
Visit http://fda.gov/MedWatch or call 1-800-FDA-1088. If your doctor has prescribed XELJANZ and you need help paying for it, XELSOURCE may be able to assist, depending on eligibility, terms and conditions. Call 1-844-935-5269 Monday through Friday, 8:00 AM–8:00 PM ET, for more information.
Full Answer
How do I Activate my xelsource card?
Follow the directions to print a card or save it to your digital wallet immediately after registering. To activate your card, call 1-844-935-5269 and say “Activate.” * For eligible underinsured or uninsured patients, XELSOURCE may offer financial assistance through the Pfizer Patient Assistance Program.
How do I apply for the Xeljanz Patient Assistance Program?
XELSOURCE Patient Assistance Program Application 1 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.
How do I enroll patients in xelsource HCP?
Contact your Pfizer Representative to be put in touch with your FRM See how the XELSOURCE HCP Portal streamlines the enrollment processFind out more about XELSOURCEForms and resources to help eligible patients access their prescribed medicationXELSOURCE Prescription and Enrollment Form Complete, print, and fax to enroll patients in XELSOURCE.
How do I apply for the Pfizer Patient Assistance Program?
PATIENT APPLICATION Phone 1-844-XELJANZ (1-844-935-5269) • Fax 1-866-297-3471 • 2730 S. Edmonds Lane, Suite 300, Lewisville, TX 75067 Please complete the form where applicable and return via mail or fax. Pages 1 and 3 must be returned to XELSOURCE. Check here if reapplying for the Pfizer Patient Assistance Program.
How to contact XELSOURCE?
How to speak with someone at XELSOURCE?
What is the phone number for Xeljanz?
Can you save on Xeljanz?
How to receive XSAVINGS?
Can you get XELJANZ if you don't have insurance?
Can XELSOURCE change your health insurance?
See 4 more
About this website

Is patient assistance program legitimate?
Patient assistance programs (PAPs) are usually sponsored by pharmaceutical manufacturers and are promoted as a safety net for Americans who have no health insurance or are underinsured.
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).
What is Pfizer patient assistance program?
The Pfizer Patient Assistance Program provides certain medicines for free to eligible financially needy insured and uninsured patients. English.
Does Organon have a patient assistance program?
The Organon Co-pay Assistance Program offers assistance to eligible, privately insured patients who need help affording their medication. For product-specific information, please visit your medication website.
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.
How do I get Rinvoq?
Just give us a call at 1.800. 2RINVOQ (1.800. 274.6867). Eligibility: Available to patients with commercial prescription insurance coverage for RINVOQ™ (upadacitinib) who meet eligibility criteria.
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 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 ...
Does Viatris have a patient assistance program?
The Viatris Patient Assistance Program provides certain medicines for free to patients with demonstrated financial need. Viatris is committed to helping patients get the treatments they need, when and where they need them.
How can I get a free inhaler?
Prescription assistance programs (PAPs) are designed to provide inhalers and other asthma drugs free of charge or at a highly discounted price to lower-income individuals and families. Copay assistance programs (CAPs) cover a portion of drug copay costs for people with health insurance.
How do I get help from Jardiance?
For more information and to find out if you're eligible for support, visit the program website or call 866-279-8990. If you have Medicare and you're having trouble paying for Jardiance, you may qualify for an assistance program. For details, visit this website or call 800-556-8317.
What products does Organon make?
US Organon ProductsASMANEX® HFA. (mometasone furoate) 50 mcg, 100 mcg, 200 mcg Inhalation Aerosol. ... ASMANEX® TWISTHALER® (mometasone furoate inhalation powder) 110 mcg, 220 mcg. ... DULERA® ... FOLLISTIM® AQ Cartridge. ... Ganirelix Acetate Injection. ... NEXPLANON® ... An Organon Biosimilars Product. ... PREGNYL®More items...
What is Pfizer Oncology together?
Pfizer Oncology Together is a personalized patient support program that offers resources for patients prescribed Pfizer Oncology medicines. We provide access and reimbursement support, as well as help identifying financial assistance options, so patients can get their prescribed Pfizer Oncology medicines.
Does Chantix have a patient assistance program?
Uninsured, low income patients may be able to get Chantix for free with the Pfizer Patient Assistance Program (PAP). How much can I save? Your prescription may be free if you qualify.
Does Pfizer make metoprolol?
metoprolol tartrate injection, USP - VIAL | Pfizer Medical Information - US.
Xeljanz Prices, Coupons, Copay & Patient Assistance - Drugs.com
Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 1 Sep 2022), Cerner Multum™ (updated 21 Sep 2022), ASHP (updated 12 Sep 2022 ...
Co-Pay Savings Card | XELJANZ® (tofacitinib) | Safety Info
On Friday, December 3, 2021, the U.S. Food and Drug Administration (FDA) updated the XELJANZ full prescribing information. Pfizer issued a media statement announcing that the U.S. full prescribing information for XELJANZ ® (tofacitinib) has been updated based on the U.S. FDA’s completed review of the ORAL Surveillance trial, a post-marketing required safety study.
Does Medicare Cover Xeljanz? | Medicare Prescription Drug Coverage
Does Medicare cover Xeljanz? Yes! 69% of Medicare Advantage plans and Medicare Part D plans cover Xeljanz. 1 Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD).Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs. 2Medicare prescription drugs plans each have their own formulary, or drug list, that ...
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
Xeljanz Medicare Coverage and Co-Pay Details - GoodRx
Xeljanz (Tofacitinib) is an expensive drug that works on the immune system. This medicine is used to treat rheumatoid arthritis and psoriatic arthritis.It is also used to treat ulcerative colitis.This drug is more popular than comparable drugs.
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
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.
Is Pfizer a health insurance?
The Pfizer Patient Assistance Program is not health insurance and is available for eligible uninsured/underinsured patients only.
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 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 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 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. †‡.
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 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.
When was Xeljanz approved?
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.
What is Xeljanz used for?
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?
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 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. †‡.
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 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.
