Learning about financial assistance. Together.

Figuring out how to save on your medicine can be confusing. We’ll help you find financial assistance options for your prescribed Pfizer Oncology medicine, regardless of your insurance coverage. And if you want help understanding your insurance, or finding a specialty pharmacy to fill your prescription, just give us a call.

Get a guide to help navigate healthcare coverage and financial support resources.

Patient Access Guide

Commercially Insured

If you have commercial, private, employer, or state health insurance marketplace coverage, we can tell you about resources to help you pay for your medicine.

Co-Pay Assistance

Eligible, commercially insured patients may pay as little as $0 per month for the oral medicines or per treatment for the injectable medicines listed below through our co-pay savings programs. Limits, terms, and conditions apply.^*

*For oral products, click here and for injectable products, click on the products listed below. Patients are not eligible for these programs 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. For oral products, patients may receive up to $25,000 per product in savings annually. For injectable products, maximum annual patient savings range from $10,000 to $25,000. For oral products, the offer will be accepted only at participating pharmacies. This offer is not health insurance. No membership fees apply. Pfizer reserves the right to rescind, revoke, or amend this offer without notice. For any questions, please call 1-877-744-5675 or write: Pfizer Oncology Together Co-Pay Savings Program, 235 East 42nd Street NY, NY 10017.

Sign Up for the Co-Pay Savings Program

Select your medicine to find out if you’re eligible and to sign up for co-pay assistance.

Patient products webform

Note: The questions and fields below should be filled out by the patient. If you are a healthcare provider, click here to find out if your patient is eligible and to access a co-pay card.

Please verify the following information to receive a co-pay savings card:

I am 18 years of age or older.
I currently live in the United States or Puerto Rico.
I do not have insurance from any federal healthcare program (including Medicare, Medicaid, TRICARE, or any other state or federal medical pharmaceutical benefit program or pharmaceutical assistance program).
I am not over 65 years of age and retired, and if applicable, neither is my partner.
I do not receive Social Security Disability or any other Social Security Administration benefit.
I do not have end stage renal disease.
I am not active duty military, and if applicable, neither is an immediate family member.
I agree with the Terms and Conditions.

I meet the defined requirements above.*

Agreement

Please enter your information:

First name *

Last name *

Phone number

Address line 1 *

Address line 2

City *

State *

ZIP code *

Want to sign up for Care Champion support? (Optional)

Our dedicated Care Champions, who have social work experience, can provide you with resources that may help with some of your daily challenges. To get started, select "yes" to have a Care Champion call you. Learn more about personalized support.

By selecting “yes,” you request Care Champion support and agree to communications from Pfizer Oncology Together, Pfizer, and/or parties acting on their behalf. These communications may include calls to your phone number made with an autodialer about resources, a co-pay card offer for eligible patients, and other support that may be available to you. You understand that your consent is not required or a condition of purchasing any Pfizer goods or services. You understand that you can opt-out of these communications at any time by contacting Pfizer Oncology Together at 1-877-744-5675.

Get text messages from your Care Champion!

Your Care Champion will text you to confirm phone appointments and let you know when to expect support resources.

(Optional) By checking this box, you consent to receive autodialed marketing and other texts from Pfizer and its service providers regarding the Pfizer Oncology Together Care Champion program at the mobile phone number provided below. You understand that providing consent is not required or a condition of purchasing any products or services. Message and data rates may apply. Approximately 8 messages per month. Complete terms can be found at http://3csms.mobi/pfizer2/ and Pfizer’s privacy policy at Pfizer.com/privacy. Reply STOP to opt-out.

Mobile phone number

Leave this field blank

*Required field.

Pfizer Oncology Together Co-Pay Program for IV

If you have commercial insurance, you may be eligible for the Pfizer Oncology Together Co-Pay Program for IV (“IV Co-Pay Program”). Limits, terms, and conditions apply.

Apply Today

To apply,^|| download the enrollment form and fill out the required fields and the Intravenous (IV) Co-Pay Program section. This form requires some information from your healthcare provider, so it’s best to fill it out together.

enrollment form

For eligible, commercially insured patients^¶

Your co-pay may be as little as $0. Once the annual program limit is reached, you are responsible for the full co-pay. ^#

$25,000 per calendar year

You could save up to $25,000^|| per year on your medicine.

No income requirements

There are no income requirements to qualify.

^||The IV Co-Pay Program provides assistance for eligible, commercially insured patients for co-pays, co-insurance, or deductibles incurred for the Product, up to $25,000 per calendar year. It does not cover or provide support for supplies, services, procedures, or any other physician-related services associated with the Product treatment.

^¶For patients to be eligible for the IV Co-Pay Program, they must have commercial insurance that covers BESPONSA™ (inotuzumab ozogamicin) or MYLOTARG™ (gemtuzumab ozogamicin) (each referred to as “Product”) and they cannot be enrolled in a state or federally funded insurance program. Whether a co-pay expense is eligible for the IV Co-Pay Program benefit will be determined at the time the benefit is paid. Co-pay expenses must be in connection with a separately paid claim for Product administered in the outpatient setting.

^#The IV Co-Pay Program will pay the co-pay and any deductible obligations for the Product up to the annual assistance limit of $25,000 per calendar year per patient.

Pfizer Oncology Together Co-Pay Savings Program for Injectables for ZIRABEV

The Pfizer Oncology Together Co-Pay Savings Program for Injectables for ZIRABEV can provide you with assistance for your out-of-pocket drug costs, including co-pays and coinsurance. Limits, terms, and conditions apply.

Apply Today

To apply, download the Pfizer Oncology Together enrollment form and fill out the required fields. This form requires some information from your healthcare provider, so it's best to fill it out together.

enrollment form

For eligible, commercially insured patients^¶

You may pay as little as $0 for each ZIRABEV treatment. ^#

UP TO $25,000 PER CALENDAR YEAR

The program covers up to $25,000 per calendar year. ^**

No income requirements

There are no income requirements for you to qualify.

GET STARTED WITH FINANCIAL ASSISTANCE

If you have questions or would like to know more about the Pfizer Oncology Together Co-Pay Savings Program for Injectables for ZIRABEV, call us at 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET).

^¶The Pfizer Oncology Together Co-Pay Savings Program for lnjectables for ZIRABEV provides assistance for eligible, commercially insured patients for co-pays, co-insurance, or deductibles incurred for the Product, up to $25,000 per calendar year. It does not cover or provide support for supplies, services, procedures, or any other physician-related services associated with the Product treatment.

^#For patients to be eligible for the Pfizer Oncology Together Co-Pay Savings Program for lnjectables for ZIRABEV, they must have commercial insurance that covers ZIRABEV™ (bevacizumab-bvzr) and they cannot be enrolled in a state or federally funded insurance program. Whether a co-pay expense is eligible for the Pfizer Oncology Together Co-Pay Savings Program for lnjectables for ZIRABEV benefit will be determined at the time the benefit is paid. Co-pay expenses must be in connection with a separately paid claim for Product administered in the outpatient setting.

^**The Pfizer Oncology Together Co-Pay Savings Program for lnjectables for ZIRABEV will pay the co-pay and any deductible obligations for the Product up to the annual assistance limit of $25,000 per calendar year per patient.

Pfizer Oncology Together Co-Pay Savings Program for Injectables: ZIRABEV™ (bevacizumab-bvzr)

The Pfizer Oncology Together Co-Pay Savings Program for Injectables can provide eligible, commercially insured patients prescribed ZIRABEV with assistance for their out-of-pocket drug costs, including co-pays and coinsurance.

Limits, terms, and conditions apply. Patients prescribed ZIRABEV for certain conditions are not eligible for this co-pay savings program.

ELIGIBLE, COMMERCIALLY INSURED PATIENTS^¶ MAY PAY AS LITTLE AS $0 FOR each ZIRABEV TREATMENT^#

This program covers up to $25,000 per calendar year^**
There are no income requirements for patients to qualify

Apply Today

enrollment form

GET STARTED WITH FINANCIAL ASSISTANCE

If you have questions or would like to know more about the Pfizer Oncology Together Co-Pay Savings Program for Injectables,
call us at 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET).

^¶The Injectables Co-Pay Program for ZIRABEV provides assistance for eligible, commercially insured patients prescribed ZIRABEV™ (bevacizumab-bvzr) for co-pays or coinsurance incurred for ZIRABEV, up to $25,000 per calendar year. It does not cover or provide support for supplies, services, procedures, or any other physician-related services associated with ZIRABEV treatment.

^#For patients to be eligible for the Injectables Co-Pay Program for ZIRABEV, they must have commercial insurance that covers ZIRABEV and they cannot be enrolled in a state or federally funded insurance program. Whether a co-pay expense is eligible for the Injectables Co-Pay Program for ZIRABEV benefit will be determined at the time the benefit is paid. Co-pay expenses must be in connection with a separately paid claim for ZIRABEV administered in the outpatient setting.

**The Injectables Co-Pay Program for ZIRABEV will pay the co-pay obligations for ZIRABEV up to the annual assistance limit of $25,000 per calendar year per patient.

Pfizer Oncology Together Co-Pay Savings Program for Injectables: RUXIENCE™ (rituximab-pvvr)

The Pfizer Oncology Together Co-Pay Savings Program for Injectables can provide eligible, commercially insured patients prescribed RUXIENCE with assistance for their out-of-pocket drug costs, including co-pays and coinsurance.

Limits, terms, and conditions apply. Patients prescribed RUXIENCE for certain conditions are not eligible for this co-pay savings program.

ELIGIBLE, COMMERCIALLY INSURED PATIENTS^¶ MAY PAY AS LITTLE AS $0 FOR each RUXIENCE TREATMENT^#

This program covers up to $25,000 per calendar year^**
There are no income requirements for patients to qualify

Apply Today

enrollment form

Please see RUXIENCE Medication Guide and full Prescribing Information, including BOXED WARNING, or visit RUXIENCE.com.

GET STARTED WITH FINANCIAL ASSISTANCE

If you have questions or would like to know more about the Pfizer Oncology Together Co-Pay Savings Program for Injectables,
call us at 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET).

^¶The Injectables Co-Pay Program for RUXIENCE provides assistance for eligible, commercially insured patients prescribed RUXIENCE™ (rituximab-pvvr) for co-pays or coinsurance incurred for RUXIENCE, up to $25,000 per calendar year. It does not cover or provide support for supplies, services, procedures, or any other physician-related services associated with RUXIENCE treatment.

^#For patients to be eligible for the Injectables Co-Pay Program for RUXIENCE, they must have commercial insurance that covers RUXIENCE and they cannot be enrolled in a state or federally funded insurance program. Whether a co-pay expense is eligible for the Injectables Co-Pay Program for RUXIENCE benefit will be determined at the time the benefit is paid. Co-pay expenses must be in connection with a separately paid claim for RUXIENCE administered in the outpatient setting.

**The Injectables Co-Pay Program for RUXIENCE will pay the co-pay obligations for RUXIENCE up to the annual assistance limit of $25,000 per calendar year per patient.

Pfizer Oncology Together Co-Pay Savings Program for Injectables: TRAZIMERA™ (trastuzumab-qyyp)

The Pfizer Oncology Together Co-Pay Savings Program for Injectables can provide eligible, commercially insured patients prescribed TRAZIMERA with assistance for their out-of-pocket drug costs, including co-pays and coinsurance. Limits, terms, and conditions apply.

ELIGIBLE, COMMERCIALLY INSURED PATIENTS^¶ MAY PAY AS LITTLE AS $0 FOR each TRAZIMERA TREATMENT.^#

This program covers up to $25,000 per calendar year^**
There are no income requirements for patients to qualify

Apply Today

enrollment form

Please see TRAZIMERA full Prescribing Information, including BOXED WARNING, or visit TRAZIMERA.com.

GET STARTED WITH FINANCIAL ASSISTANCE

If you have questions or would like to know more about the Pfizer Oncology Together Co-Pay Savings Program for Injectables,
call us at 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET).

^¶The Injectables Co-Pay Program for TRAZIMERA provides assistance for eligible, commercially insured patients prescribed TRAZIMERA™ (trastuzumab-qyyp) for co-pays or coinsurance incurred for TRAZIMERA, up to $25,000 per calendar year. It does not cover or provide support for supplies, services, procedures, or any other physician-related services associated with TRAZIMERA treatment.

^#For patients to be eligible for the Injectables Co-Pay Program for TRAZIMERA, they must have commercial insurance that covers TRAZIMERA and they cannot be enrolled in a state or federally funded insurance program. Whether a co-pay expense is eligible for the Injectables Co-Pay Program for TRAZIMERA benefit will be determined at the time the benefit is paid. Co-pay expenses must be in connection with a separately paid claim for TRAZIMERA administered in the outpatient setting.

**The Injectables Co-Pay Program for TRAZIMERA will pay the co-pay obligations for TRAZIMERA up to the annual assistance limit of $25,000 per calendar year per patient.

Pfizer Oncology Together Co-Pay Savings Program for Injectables: NIVESTYM® (filgrastim-aafi)

The Pfizer Oncology Together Co-Pay Savings Program for Injectables can provide eligible, commercially insured patients prescribed NIVESTYM with assistance for their out-of-pocket drug costs, including co-pays and coinsurance. Limits, terms, and conditions apply.

ELIGIBLE, COMMERCIALLY INSURED PATIENTS^¶ MAY PAY AS LITTLE AS $0 FOR EACH NIVESTYM TREATMENT^#

This program covers up to $10,000 per calendar year^**
There are no income requirements for patients to qualify

Apply Today

enrollment form

GET STARTED WITH FINANCIAL ASSISTANCE

If you have questions or would like to know more about the Pfizer Oncology Together Co-Pay Savings Program for Injectables,
call us at 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET).

^¶The Injectables Co-Pay Program for NIVESTYM provides assistance for eligible, commercially insured patients prescribed NIVESTYM^® (filgrastim-aafi) for co-pays or coinsurance incurred for NIVESTYM, up to $10,000 per calendar year. It does not cover or provide support for supplies, services, procedures, or any other physician-related services associated with NIVESTYM treatment.

^#For patients to be eligible for the Injectables Co-Pay Program for NIVESTYM, they must have commercial insurance that covers NIVESTYM and they cannot be enrolled in a state or federally funded insurance program. Whether a co-pay expense is eligible for the Injectables Co-Pay Program for NIVESTYM benefit will be determined at the time the benefit is paid. Co-pay expenses must be in connection with a separately paid claim for NIVESTYM administered in the outpatient setting.

**The Injectables Co-Pay Program for NIVESTYM will pay the co-pay obligations for NIVESTYM up to the annual assistance limit of $10,000 per calendar year per patient.

Pfizer Oncology Together Co-Pay Savings Program for Injectables: NIVESTYM™ (filgrastim-aafi)

Apply Today

enrollment form

For eligible, commercially insured patients^¶

You may pay as little as $0 for each NIVESTYM treatment. ^#

UP TO $10,000 PER CALENDAR YEAR

The program covers up to $10,000 per calendar year. ^**

No income requirements

There are no income requirements for you to qualify.

GET STARTED WITH FINANCIAL ASSISTANCE

If you have questions or would like to know more about the Pfizer Oncology Together Co-Pay Savings Program for Injectables, call us at 1-877-744-5675 (Monday–Friday 8 am–8 pm ET).

^¶The Injectables Co-Pay Program for NIVESTYM provides assistance for eligible, commercially insured patients prescribed NIVESTYM™ (filgrastim-aafi) for co-pays or coinsurance incurred for NIVESTYM, up to $10,000 per calendar year. It does not cover or provide support for supplies, services, procedures, or any other physician-related services associated with NIVESTYM treatment.

^**The Injectables Co-Pay Program for NIVESTYM will pay the co-pay obligations for NIVESTYM up to the annual assistance limit of $10,000 per calendar year per patient.

Braftovi-Mektovi Patient Products Form

Note: The questions and fields below should be filled out by the patient. If you are a healthcare provider, click here to find out if your patient is eligible and to access a co-pay card.

Please verify the following information to receive a co-pay savings card:

I am 18 years of age or older.
I currently live in the United States or Puerto Rico.
I do not have insurance from any federal healthcare program (including Medicare, Medicaid, TRICARE, or any other state or federal medical pharmaceutical benefit program or pharmaceutical assistance program).
I am not over 65 years of age and retired, and if applicable, neither is my partner.
I do not receive Social Security Disability or any other Social Security Administration benefit.
I do not have end stage renal disease.
I am not active duty military, and if applicable, neither is an immediate family member.
I agree with the Terms and Conditions.

I meet the defined requirements above.*

Agreement

Please enter your information:

First name *

Last name *

Phone number

Address line 1 *

Address line 2

City *

State *

ZIP code *

Want to sign up for Care Champion support? (Optional)

Get text messages from your Care Champion!

Your Care Champion will text you to confirm phone appointments and let you know when to expect support resources.

Mobile phone number

Leave this field blank

*Required field.

If your medicine is not listed above, you may not be eligible for co-pay assistance. If you are looking for financial assistance, call us at 1-877-744-5675.

ADDITIONAL ASSISTANCE

We'll see if you're eligible for the Pfizer Patient Assistance Program, which can provide your prescribed Pfizer Oncology medicine for free.^† Contact Pfizer Oncology Together for more information.

Please see DAURISMO (glasdegib) Medication Guide and full Prescribing Information, including BOXED WARNING, or visit DAURISMO.com.

Please see RETACRIT (epoetin alfa-epbx) Medication Guide and full Prescribing Information, including BOXED WARNING, or visit RETACRIT.com.

Please see RUXIENCE (rituximab-pvvr) Medication Guide and full Prescribing Information, including BOXED WARNING, or visit RUXIENCE.com.

Please see SUTENT (sunitinib malate) Medication Guide and full Prescribing Information, including BOXED WARNING regarding serious liver problems, or visit SUTENT.com.

Please see TRAZIMERA (trastuzumab-qyyp) full Prescribing Information, including BOXED WARNING, or visit TRAZIMERA.com.

^†The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions.

Medicare/Government Insured

If you have Medicare/Medicare Part D, Medicaid, or another government insurance plan, Pfizer Oncology Together can help identify financial support resources.

Support from independent charitable foundations

We’ll assist you with searching for financial support that may be available from independent charitable foundations. These foundations exist independently of Pfizer and have their own eligibility criteria and application processes. Availability of support from the foundations is determined solely by the foundations.

MEDICARE EXTRA HELP

We'll check to see if you're eligible for Extra Help through Medicare Part D. If you appear to be eligible, we'll guide you on how to apply.

Free medicine

If support from independent charitable foundations or Medicare Extra Help is not available, we’ll see if you’re eligible for the Pfizer Patient Assistance Program, which can provide your prescribed Pfizer Oncology medicine for free.^‡

^‡The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions.

Get started with financial assistance

Call us at 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET)

Enrollment Form

Uninsured

If you don’t have health insurance, we may be able to help you find programs that provide assistance.

Help finding coverage

We’ll check to see if you’re eligible for a government program that helps pay for prescription medicines through Medicaid. If you appear to be eligible, we’ll guide you on how to apply.

Free medicine Or savings

If you don’t have insurance or prescription coverage and you’re unable to afford your medicine, we may be able to help. We’ll see if you’re eligible to get your prescribed Pfizer Oncology medicine for free through the Pfizer Patient Assistance Program,^§ or at a savings through the Pfizer Savings Program.^||

^§The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions.

^||The Pfizer Savings Program is not health insurance. For more information, call the toll-free number 1-877-744-5675. There are no membership fees to participate in this program. Estimated savings are 50% and depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.

Get started with financial assistance

Call us at 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET)

Enrollment Form

^§The Pfizer Savings Program is not health insurance. For more information, call the toll-free number 1-866-706-2400. There are no membership fees to participate in this program. Estimated savings are 50% and depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.

How can we help?

How can we help?

Learning about financial assistance. Together.

Commercially Insured

Co-Pay Assistance

Sign Up for the Co-Pay Savings Program

Select your medicine to find out if you’re eligible and to sign up for co-pay assistance.

Want to sign up for Care Champion support? (Optional)

Apply Today

For eligible, commercially insured patients¶

$25,000 per calendar year

No income requirements

Apply Today

For eligible, commercially insured patients¶

UP TO $25,000 PER CALENDAR YEAR

No income requirements

GET STARTED WITH FINANCIAL ASSISTANCE

ELIGIBLE, COMMERCIALLY INSURED PATIENTS¶ MAY PAY AS LITTLE AS $0 FOR each ZIRABEV TREATMENT#

Apply Today

GET STARTED WITH FINANCIAL ASSISTANCE

ELIGIBLE, COMMERCIALLY INSURED PATIENTS¶ MAY PAY AS LITTLE AS $0 FOR each RUXIENCE TREATMENT#

Apply Today

GET STARTED WITH FINANCIAL ASSISTANCE

ELIGIBLE, COMMERCIALLY INSURED PATIENTS¶ MAY PAY AS LITTLE AS $0 FOR each TRAZIMERA TREATMENT.#

Apply Today

GET STARTED WITH FINANCIAL ASSISTANCE

ELIGIBLE, COMMERCIALLY INSURED PATIENTS¶ MAY PAY AS LITTLE AS $0 FOR EACH NIVESTYM TREATMENT#

Apply Today

GET STARTED WITH FINANCIAL ASSISTANCE

Apply Today

For eligible, commercially insured patients¶

UP TO $10,000 PER CALENDAR YEAR

No income requirements

GET STARTED WITH FINANCIAL ASSISTANCE

Want to sign up for Care Champion support? (Optional)

ADDITIONAL ASSISTANCE

Medicare/Government Insured

Support from independent charitable foundations

MEDICARE EXTRA HELP

Free medicine

Get started with financial assistance

Uninsured

Help finding coverage

Free medicine Or savings

Get started with financial assistance

footer-oncology-logo.svg

For eligible, commercially insured patients^¶

For eligible, commercially insured patients^¶

ELIGIBLE, COMMERCIALLY INSURED PATIENTS^¶ MAY PAY AS LITTLE AS $0 FOR each ZIRABEV TREATMENT^#

ELIGIBLE, COMMERCIALLY INSURED PATIENTS^¶ MAY PAY AS LITTLE AS $0 FOR each RUXIENCE TREATMENT^#

ELIGIBLE, COMMERCIALLY INSURED PATIENTS^¶ MAY PAY AS LITTLE AS $0 FOR each TRAZIMERA TREATMENT.^#

ELIGIBLE, COMMERCIALLY INSURED PATIENTS^¶ MAY PAY AS LITTLE AS $0 FOR EACH NIVESTYM TREATMENT^#

For eligible, commercially insured patients^¶