0000008322 00000 n 0000003666 00000 n 0000049534 00000 n RUXIENCE™ (rituximab-pvvr) U.S. Pfizer Oncology Together™ provides financial assistance resources to help patients access their prescribed Oncology medicines. 0000012357 00000 n Have your prescriber fax or mail your application to: Pfizer Patient Assistance Program for Pfizer enCompass Patients P.O. *We can connect patients to resources for emotional support and other daily challenges. 0000062308 00000 n Pfizer PAP Connect is a new tool that provides patients and their healthcare providers with online access to the Pfizer Patient Assistance Program, enabling them to place medicine orders, track shipments, and manage their enrollment for certain primary care medicines in real time, at any time. 0000005172 00000 n To get started, fax a completed enrollment form to 1-877-736-6506, or fill out an enrollment form online through our provider portal. Pfizer Oncology is transforming the landscape of cancer. 0000002617 00000 n Be sure to fill out the section requesting enrollment in the Injectables Co-Pay Program and indicate if the patient will assign benefits to the healthcare provider.For information on enrollment, claims submission, and reimbursement, download the TRAZIMERA co-pay savings program brochure below.To find additional co-pay program documents and information on the claims submission process, go to the Forms & Resources page. Pfizer RxPathways ® may be able to help. Together. trailer Patient Assistance Programs. It does not cover or provide support for supplies, services, procedures, or any other physician-related services associated with the …
Be sure to check the box for Intravenous (IV) Co-Pay Program and indicate if the patient will assign benefit to the healthcare provider.Co-pays may be as little as $0. The product information provided in this site is intended only for healthcare professionals of the United States. Visit www.PfizerRxPathways.com.
We’ll help you find resources for financial assistance and other day-to-day challenges you may be facing. 0000020958 00000 n Enable JavaScript to visit this website. 0000010943 00000 n There have been (<1%) reports, some fatal, of subjects presenting with seizures and radiological evidence of This site is intended for U.S. health care professionals.Pfizer is committed to supporting your patients throughout their treatment journey. Pfizer Patient Assistance Program: ... Prescribers in all other states only need to submit a state-specific blank if it’s required in their state, and the application is mailed. Welcome to. 0000001281 00000 n hŞÄ;ÛnÜȱÏç/ˆ»Ã¾w‰É²c'¶W°'Øõ>PJâÙ¹JYm�OU±‹#6§¥o€ §EÖ½«ª«oB9]”…PÎBPÃÂl¸B–Ôğ…¡Pa|Yà Q%±!@CV"°×…õôÉÎĞ'[8ï±áŠ İ¡§|J‰Ğşì €#ŒÃ|èE Through new cancer treatment developments, we strive to improve the lives of cancer patients. **The Injectables Co-Pay Program for TRAZIMERA will pay the co-pays for TRAZIMERA up to the annual assistance limit of $25,000 per calendar year per patient.The Pfizer Oncology Together Co-Pay Savings Program for Injectables for ZIRABEV provides eligible patients with support for out-of-pocket drug costs, including co-pays and coinsurance. Once the annual program limit is reached, the patient is responsible for the full co-pay.There are no income requirements for patients to qualify.For information on claim submission or reimbursement processes, download the IV Co-Pay Program Brochure.To submit claims by fax or mail, complete and fax the Co-Pay Claim Form to 1-908-809-6241.For detailed instructions on Electronic Funds Transfer (EFT), Electronic Remittance Advice (ERA), or Electronic Data Interchange (EDI), go to the Forms & Resources page.The Pfizer Oncology Together Co-Pay Savings Program for Injectables provides eligible, commercially insured patients prescribed ZIRABEV with support for out-of-pocket drug costs, including co-pays and coinsurance.To get started, fax a completed enrollment form to 1-877-736-6506, or fill out an enrollment form online through our provider portal. Pfizer Oncology strives to advance the frontiers of cancer biology and to translate this knowledge into high-impact medicines for cancer patients. 0000049810 00000 n 0000003892 00000 n %PDF-1.4 %âãÏÓ If patients need access or reimbursement support, Pfizer Oncology Together is here to help.To help patients access the medication you’ve prescribed, Pfizer Oncology Together can identify specialty pharmacy options. 0000013017 00000 n **The Injectables Co-Pay Program for ZIRABEV will pay the co-pays for ZIRABEV up to the annual assistance limit of $25,000 per calendar year per patient.The Pfizer Oncology Together Co-Pay Savings Program for Injectables provides eligible, commercially insured patients prescribed RUXIENCE with support for out-of-pocket drug costs, including co-pays and coinsurance.To get started, fax a completed enrollment form to 1-877-736-6506, or fill out an enrollment form online through our provider portal. 0000030722 00000 n Be sure to check the box for Injectables Co-Pay Program and indicate if the patient will assign benefits to the healthcare provider.Eligible patients may pay as little as $0 for each ZIRABEV treatment.
0000003780 00000 n 0000008108 00000 n With Pfizer Oncology Together, patients prescribed SUTENT get personalized support, including help identifying financial assistance options and connections to resources that may help with some of their day-to-day challenges.
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