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Seagen Secure has joined Pfizer Oncology Together. Find support, resources, and enrollment all in one place. Explore offerings

Have questions? Contact us.

There are no support services available for this product. For assistance, please call Pfizer Oncology Together at 1-877-744-5675 (Monday–Friday 8 AM–​​​​​​​8 PM ET) if you have any other questions.

Pfizer Oncology Together Healthcare Provider Access Guide

A guide for healthcare providers on patient access and reimbursement support services through Pfizer Oncology Together.
Download the guide

Enrollment Forms

Download the appropriate Pfizer Oncology Together enrollment form to get started.

Pfizer Patient Assistance Program

Patient Assistance Program Enrollment Form
Complete OnlineDownload
Patient Assistance Program Enrollment Form - Spanish
Download

Reimbursement Support Services

Reimbursement Support Services Enrollment Form
Complete OnlineDownload
Reimbursement Support Services Enrollment Form - Spanish
Download
Patient Assistance Program Enrollment Form
Complete OnlineDownload
Patient Reimbursement Support Services Enrollment Form
Complete OnlineDownload
Combined Enrollment Form - Spanish
Download
Patient Assistance Program Enrollment Form
Complete OnlineDownload
Patient Reimbursement Support Services Enrollment Form
Complete OnlineDownload
Combined Enrollment Form - Spanish
Download

More Ways to Enroll

Access the enrollment form as an editable PDF to digitally complete, print, and submit.

Secure Upload

Upload completed forms online at the Pfizer Oncology Together Patient Enroll page.

Fax

Download and complete one of the forms below, and fax them to: 1-877-736-6506

Mail

Download, complete, and mail forms to: 2730 S Edmonds Lane, Suite 300, Lewisville, TX 75067

Enroll Patients Online

The secure Pfizer Oncology Together Provider Portal gives registered healthcare professionals 24/7 access to an online enrollment form and submission, along with real-time patient case information and helpful resources related to program offerings.

With the Portal, HCPs Can:

Complete and submit their portion of the online enrollment forms for patients to request:
Benefits verification for certain products and patient situations
The Pfizer Patient Assistance Program* application for government underinsured and uninsured patients
Provide electronic signatures for authorization and consent
Communicate directly with Pfizer Oncology Together regarding the patient journey
View information like case alerts, Patient Summary of Benefits, outcome status, and completed enrollments
*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.

What happens next?

After enrollment, Pfizer Oncology Together will review the information and contact you and your patients with eligibility determinations and next steps.
Looking for assistance?Red StarCall 1-877-744-5675Green StarMon–Fri, 8 AM–8 PM ETRed Star
Looking for assistance?Green StarCall 1-877-744-5675Red StarMon–Fri, 8 AM–8 PM ETGreen Star
Please see full Prescribing Information for ADCETRIS, including BOXED WARNING, or visit ADCETRIShcp.com.
Please see full Prescribing Information for BESPONSA, including BOXED WARNING, or visit BESPONSAhcp.com.
Please see full Prescribing Information for DAURISMO, including BOXED WARNING and Medication Guide, or visit DAURISMOhcp.com.
Please see full Prescribing Information for ELREXFIO, including BOXED WARNING and Medication Guide, or visit ELREXFIOhcp.com.
Please see full Prescribing Information for MYLOTARG, including BOXED WARNING, or visit MYLOTARGhcp.com.
Please see full Prescribing Information for RETACRIT, including BOXED WARNING and Medication Guide, or visit RETACRIThcp.com.
Please see full Prescribing Information for RUXIENCE, including BOXED WARNING and Medication Guide, or visit RUXIENCEhcp.com.
Please see full Prescribing Information for SUTENT, including BOXED WARNING and Medication Guide, or visit SUTENThcp.com.
Please see full Prescribing Information for TIVDAK, including BOXED WARNING, or visit TIVDAKhcp.com.
Please see full Prescribing Information for TRAZIMERA, including BOXED WARNING, or visit TRAZIMERAhcp.com.

Looking for assistance?

Call 1-877-744-5675

(Monday–Friday 8 AM–8 PM ET)

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