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.
Eligible, commercially insured patients may pay as little as $0 per month for their oral medicine through our co-pay savings program. Limits, terms, and conditions apply.*
We can connect you to resources and organizations† that may provide practical and emotional support, as well as educational materials to help you navigate your diagnosis and treatment.
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.
You can enroll in the co-pay savings program for injectables through the co-pay portal by clicking the button below.
*Required
Please verify the following information to receive a co-pay savings card:
NOTE: The questions and fields below should be filled out by the patient. If you are a healthcare provider, visit the healthcare provider website to find out if your patient is eligible and to access a co-pay card.
By checking this box, I confirm that I meet the defined requirements above.
If you have questions relating to patient eligibility for the Pfizer Oncology Together Co-Pay Savings Program, you can contact Pfizer Oncology Together at 1-877-744-5675 and provide your commercial insurance information to verify eligibility.
Please make a selection:*
You can sign up for the co-pay savings program through the co-pay portal once you've filled out this form and click the "Submit" button.
Patient 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.
Pfizer Privacy Policy: 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 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. Patients may receive up to $9,450 per product in savings annually. 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 full Terms and Conditions, please see PfizerOncologyTogether.com/terms. For any questions, please call 1-877-744-5675, visit PfizerOncologyTogether.com/terms, or write: Pfizer Oncology Together Co-Pay Savings Program, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560.
†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)
