Select the Pfizer Oncology medicine you were prescribed to see the support that's available to you from Pfizer Oncology Together.
Please see BRAFTOVIPrescribing Information, including BOXED WARNING.
Please see ELREXFIO Medication Guide and full Prescribing Information, including BOXED WARNING, or visit ELREXFIO.com.
Please see BESPONSA full Prescribing Information, including BOXED WARNING, or visit BESPONSA.com.
Please see Important Facts about ADCETRIS, including BOXED WARNING.
Please see TIVDAK Medication Guide and full Prescribing Information, including IMPORTANT BOXED WARNING.
Eligible, commercially insured patients may pay as little as $0 per month for their Pfizer Oncology treatment. Limits, terms, and conditions apply.* Patients may receive up to $10,000 per product in savings annually.
We can connect you to free resources that may provide practical and emotional support, educational materials to help you navigate treatment, and transportation and lodging resources.†
You can enroll in the co-pay savings program for injectables by clicking the button below.
If you’ve been prescribed ELREXFIO, you can receive one-on-one support from a Pfizer Patient Access Navigator. Whether you have questions about getting started on treatment or need help understanding what your plan may look like, you can turn to your Patient Access Navigator for support. See how Patient Access Navigators can help.
*Required
Please verify the following information to receive a co-pay savings card:
Eligible patients must:
By checking this box, I confirm that the defined requirements above have been met.
If you have any questions, please call 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET).
Please note, you must be at least 18 years of age to complete this form. If you are under 18 or need assistance, please call 1-877-744-5675 for support.
Same as patient
You can sign up for the co-pay savings program once you've filled out this form and click the "Submit" button.
User consent* By checking this box, I request Pfizer Oncology Together support and agree to receive telephonic communications from the support specialist assigned to my case as described above. I understand that my consent is not required or a condition of purchasing any Pfizer goods or services.
I can opt out of support from and communications with the support specialist at any time by informing my assigned support specialist that I no longer wish to communicate with them.
Privacy Statement for Co-Pay Savings Program: Pfizer understands that your personal and health information is private and will only use your information in accordance with our Privacy Policy. The information you provide will only be used by Pfizer and parties acting on its behalf to send you the materials you requested, as well as other helpful product and/or related product information, disease state information, offers, and services.
By checking this box, I also agree to receive communications from Pfizer Oncology Together, a support program that offers financial assistance and personalized resources for patients prescribed Pfizer Oncology medicines.
By clicking "submit," you agree to share your contact information and certain health information with Pfizer and Pfizer's service providers and grant permission for those entities to send you helpful information regarding Pfizer's products, treatments, and offers. Pfizer values your privacy; this personal information will be handled in accordance with our Privacy Policy. You can unsubscribe from these communications at any time by clicking “Unsubscribe” in the communications you receive.
This form may take a few moments to submit. Please wait until you receive confirmation.
*Patients are not eligible to use this 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.
†Some services are provided through third-party organizations that operate independently and are not controlled by Pfizer. Availability of services and eligibility requirements are determined solely by these organizations.
Visit our Medicines page to learn about support resources that are available for additional Pfizer Oncology medicines.
Looking for help?Call 1-877-744-5675 Monday–Friday 8 AM–8 PM ET)
