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Program 1 of 3 Scroll down to see them all.

This program provides brand name medications at no or low cost.
Pharmaceutical Company Pfizer, Inc.
Program Name Pfizer RSVP Program
Program Address PO Box 230518
Centreville, VA 20120-9903
Phone Number

888-327-7787

Fax Number
Medications on Program Revatio Tablets 20mg/ml (sildenafil)
Application Forms Pfizer RSVP Program
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 be uninsured or underinsured and have no coverage for the medication and meet household income guidelines that are not disclosed. The medication must be used for outpatient use only. The patient must also be a US resident. This program provides reimbursement and appeals assistance to insured patients. It also provides medications free to eligible patients.

Application Process

The doctor, patient, social worker or patient advocate must call for a prescreening. The application is sent to the doctor's office. The completed application can be faxed or mailed back.  Both the patient and doctor are notified of acceptance into the program. The decision is usually made within 24-48 hours. 

Application Requirements

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

Program Details

The medication is sent to the doctor's office or pharmacy. The company contacts the doctor to arrange for refills. Once a year the application process must be repeated.

Last Updated August 12, 2009


                                         

Program 2 of 3 Scroll down to see them all.

This is a discount card program.
Pharmaceutical Company Together Rx Access
Program Name Together Rx Access
Program Address PO Box 9426
Wilmington, DE 19809-9944
Phone Number

800-444-4106

Fax Number
Medications on Program Revatio Tablets 20mg/ml (sildenafil)
Application Forms Together Rx Access
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 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.

Application Process

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

Application Requirements

Not applicable.

Program Details

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

Last Updated July 31, 2009


                                         

Program 3 of 3.

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 Revatio Tablets 20mg/ml (sildenafil)
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