masthead



                                         

Program 1 of 2 Scroll down to see them all.

This program provides brand name medications at no or low cost.
Pharmaceutical Company Pfizer, Inc.
Program Name Pfizer Connection to Care
Program Address PO Box 66585
St. Louis, MO 63166-6585
Phone Number

800-707-8990

Fax Number n/a
Medications on Program Nicotrol Inhaler   (nicotine inhaled)
Application Forms Pfizer Connection to Care
Pfizer Connection to Care (Spanish)
Pfizer Connection to Care Hardship Form
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

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.

Application Process

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.

Application Requirements

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.

Program Details

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.

Last Updated July 14, 2009


                                         

Program 2 of 2.

This is a discount card program.
Pharmaceutical Company Pfizer, Inc.
Program Name Pfizer Pfriends
Program Address PO Box 66543
St Louis, MO 63133
Phone Number

800-707-8990

Fax Number Not Applicable
Medications on Program Nicotrol Inhaler Inhaler  (nicotine inhaled)
Application Forms Pfizer Pfriends
Pfizer Pfriends (Spanish Application)
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

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.

Application Process

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.  

Application Requirements

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.

Program Details

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.

Last Updated July 14, 2009