XELSOURCESM: Patient Access

ASSISTING WITH ACCESS AND AFFORDABILITY FOR PATIENTS

After a prescribing decision is made, XELSOURCE support programs can help eligible patients with access to XELJANZ.

Pharmacy Benefit Support
  • Help with benefit investigation and explanation
  • Prior authorization (PA) assistance
  • Appeals assistance (all patients)*
  • Address patient access challenges and discuss patient support programs with a Field Reimbursement Manager*
*If permitted by the patient’s insurance company. PA and Appeals Assistance may be discontinued if requested information is not received in a timely manner.
Patient Cost and Assistance Programs**
  • Financial options may help eligible patients afford treatment
Online Resources
  • Track patient cases from enrollment through prescription fulfillment
  • View insurance coverage, including PA approvals and appeal decisions

**Free medicines from Pfizer are provided through the Pfizer Patient Assistance FoundationTM. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc, with distinct legal restrictions.