Patient Co-Pay AssistanceCO-PAY ASSISTANCEEligible, commercially insured patients may pay as little as $0 per month for oral medications or per treatment for certain injectable medications through our co-pay savings programs. Limits, terms, and conditions apply.* GET STARTED |
*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 $10,000 per product in savings annually. For injectable products, maximum annual patient savings range from $10,000 to $25,000.
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.†
CO-PAY ASSISTANCE FOR ORAL MEDICATIONS: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.
CO-PAY ASSISTANCE 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.
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.§
See the full eligibility criteria for the Pfizer Patient Assistance Program. 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.
Find out here if your patient is eligible for the Pfizer Patient Assistance Program.
If your patient is eligible, complete and submit the online Patient Assistance Program Enrollment Form below through our Provider Portal. Forms can also be faxed to 1-877-736-6506.
Patients who are not eligible for the Pfizer Patient Assistance Program can be enrolled for reimbursement support services by completing and submitting the online Reimbursement Support Services Enrollment Form below through our Provider Portal. Forms can also be faxed to 1-877-736-6506.
For live support, call 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET).
‡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.
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.**
See the full eligibility criteria for the Pfizer Patient Assistance Program. 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.
Find out here if your patient is eligible for the Pfizer Patient Assistance Program.
If your patient is eligible, complete and submit the online Patient Assistance Program Enrollment Form below through our Provider Portal. Forms can also be faxed to 1-877-736-6506.
Patients who are not eligible for the Pfizer Patient Assistance Program can be enrolled for reimbursement support services by completing and submitting the online Reimbursement Support Services Enrollment Form below through our Provider Portal. Forms can also be faxed to 1-877-736-6506.
For live support, call 1-877-744-5675 (Monday–Friday 8 AM–8 PM ET).
∥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.