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

This program provides brand name medications at no or low cost

Provided by: Pfizer, Inc.


TEL: 866-706-2400


Languages Spoken:

English, Spanish

Program Website

 

Program Applications and Forms

Pfizer Patient Assistance Program Enrollment: Contact program

 

Medications

  • alprostadil injection (Caverject Impulse) Injection
 

Eligibility Requirements   

Insurance Status Uninsured or Underinsured
Those with Part D Eligible? Yes
Income Varies
Diagnosis/Medical Criteria Not specified
US Residency Required? Must be residing in the US or US territory
   

Application

Obtaining Enroll online
Receiving Must apply online
Returning Fax, mail or submit online
Doctor's Action Will be discussed with patient and Doctor after request is received
Applicant's Action Complete online enrollment
Decision Communicated Patient and Doctor are notified
Decision Timeframe Varies
   

Medication

Amount/Supply Varies
Sent To Varies
Delivery Time Varies
Refill Process Varies per medication
Limit None
Re-application New application, new documentation yearly
   

Additional Information

Pfizer also has programs that provide eligible patients with insurance, support assistance, and medicines at a savings. Contact Pfizer RxPathways for details (844-989-7284).

Updated July 06, 2020


Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Program 2 of 2.
 

Pfizer Savings Program

This program provides brand name medications at no or low cost

Provided by: Pfizer, Inc.


TEL: 866-706-2400


ALT PHONE: 855-239-9869
Languages Spoken:

English, Spanish

Program Website

 

Program Applications and Forms

Pfizer Savings Program Medication List

Pfizer Institutional Patient Assistance Program (IPAP) At-a-Glance Brochure

 

Medications

  • alprostadil (Caverject) 
 

Eligibility Requirements   

Insurance Status Must be uninsured
Those with Part D Eligible? No
Income Varies
Diagnosis/Medical Criteria Not specified
US Residency Required? Must be residing in the US or US territory
   

Application

Obtaining Call for prescreening
Receiving There is no application
Returning Not applicable
Doctor's Action Give prescription to patient
Applicant's Action Call to enroll
Decision Communicated Decision made during phone screening
Decision Timeframe Decision made during phone screening
   

Medication

Amount/Supply Contact the program for more details.
Sent To Pharmacy
Delivery Time Not applicable
Refill Process Varies per medication
Limit None
Re-application New enrollment every 12 months
   

Additional Information

This program provides uninsured patients with savings on their prescriptions at the pharmacy.

Pfizer also has programs that provide eligible patients with insurance support, copay assistance, and medicines for free. Contact Pfizer RxPathways for details (844-989-7284)

Updated July 08, 2020