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Enroll Your Patients in 
Pfizer Oncology Together

Pfizer Oncology Together is here to help you navigate the access and reimbursement process and help patients identify financial assistance options and other support services.

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Support for Your Patients

Select your patient’s medication below to begin the enrollment process for one or more of the following support resources:

  • Co-pay assistance
  • Pfizer Patient Assistance Program*
  • Benefits verification
  • Alternate funding resources
  • One-on-one personalized support

Select your patient’s prescribed Pfizer Oncology medication:

Select a product
  • ADCETRIS® (brentuximab vedotin)
  • AROMASIN® (exemestane)
  • BESPONSA® (inotuzumab ozogamicin)
  • BOSULIF® (bosutinib)
  • BRAFTOVI® (encorafenib)
  • DAURISMO™ (glasdegib)
  • ELREXFIO™ (elranatamab-bcmm)
  • IBRANCE® (palbociclib)
  • INLYTA® (axitinib)
  • LORBRENA® (lorlatinib)
  • MEKTOVI® (binimetinib)
  • MYLOTARG™ (gemtuzumab ozogamicin)
  • NIVESTYM® (filgrastim-aafi)
  • NYVEPRIA™ (pegfilgrastim-apgf)
  • RUXIENCE® (rituximab-pvvr)
  • SUTENT® (sunitinib malate)
  • TALZENNA® (talazoparib)
  • TIVDAK® (tisotumab vedotin-tftv)
  • TRAZIMERA® (trastuzumab-qyyp)
  • TUKYSA® (tucatinib)
  • VIZIMPRO® (dacomitinib)
  • XALKORI® (crizotinib)
  • ZIRABEV® (bevacizumab-bvzr)
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Helping Your Patients with Co-Pay Assistance

To help your commercially insured patients get co-pay assistance, enter your patient's email address using the button below. Your patient will be sent a link to sign up for co-pay assistance for their prescribed Pfizer Oncology medication.

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Enroll your patients in the Pfizer Co-Pay Savings Program for Injectables

Eligible, commercially insured patients may pay as little as $0 per treatment for certain injectable medications. Limits, terms, and conditions apply.†

Visit Provider Portal
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ENROLL YOUR PATIENTS FOR PERSONALIZED SUPPORT

To enroll your patients for personalized support, fill out the “Personalized Patient Support Programs” section of the applicable enrollment form below. Make sure to work with your patients to fill out the required information.

To enroll your patients for personalized support, fill out the “Personalized Patient Support Programs” section of the enrollment form below. Make sure to work with your patients to fill out the required information.

To find out which enrollment form is applicable for your patient, first check here to see if your patient is eligible for the Pfizer Patient Assistance Program.

If your patient is eligible, download to complete and submit the Patient Assistance Program Enrollment Form below.

Patient Assistance Program
Spanish Enrollment Form

Patients who are not eligible for the Pfizer Patient Assistance Program can be enrolled for reimbursement support services by completing and submitting the form below.

Reimbursement Support Services
Spanish Enrollment Form
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ENROLL YOUR PATIENTS FOr PERSONALIZED SUPPORT

To enroll your patients for personalized support, fill out the “Personalized Patient Support Programs” section of the enrollment form below. Make sure to work with your patients to fill out the required information.

Reimbursement Support Services
Spanish Enrollment Form

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.

Patients are not eligible for this program 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. Patients may receive $10,000–$25,000 in savings annually.

Need assistance? Call 1-877-744-5675 (Mon–Fri 8 AM–8 PM ET)