Financial Support & Resources

Financial Support & Resources
Making your patients’ support needs a priority. Together.
At Pfizer Oncology Together, patient support is at the core of everything we do. We’ve gathered resources and developed tools to help patients and their loved ones throughout INLYTA treatment. From helping to identify financial assistance options to connecting patients to resources for emotional support, your patients’ needs are our priority.
Patient Financial Assistance
Pfizer Oncology Together can help patients understand their insurance benefits and connect them with financial assistance resources, regardless of their insurance coverage.

COMMERCIALLY INSURED
Resources for eligible patients with commercial, private, employer, and state health insurance marketplace coverage:
  • Co-pay assistance: Eligible, commercially insured patients may pay as little as $0 per month for INLYTA. Limits, terms, and conditions apply.*
*Patients are not eligible to use this card if they are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico. Patients may receive up to $25,000 in savings annually.
The offer will be accepted only at participating pharmacies. This offer is not health insurance. No membership fees apply. Pfizer reserves the right to rescind, revoke, or amend this offer without notice. For any questions, please call 1-877-744-5675, visit PfizerOncologyTogether.com/terms or write: Pfizer Oncology Together Co-Pay Savings Program, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560.
MEDICARE/GOVERNMENT INSURED
Help identifying resources for eligible patients with Medicare/Medicare Part D, Medicaid, and other government insurance plans:
  • Assistance for patients with searching for financial support that may be available from independent charitable foundations. These foundations exist independently of Pfizer and have their own eligibility criteria and application processes. Availability of support from the foundations is determined solely by the foundations
  • Financial assistance through Extra Help, a Medicare Part D Low-Income Subsidy (LIS) program
  • Free medication
UNINSURED
Help identifying resources for eligible patients without any form of healthcare coverage:
  • Help finding coverage
  • Free medication through the Pfizer Patient Assistance Program, or at a savings through the Pfizer Savings Program
If support from independent charitable foundations or Medicare Extra Help is not available, Pfizer Oncology Together will provide eligible patients with medication for free through the Pfizer Patient Assistance Program. The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions.
The Pfizer Savings Program is not health insurance. For more information, call the toll-free number 1-877-744-5675. There are no membership fees to participate in this program. Estimated savings are 50% and depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.

NEED INLYTA STARTER SAMPLES? CONTACT YOUR PFIZER SALES REPRESENTATIVE

Free 30-day trial voucher for eligible INLYTA patients||
Help your newly prescribed or titrating patients start saving today
New patients who have been prescribed INLYTA and those with dose titrations can now start a free 30-day trial with this voucher, regardless of insurance coverage.
Terms and conditions apply. See below.||
To utilize this voucher, you must have a valid prescription. There is no obligation to continue INLYTA. To continue a patient on therapy, a separate prescription must be written to be filled at the patient's specialty pharmacy of choice. Patients may be offered enrollment in the trial voucher exclusively through their healthcare provider.
||Terms and Conditions for Voucher Program
By enrolling in the 30-day trial voucher offer for INLYTA, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms and Conditions described below:
  • Voucher is valid for 30 days of dosing of INLYTA, not to exceed 5 mg twice daily for 30 days.
  • Only new patients may use this voucher. By redeeming this voucher, you certify that you are not currently using INLYTA.
  • An original voucher and a valid prescription must be presented to the pharmacy.
  • The voucher will be accepted only at participating pharmacies.
  • You must not submit any claim for reimbursement for product dispensed pursuant to this voucher to any third party payor, including Medicare, Medicaid, or any other federal or state health care program. You cannot apply the value of the free product received through this voucher toward any government insurance benefit out-of-pocket spending calculations, such as Medicare Part D True Out-of-Pocket Costs (TrOOP).
  • You must be 18 years of age or older to redeem this voucher.
  • This voucher is not valid where prohibited by law.
  • This voucher cannot be combined with any other savings, free trial or similar offer for the specified prescription. This voucher should not be combined with samples for the specified prescription.
  • This free trial voucher is not health insurance. This free trial voucher is not intended to address delays or gaps in health insurance coverage for the specified prescription.
  • Offer good only in the U.S. and Puerto Rico.
  • No purchase is necessary.
  • Patients have no obligation to continue to use INLYTA.
  • Pfizer reserves the right to rescind, revoke or amend this offer without notice.
  • This voucher expires 12/31/2020.

Access & Reimbursement Support
If patients prescribed INLYTA need access or reimbursement support, Pfizer Oncology Together is here to help with:
  • Benefits verification:
    We can help determine a patient’s coverage and out-of-pocket costs
  • Prior authorization (PA) assistance:
    We can coordinate with a patient’s insurer to determine the PA requirements. After your office submits a PA request, we’ll follow up with the payer until a final outcome is determined
  • Appeals assistance:
    We can review the reasons for a denied claim and provide information on payer requirements. After your office submits an appeal, we’ll follow up with the payer until a final outcome is determined
  • Specialty pharmacy coordination:
    To help your patients access the medication you’ve prescribed, we can identify specialty pharmacy options. If you prefer, you and your staff can also continue to work directly with specialty pharmacies
  • Dedicated local support:
    Pfizer Oncology Account Specialists can provide detailed information on Pfizer Oncology medications and access resources. In addition, they can help you and your office staff contact a Pfizer Oncology Field Reimbursement Manager (FRM) in your area.
FRMs are trained to help address specific access issues—in person or over the phone. They can help educate your staff on our access and reimbursement resources and help address challenging or urgent Pfizer Oncology patient cases you have sent to Pfizer Oncology Together

Personalized Patient Support
When your patients need support for their day-to-day challenges, we want to be a place they can turn to for help. At Pfizer Oncology Together, our Care Champions, who have social work experience, can connect patients prescribed INLYTA to resources that may help with some of their daily needs.*
  • Emotional Support We can connect patients to diagnosis-specific support groups, an independent organization that offers short-term counseling, and a free app, developed by Pfizer Oncology, to help patients connect with loved ones and ask for the support they need
  • Educational Support To help support patients’ overall health and well-being, we’ve created resources about physical and mental health, as well as nutritional tips and healthy recipes developed in partnership with dietitians who specialize in oncology nutrition. We can also provide patients with information to help them understand their prescribed INLYTA
  • Practical Support If patients need assistance with transportation or lodging for treatment-related appointments, we’ll connect them to independent organizations that offer these services for free to qualifying patients
And if your patients are leaving work for a period of time during treatment, or preparing to return to work, we can send them information to help make the transition easier
*Some services are provided through third-party organizations that operate independently and are not controlled by Pfizer. Availability of services and eligibility requirements are determined solely by these organizations.

Pfizer Oncology Together Co-Pay Savings Program
Terms and Conditions
By using this co-pay card, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms and Conditions described below:
  • Patients are not eligible to use this card if they are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”).
  • Patient must have private insurance. Offer is not valid for cash-paying patients.
  • With this card, eligible patients will pay a $0 co-pay per eligible monthly prescription, subject to a maximum amount of $25,000 per calendar year. The amount of any benefit is the difference between your co-pay and $0. After the annual maximum of $25,000 is reached, you will be responsible for the remaining monthly out-of-pocket costs. This card may not be redeemed more than once per 30 days.
  • This co-pay card is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plan or other private health or pharmacy benefit programs.
  • You must deduct the value of this co-pay card from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf.
  • You are responsible for reporting use of the co-pay card to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the co-pay card, as may be required. You should not use the co-pay card if your insurer or health plan prohibits use of manufacturer co-pay cards.
  • This co-pay card is not valid where prohibited by law.
  • Card cannot be combined with any other savings, free trial, or similar offer for the specified prescription.
  • Card will be accepted only at participating pharmacies.
  • This card is not health insurance.
  • Offer good only in the U.S. and Puerto Rico.
  • Card is limited to 1 per person during this offering period and is not transferable.
  • No other purchase is necessary.
  • Data related to your redemption of the co-pay card may be collected, analyzed, and shared with Pfizer for market research and other purposes related to assessing Pfizer’s programs. Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other co-pay card redemptions and will not identify you.
  • Pfizer reserves the right to rescind, revoke, or amend this offer without notice.
  • Offer expires 12/31/2021.
  • If your pharmacy does not participate, you may be able to submit a request for a rebate in connection with this offer. Mail a copy of the patient’s pharmacy receipt indicating patient name, name of medication purchased, price paid, and date purchased, along with a copy of the patient’s Pfizer Oncology Together Co-Pay Savings Card, to:
    Pfizer Oncology Together Co-Pay Savings Program
    2250 Perimeter Park Drive, Suite 300
    Morrisville, NC 27560

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