2. You are now leaving Pfizer RxPathways. 0000029573 00000 n 0000000016 00000 n Prescription Coverage Information Federal Poverty Level Guidelines.The Pfizer Patient Assistance Program is a joint program of Pfizer Inc., and the Pfizer Patient Assistance FoundationThe Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc., with distinct legal restrictions.This enrollment form is for Prescribers who have uninsured patients who need help paying for Prevnar 13If your patient lives in Alaska or Hawaii, or has a household of greater than 5 members, please call Note: Income limits are subject to change on an annual basis; current limits reflect 2020 Federal Poverty Level Guidelines.The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance FoundationThe Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™.

0000072098 00000 n The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions. 0000071127 00000 n 0000034379 00000 n 0000072673 00000 n With the introduction of Pfizer PAP Connect, we’ve taken the paper and the phone calls out of the process and created a simple online tool that enables patients and prescribers to: For help with any other Pfizer medicines, or to learn about Pfizer’s other assistance programs… Se proporcionan enlaces a otros sitios para su comodidad y Pfizer no asume responsabilidad por el contenido de estos enlaces.This enrollment form is for patients who would like to apply to receive 0000049730 00000 n 0000037242 00000 n 3. 0000035952 00000 n 0000031219 00000 n 0000072929 00000 n

0000039444 00000 n

310 0 obj <> endobj 0000072991 00000 n 0000005660 00000 n 0000073715 00000 n Do I qualify to receive free medicine through the Pfizer Patient Assistance Program?If you live in Alaska or Hawaii, or have a household of greater than 5 members, please call Note: Income limits are subject to change on an annual basis; current limits reflect 2019 Federal Poverty Level Guidelines.The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance FoundationThis enrollment form is for patients who would like to apply to receive any of the Group B medicines listed below for free through the Pfizer Patient Assistance Program.If you live in Alaska or Hawaii, or have a household of greater than 5 members, please call 1-866-706-2400.Note: Income limits are subject to change on an annual basis; current limits reflect 2020 Federal Poverty Level Guidelines.The Pfizer Patient Assistance Program is a joint program of Pfizer Inc., and the Pfizer Patient Assistance FoundationDo I qualify to receive free medicine through the Pfizer Patient 0000027443 00000 n 0000035236 00000 n 0000060096 00000 n

0000031804 00000 n 0000045066 00000 n 0000071261 00000 n 6. 0000073653 00000 n 0000070611 00000 n 0000071902 00000 n 0000033314 00000 n 0000072609 00000 n 0000020171 00000 n 0000028223 00000 n 0000071517 00000 n 0000072803 00000 n 0000029925 00000 n 0000073059 00000 n The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation Inc.

Pfizer RxPathways connects eligible patients to a range of assistance programs that offer insurance support, co-pay help,* and medicines for free or at a savings. 0000029031 00000 n 0000070802 00000 n 0000071840 00000 n Prescriber Privacy Statement 0000026962 00000 n Today, Pfizer RxPathways ® connects eligible U.S. patients to a range of Pfizer assistance programs that provide insurance support, co-pay help, and medicines for free or at a savings.. 866-706-2400.Note: Income limits are subject to change on an annual basis: current limits reflect 2019 ... visit www.PfizerRxPathways.com and download the Group D application. 0000071193 00000 n 0000044774 00000 n Phone 1-844-935-5269 • Fax 1-866-297-3471 • 2730 S. Edmonds Lane, Suite 300, Lewisville, TX 75067 PATIENT APPLICATION PFIZER PATIENT ASSISTANCE PROGRAM*

Federal Poverty Level Guidelines.The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance FoundationThis enrollment form is for Prescribers who have patients who would like to apply to receive any of the Group B medicines listed below for free through the Pfizer Patient Assistance Program.If your patient lives in Alaska or Hawaii, or has a household of greater than 5 members, please call Note: Income limits are subject to change on an annual basis; current limits reflect 2020 0000065424 00000 n 8. 5. 0000040517 00000 n 2. 0000046643 00000 n 0000030180 00000 n Links to other sites are provided as a convenience, and Pfizer does not take responsibility for the content of linked sites.

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