XELSOURCE: 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*
Address patient access challenges and discuss patient support programs with a Field Reimbursement Manager
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*
*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.
The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™. 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.
JAK=Janus kinase.