800-707-8990

The patient must not have any private nor public insurance and and have an income at or below 200% of the Federal Poverty Level, adjusted for family size. Medical diagnosis necessary for this program is not specified. The patient must also reside in the US.  If a patient is eligible for Medicare Part D but did not enroll then s/he may still be eligible for this program. If a patient has insurance, meets the income guidelines and has a prescription to a medication on this program and cannot afford the co-pay, due to extreme medical or financial hardship, s/he could get assistance and should call the program. A Hardship Form is now available and should be sent with the new patient application. Healthcare providers can request expedited delivery of some medications. Call to request an Expedited Product Order form and the list of medications. Lopid is on backorder as of 10/30/09 and applications requesting this medication may be returned. Call the Pfizer program first prior to applying for an update.

Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application will be faxed out. The completed application must be mailed back.  Both the patient and doctor are notified in writing of acceptance or denial.  Allow 4 weeks for processing and delivery of medication.

The doctor must fill out a section, sign the application and attach a prescription. The patient must fill out a section, sign the application and attach proof of income.

Up to a 90 day supply is sent to the doctor's office, except for Lyrica which is sent to the patient's home. The doctor can refill prescriptions or add new Pfizer medicines by calling 800-707-8990. Once a year a new application with financial documentation is needed.

800-769-3880

Applicants with insurance are eligible. have an income at or below 300% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This program is for generic medications only. Many medications are available for a fee of $20 for up to a 180 day supply. Prices vary for Tier 2 and Tier 3 medications. Please refer to the Rx Outreach website for more information.

Anyone requesting assistance can call to request a faxed application or download it from the website. The application can be either faxed or mailed out upon request. The completed application must be mailed back.  The patient is notified of eligibility for the program.  

The doctor needs to provide a prescription to the patient. The patient must fill out a section and sign the application.

The medication is sent to either the doctor's office or the patient's home. The patient must contact the company to arrange for refills. Every year a new application is needed.

866-699-8239

Applicants with insurance are eligible. The patient must have an income at or below 243% of the Federal Poverty Level. Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This is a program for generic medications only. There are fee for the medications either $20 or $30 for a 90 day supply. ($40 or $60 for a 180 day supply and $80 or $120 for a 360 day supply.)Xubex now offers a 30 day supply of some medications free of charge. Patients may apply online or print the prescription, complete and fax to the Xubex pharmacy for processing. Requests may be expedited by having the physician fax the completed form to the Xubex pharmacy.

Anyone requesting assistance can call to request a faxed application or download it from the website. The application will be faxed out. The completed application can be faxed or mailed back.    The medication is shipped within 10 business days.

The doctor needs to provide a prescription to the patient. The patient must fill out a section and sign the application.

The medication is sent to either the doctor's office or the patient's home. The company automatically sends out refills. Once a year a new application with financial documentation is needed.

800-444-4106

The patient must have no prescription coverage for any medications and have an income at or below $45000 if single, $60000 for a family of 2, $75000 for a family of 3, $90000 for a family of 4, $105000 for a family of 5 Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. The patient must not be eligible for Medicare. Most cardholders save between 25%-40% on brand name prescription medications. Each card holder's savings depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.

The patient can call to get an application, apply on line, or download the application.      

Not applicable.

The patient is sent a Together Rx Access prescription savings card.  

800-707-8990

The patient must have no prescription insurance. meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. There are no income limits. If patients with Medicare choose not to enroll in Part D, then s/he is still eligible to participate in this program. This is a savings programs. There are two levels of savings. People with incomes less than 300% FPL adjusted for family size save an average of 32% off the retail price of their Pfizer medicines. People with incomes above 300% FPL adjusted for family size save an average of 15% off the retail price.

Anyone requesting assistance can call to request a faxed application or download it from the website. The application will be faxed out. The completed application must be mailed back.  The patient is notified in writing of acceptance or denial.  

The doctor needs to provide a prescription to the patient. The patient must fill an application form. Renewal information will be sent to the patient prior to the end of the enrollment year.

The patient is sent a Pfizer Pfriends savings card that can be used at over 95% of pharmacies in the US. When filling their Pfizer prescription, patients simply present the Pfizer Pfriends card to their pharmacist for immediate saving  Every year a new application is needed.