Pfizer RxPathways connects eligible patients to a range of assistance programs that offer insurance support, co-pay help,* and medicines for free.
One of these programs is the Pfizer Patient Assistance Program, which provides eligible patients with their Pfizer medicines for free.
If you are interested in applying to the Pfizer Patient Assistance Program, please follow the prompts below to tell us a little bit more about yourself. You will then be able to start filling out a program application online.
Please note: Filling out this form on the website does not complete a patient's enrollment. Once the forms are filled out, patients and their Prescribers must then print their respective portions and work together to ensure that a hard copy of the completed form and any other required documents are submitted to the program via mail or fax.
*Terms and conditions apply.