Finding financial support options. Together.
Pfizer Oncology Together can help patients understand their insurance benefits and connect them with financial assistance resources (if needed), regardless of their insurance coverage.
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Access Patient Co-Pay AssistanceCO-PAY ASSISTANCEEligible, commercially insured patients may pay as little as $0 per month for their oral medication or per treatment for certain injectable medications. Limits, terms, and conditions apply.* GET STARTED |
Free medication may be available to eligible patients through the Pfizer Patient Assistance Program.†
Contact Pfizer Oncology Together for more information.
*For oral products, click here and for injectable products, click here. 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 $9,450 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, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560.
†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.
CO-PAY ASSISTANCE
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Free medication may be available to eligible patients through the Pfizer Patient Assistance Program.†
Contact Pfizer Oncology Together for more information.
Select your patient’s insurance type to learn more about the financial assistance available.
We can help identify resources for eligible patients with commercial, private, employer, or state health insurance marketplace coverage.
The Pfizer Oncology Together Co-Pay Savings Programs provide savings for eligible patients who have been prescribed certain Pfizer Oncology oral or injectable medications. Limits, terms, and conditions apply.‡
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FOR ORAL MEDICATIONS:Eligible, commercially insured patients may pay as little as $0 per month for certain oral medications. Limits, terms, and conditions apply.‡
FOR CERTAIN INJECTABLE MEDICATIONS:Eligible, commercially insured patients may pay as little as $0 per treatment for certain injectable or infusion medications. Limits, terms, and conditions apply.‡
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‡For oral products, click here and for injectable products, click here. 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 $9,450 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, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560.
Pfizer Oncology Together can help identify resources for eligible patients with Medicare/Medicare Part D, Medicaid, or other government insurance plans who express a financial need.
We can assist patients with searching for financial support from alternate funding resources, which may include financial assistance through Extra Help, a Medicare Part D Low-Income Subsidy (LIS) program.
If support from alternate funding resources or Medicare Extra Help is not available, patients may be eligible to enroll in the Pfizer Patient Assistance Program.§ Eligible patients may receive their medication at no cost for the remainder of the calendar year. Patients must meet eligibility requirements and reapply annually.
To be evaluated for assistance, submit a completed enrollment form. Patients can opt in to the Electronic Income Verification or provide income documentation, such as the prior year’s tax return (preferred), most current W2 forms, or 3 most recent paycheck stubs for all household members.||
To receive free medication¶ from the Pfizer Patient Assistance Program, your patient must meet certain requirements:
Have a valid prescription for the Pfizer medication for an FDA-approved indication and the physician has attested to this on the enrollment form
Have an annual household income at or below 300% of the Federal Poverty Level
Reside in the U.S. or a U.S. territory
Be treated by a healthcare provider licensed in the U.S. or a U.S. territory
Meet one of the following:
Have no insurance coverage
Have government insurance, understand co-pay requirements as a result of the completion of a Benefit Investigation/Pharmacy Claim, and are unable to afford their insurer required co-pay
Have been denied coverage by their government insurer for a Pfizer medication (after at least one unsuccessful appeal to their insurer)
Injectables may have additional eligibility criteria or program limitations. Commercially insured patients are not eligible to enroll in the Pfizer Patient Assistance Program.
If your patient is accepted into the Pfizer Patient Assistance Program, we will inform you by fax and/or phone and your patient by phone and letter. Uninsured patients may receive free medication for up to 1 calendar year, while underinsured patients are enrolled through the end of the calendar year.
Get started with financial assistance
Call 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET) for live support. Fax completed enrollment forms to 1-877-736-6506, or complete and submit an online enrollment form through our Provider Portal.
§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.
||Pfizer Oncology Together reserves the right to request income documentation if the Electronic Income Verification is deemed inconclusive/requires further information.
¶Eligibility criteria are subject to change at any time.
We can help identify resources for eligible patients without any form of healthcare coverage.
We’ll check if the patient’s annual household income appears to meet their state Medicaid income requirements.# If they appear to be eligible, Pfizer Oncology Together will give them Medicaid’s contact information and help them understand how to apply.
Eligible patients may receive up to a 90-day supply of Pfizer medications for free while applying for Medicaid.** If patients do not qualify for Medicaid, they may receive their medication for free for up to 1 year through the Pfizer Patient Assistance Program.†† Patients must meet the eligibility requirements and reapply as needed.
To be evaluated for assistance, submit a completed enrollment form. Patients can opt in to the Electronic Income Verification or provide income documentation, such as the prior year’s tax return (preferred), most current W2 forms, or 3 most recent paycheck stubs for all household members.‡‡
To receive free medication§§ from the Pfizer Patient Assistance Program, your patient must meet certain requirements:
Have a valid prescription for the Pfizer medication for an FDA-approved indication and the physician has attested to this on the enrollment form
Have an annual household income at or below 300% of the Federal Poverty Level
Reside in the U.S. or a U.S. territory
Be treated by a healthcare provider licensed in the U.S. or a U.S. territory
Meet one of the following:
Have no insurance coverage
Have government insurance, understand co-pay requirements as a result of the completion of a Benefit Investigation/Pharmacy Claim, and are unable to afford their insurer required co-pay
Have been denied coverage by their government insurer for a Pfizer medication (after at least one unsuccessful appeal to their insurer)
Injectables may have additional eligibility criteria or program limitations. Commercially insured patients are not eligible to enroll in the Pfizer Patient Assistance Program.
If your patient is accepted into the Pfizer Patient Assistance Program, we will inform you by fax and/or phone and your patient by phone and letter. Uninsured patients may receive free medication for up to 1 calendar year, while underinsured patients are enrolled through the end of the calendar year.
Get started with financial assistance
Call 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET) for live support. Fax completed enrollment forms to 1-877-736-6506, or complete and submit an online enrollment form through our Provider Portal.
#Annual household income may only be one factor used in Medicaid’s eligibility determination. Other eligibility criteria may be required.
**Criteria depend on a number of factors, including the specific oncology medicine prescribed, insurance status, and household size and income.
††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
‡‡Pfizer Oncology Together reserves the right to request income documentation if the Electronic Income Verification is deemed inconclusive/requires further information.
§§Eligibility criteria are subject to change at any time.
Need assistance?Call 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET)
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