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
Is Xeljanz XR safe to take?
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). LABORATORY ABNORMALITIES Lymphocyte Abnormalities
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 are the most common adverse reactions to Xeljanz?
What does XELJANZ XR look like?
Is tofacitinib safe for pregnant women?
Can XELJANZ XR be administered with strictures?
Does XELJANZ inhibit gastrointestinal perforation?
Can Xeljanz cause TB?
See 3 more
PFIZER Patient Assistance Program Form
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.
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.
New Patient Application
New Patient Application READ BELOW TO SEE IF THIS PROGRAM IS RIGHT FOR YOU. WHO MAY BE ELIGIBLE To be eligible for Connection to Care: o Your total family household income must be at or below 200% of the Federal Poverty Level.
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
Get Xelsource Patient Portal - US Legal Forms
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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. †‡.
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.
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.”.
Can you switch from Xeljanz to XR?
When switching from XELJANZ to once-daily XELJANZ XR, additional approvals may not be required. For more information, check with your insurance provider.
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.
What is Xeljanz used for?from rxhope.com
XELJANZ (tofacitinib) is the first and only pill of its kind (JAK inhibitor) that treats adults with moderate to severe rheumatoid arthritis, active psoriatic arthritis, and moderate to severe ulcerative colitis. Getting Started With XELJANZ. I'm Ready To Talk.
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.
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 to contact XELSOURCE?from xeljanz.com
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.
What is XELSOURCE support?from xeljanz.pfizerpro.com
Use XELSOURCE support programs to help your eligible patients receive their XELJANZ treatment after a prescribing decision is made.
When was Xeljanz approved?from xeljanz.com
XELJANZ has been prescribed for more than 8 years, since initial approval in 2012, for adults with moderate to severe rheumatoid arthritis. XELJANZ was approved to treat adults with active psoriatic arthritis in 2017 and adults with moderate to severe ulcerative colitis in 2018.
How to close a modal window?from xeljanz.com
This is a modal window. This modal can be closed by pressing the Escape key or activating the close button.
What is Pfizer Savings Program 3?from pfizerrxpathways.com
Pfizer Savings Program 3 – Helps uninsured patients access their Pfizer medicines at a savings through participating pharmacies, regardless of income.
What is Pfizer Patient Assistance Program?from pfizerrxpathways.com
Pfizer Patient Assistance Program. Provides free Pfizer medicines to eligible patients through their doctor’s office or at home. To qualify, patients must: Have a valid prescription for the Pfizer medicine for which they are seeking assistance. Have no prescription coverage, or not enough coverage, to pay for their Pfizer medicine.
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.
What is the Pfizer phone number?from pfizerrxpathways.com
Fax: 1-866-470-1748. At this time, Pfizer INC. has consolidated all Pfizer patient assistance programs into one program named Pfizer RxPathways. However, still, their goal is the same. They keep supporting eligible patients to get access to the Pfizer medicines.
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 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 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 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.
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.
Can you use a Medicare card in Puerto Rico?
Patients are not eligible to use the Card if they are enrolled in a state- or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”).
Is Pfizer a health insurance?
The Pfizer Patient Assistance Program is not health insurance and is available for eligible uninsured/underinsured patients only.
Can Pfizer revoke a program?
Pfizer reserves the right to rescind, revoke, or amend the program without notice.
Is a prescription card valid for insurance?
This Card is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plan or other private health or pharmacy benefit programs.
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).
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.
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.
What is Pfizer Savings Program?from pfizerrxpathways.com
Pfizer Savings Program. Helps uninsured patients receive savings on more than 100 Pfizer medicines directly at their pharmacy, regardless of their income. Call 1-855-239-9869 to enroll. View available medicines.
What is PAP Connect?from pfizerpapconnect.com
Pfizer PAP Connect: Accessing your Pfizer prescribed medicine at your fingertips The Pfizer Patient Assistance Program (PAP) provides free medicines to eligible patients in need. With the introduction of Pfizer PAP Connect, we’ve taken the paper and the phone calls out of the process and created a simple online tool that enables patients and prescribers to:
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.
What is the Pfizer phone number?from pfizerrxpathways.com
Patients can dial the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor to find out if they meet the eligibility requirements.
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 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 MAT in healthcare?from pfizerrxpathways.com
The Medicine Assistance Tool (MAT) – A website that helps patients, caregivers and healthcare providers learn more about various biopharmaceutical industry programs and other private and public resources offered to those who need financial support due to their lack of insurance or inadequate prescription drug coverage. MAT is not its own patient assistance program. Go to MAT.org to learn more.
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 is Xeljanz medicine?from fda.gov
XELJANZ is a medicine that affects your immune system. XELJANZ can lower the
Why is Xeljanz on X-rays?from xeljanz.com
Based on two studies, XELJANZ was shown on X-rays to help reduce further joint damage.
How long after starting Xeljanz can you check your cholesterol?from fda.gov
levels. Your healthcare provider should do blood tests to check your cholesterol . levels 4 to 8 weeks after you start receiving XELJANZ, and as needed after that. Normal cholesterol levels are important to good heart health.
When was Xeljanz approved?from xeljanz.com
XELJANZ has been prescribed for more than 8 years, since initial approval in 2012, for adults with moderate to severe rheumatoid arthritis. XELJANZ was approved to treat adults with active psoriatic arthritis in 2017 and adults with moderate to severe ulcerative colitis in 2018.
Can you take Xeljanz with methotrexate?from xeljanz.com
However, XELJANZ is only approved for use in patients for whom methotrexate did not work well. Patients took either XELJANZ alone or methotrexate alone. At 6 months, patients who took XELJANZ had less progression of RA joint damage than patients who took methotrexate, as measured by the modified Total Sharp Score (mTSS).
Can Xeljanz cause tears?from fda.gov
taking XELJANZ get tears in their stomach or intestine. This happens most often
What is Pfizer Savings Program?from pfizerrxpathways.com
Pfizer Savings Program. Helps uninsured patients receive savings on more than 100 Pfizer medicines directly at their pharmacy, regardless of their income. Call 1-855-239-9869 to enroll. View available medicines.
What is Pfizer Patient Assistance Program?from pfizerrxpathways.com
Pfizer Patient Assistance Program. Provides free Pfizer medicines to eligible patients through their doctor’s office or at home. To qualify, patients must: Have a valid prescription for the Pfizer medicine for which they are seeking assistance. Have no prescription coverage, or not enough coverage, to pay for their Pfizer medicine.
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.
What is the Pfizer phone number?from pfizerrxpathways.com
Patients can dial the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor to find out if they meet the eligibility requirements.
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 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 MAT in healthcare?from pfizerrxpathways.com
The Medicine Assistance Tool (MAT) – A website that helps patients, caregivers and healthcare providers learn more about various biopharmaceutical industry programs and other private and public resources offered to those who need financial support due to their lack of insurance or inadequate prescription drug coverage. MAT is not its own patient assistance program. Go to MAT.org 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.
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.
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.
