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 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 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.
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
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 patient Assist program?
AssistRx. Patient assistance programs (or PAPs) are generally sponsored by pharmaceutical manufacturers to provide free drug or financial assistance to patients who are uninsured or underinsured.
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.
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.
How does a patient support program work?
A patient assistance or support programs (PAPs or PSPs) exist to get you timely access to medication and to help you stay on track of your therapy. Being diagnosed with a complex disease or condition may come with unexpected financial burden and a need to better understand treatment options and next steps.
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.
Is Rinvoq an expensive drug?
The independent group Institute for Clinical and Economic Review estimated AbbVie's new rheumatoid arthritis drug Rinvoq, when compared to Humira, costs about $92,000 per “quality adjusted life year,” or QALY, a measurement of cost-effectiveness.
Does Rinvoq cause weight gain?
Is weight gain a side effect of Rinvoq? It's possible for weight gain to occur with Rinvoq. This wasn't reported in clinical trials of people with rheumatoid arthritis (RA) or psoriatic arthritis. However, it was a rare side effect in people with atopic dermatitis, which is also known as eczema.
How much does the medicine Rinvoq cost?
It belongs to a group of medications called JAK inhibitors. The lowest GoodRx price for the most common version of Rinvoq is around $5,520.10, 43% off the average retail price of $9,739.01. Compare kinase inhibitors.
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...
How can I get help paying for my eliquis?
Prescription Coverage Assistance Call Tap to call 1-855-ELIQUIS (354-7847) from Monday – Friday, 8 AM – 8 PM (ET). Live specialists are here to: Help you find out if ELIQUIS is covered by your insurance plan. Determine if you are eligible for assistance paying for ELIQUIS.
What is Pfizer connect?
The Pfizer Patient Assistance Program provides certain medicines for free to eligible financially needy insured and uninsured patients.
Why do pharmaceutical companies have patient assistance programs?
They increase demand, allow companies to charge higher prices, and provide public-relations benefits. Assistance programs are an especially attractive proposition for firms that sell particularly costly drugs. Faced with high out-of-pocket costs, some patients may decide against taking an expensive medication.
How does the pan foundation work?
What does PAN cover? Our 12-month grants offer financial assistance for out-of-pocket medication costs, including co-pays, health insurance premiums, and transportation costs associated with medical care. Co-pay funds: assistance with deductibles, co-pays, and coinsurance for medications.
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 are the income limits for GSK patient assistance program?
You must also meet certain household income eligibility requirements as outlined below:48 States and DCHousehold SizeMaximum Monthly Gross Income1$2,831.252$3,814.583$4,797.924 more rows
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.
