Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.

Program 1 of 3   Scroll down to see them all.  Updated April 30, 2013 Back | Print Page

This program provides brand name medications at no or low cost.

Pfizer FirstResource

Provided by:


Pfizer, Inc.
P.O. Box 220582
Charlotte, NC
28222-0582

TEL: 877-744-5675


ALT PHONE:
FAX: 800-708-3430
 Program Website

Languages Spoken: English, Others By Translation Service

Patient assistance
applications

 

Medications

Aromasin Tablet 25mg (exemestane)

Eligibility Requirements

APPLICATION

MEDICATION
Insurance Status Determined case by case
Those with Part D Eligible? Yes
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Yes
Obtaining Call for prescreening
Receiving Faxed, mailed or downloaded from website
Returning Mail or fax
Doctor's Action Complete section, sign
Applicant's Action Complete section, sign, attach proof of income
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe Within 48 hours
Amount/Supply Varies
Sent To Doctor's office or patient's home
Delivery Time Within 5-7 business days
Refill Process Company contacts Doctor to arrange
Limit Not applicable
Re-application New application yearly

Additional Information:

Insurance benefits, claims assistance and/or other reimbursement help is offered.
Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.

Program 2 of 3   Scroll down to see them all.  Updated May 10, 2013 Back | Print Page

This is a copay assistance program.

HealthWell Foundation Copay Program

Provided by:


HealthWell Foundation
P.O Box 4133
Gaithersburg, MD 20897-7811

TEL: 800-675-8416


ALT PHONE:
FAX: 800-282-7692
 Program Website

Languages Spoken: English, Others By Translation Service

Patient assistance
applications

 

Medications

  • Aromasin    (exemestane)
  • Aromasin  Tablet  (exemestane)

Eligibility Requirements

APPLICATION

MEDICATION
Insurance Status May have insurance
Those with Part D Eligible? Yes
Income Less than 400% of FPL.may qualify. Cost of living in a particular city or state is considered.
Diagnosis/Medical Criteria Medically appropriate condition
US Residency Required? Must reside in the US
Obtaining Call or complete online
Receiving Sent out or may be completed online
Returning Mail
Doctor's Action Complete section, sign
Applicant's Action Complete section, sign, attach proof of income
Decision Communicated Patient notified in writing
Decision Timeframe 3-5 business days
Amount/Supply Not applicable
Sent To
Delivery Time
Refill Process Good for one year
Limit Not specified
Re-application New application every 12 months

Additional Information:

This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease.

Call for most recent medications as the list is subject to change.
Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.

Program 3 of 3.  Updated April 30, 2013 Back | Print Page

This is a discount card program.

Pfizer Pfriends

Provided by:


Pfizer, Inc.
PO Box 66543
St Louis, MO 63133

TEL: 866-706-2400


ALT PHONE:
FAX:
Program Website

Languages Spoken: English, Spanish, Others By Translation Service

Patient assistance
applications

 

Medications

Aromasin   (exemestane)

Eligibility Requirements

APPLICATION

MEDICATION
Insurance Status Must be uninsured
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Must reside in the US, Puerto Rico or the USVI
Obtaining Call or download
Receiving Faxed or mailed
Returning Mail
Doctor's Action Give prescription to patient
Applicant's Action Complete
Decision Communicated Patient notified in writing
Decision Timeframe 2-4 weeks
Amount/Supply Not applicable
Sent To Patient sent card to be used at pharmacy
Delivery Time Card shipped within 3 weeks
Refill Process Patient presents voucher/card to pharmacy for each refill
Limit None
Re-application Patient contacts company

Additional Information:

The Pfizer Pfriends savings program is not health insurance.



Read our privacy policy.

Copyright ©2013 by NeedyMeds, Inc.
Contents may not be reproduced in any form
except for personal use
and may not be used on any other website without permission.

NeedyMeds makes every effort to ensure the accuracy of the information on the website.
However, we can't guarantee the accuracy or completeness of the information.
Always check with the individual program if you have questions.