANZ inhibit gastrointestinal perforation?
Gastrointestinal perforations have been reported in XELJANZ clinical trials, although the role of JAK inhibition is not known. XELJANZ/XELJANZ XR should be used with caution in patients who may be at increased risk for gastrointestinal perforation (e.g., patients with a history of diverticulitis).
Can Xeljanz cause TB?
XELJANZ/XELJANZ XR may cause serious side effects, including:Serious infections. XELJANZ/XELJANZ XR can lower the ability of your immune system to fight infections. Some people can have serious infections while taking XELJANZ/XELJANZ XR, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses that can spread throughout the body. Some people have died from these infections. Your healthcare provider should test you for TB before starting and during XELJANZ/XELJANZ XR treatment, and monitor you closely for signs and symptoms of TB infection during treatment. You should not start taking XELJANZ/XELJANZ XR if you have any kind of infection unless your healthcare provider tells you it is okay.
Is tofacitinib safe for pregnant women?
There are no adequate and well-controlled studies in pregnant women and the estimated background risks of major birth defects and miscarriage for the indicated population is unknown. Based on animal studies, tofacitinib has the potential to affect a developing fetus. Women of reproductive potential should be advised to use effective contraception.
