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Seagen Secure has joined Pfizer Oncology Together. Find support, resources, and enrollment all in one place. Explore offerings
ELREXFIO is now available through the Pfizer Patient Assistance Program. Find out if you may be eligible. Learn more

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Co-Pay Enrollment Requires an Extra Step

Co-pay enrollment for injectable medicines isn't directly available on this site. Once you complete your 1:1 support sign-up, we'll direct you to the official Pfizer co-pay portal to finish enrolling for savings.
Co-pay enrollment for injectable medicines isn't available directly on this site. Please visit the official Pfizer co-pay portal to complete your enrollment and access potential savings.

What best describes you?

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We ask this so we can personalize our support and communications appropriately.

First, please tell us about yourself.

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Add your caregiver address so we can follow up if needed.

Next, tell us about the person you’re providing care for.

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What's the patient's address?

Which doctor prescribed this medicine?

Let's verify that you meet the co-pay program requirements. 

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

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NOTE: The questions and fields below should be filled out by the patient or their caregiver. If you are a healthcare professional, visit the Healthcare Professional website to find out if your patient is eligible to access the co-pay card.
Eligible patients must:
  • Be 18 years of age or older
  • Currently live in the United States or Puerto Rico
  • 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)
  • Not be over 65 years of age and not retired and, if the patient has a partner, the same would apply to their partner
  • Not receive Social Security Disability or any other Social Security Administration benefit
  • Not receive health insurance through the military
  • Review and agree to the Terms and Conditions and attest that the patient is eligible to participate in this program
If you have questions relating to patient eligibly for the Pfizer Oncology Together Co-Pay Savings Program, you can contact Pfizer Oncology Together at 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET) and provide the patient's commercial insurance information to verify eligibility.
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.
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 (Monday–Friday 8 AM–8 PM ET) for support.
*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. Opt-in required.
*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.
*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 up to $4,000–$25,000 in savings annually. This offer is not health insurance. No membership fees apply. Pfizer reserves the right to rescind, revoke, or amend this offer without notice. For full Terms and Conditions, please visit PfizerCopay.com/TC. For any questions, please call 1-877-744-5675 or write: Pfizer Oncology Together Co-Pay Savings Program for Injectables, P.O. Box 220366, Charlotte, NC 28222.
Looking for assistance?Red StarCall 1-877-744-5675Blue StarMon–Fri, 8 AM–8 PM ETRed Star
Looking for assistance?Blue StarCall 1-877-744-5675Red StarMon–Fri, 8 AM–8 PM ETBlue Star
Please see Important Facts about ADCETRIS, including BOXED WARNING, or visit ADCETRIS.com.
Please see BESPONSA full Prescribing Information, including BOXED WARNING, or visit BESPONSA.com.
Please see DAURISMO Medication Guide and full Prescribing Information, including BOXED WARNING, or visit DAURISMO.com.
Please see ELREXFIO Medication Guide and full Prescribing Information, including BOXED WARNING, or visit ELREXFIO.com.
Please see MYLOTARG full Prescribing Information, including BOXED WARNING.
Please see RETACRIT Medication Guide and full Prescribing Information, including BOXED WARNING, or visit RETACRIT.com.
Please see RUXIENCE Medication Guide and full Prescribing Information, including BOXED WARNING.
Please see SUTENT Medication Guide and full Prescribing Information, including BOXED WARNING regarding serious liver problems, or visit SUTENT.com.
Please see TIVDAK Medication Guide and full Prescribing Information, including IMPORTANT WARNING, or visit TIVDAK.com.
Please see TRAZIMERA full Prescribing Information, including BOXED WARNING.