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When and how can patients enroll in the voluntary Medicare Prescription Payment Plan?
Medicare beneficiaries have the option to enroll in the Medicare Prescription Payment Plan during the Medicare Part D/Medicare Advantage Open Enrollment Period (which began on October 15th, 2024), as well as at any time during the plan year. For more information on the Medicare Prescription Payment… Read More
The patient’s healthcare provider, specialty pharmacy, alternative funding resource, or others are telling the patient not to enroll in the Medicare Prescription Payment Plan. What should the patient do?
The decision to enroll in the Medicare Prescription Payment Plan is voluntary and completely up to the patient. If the patient chooses not to enroll in the Medicare Prescription Payment Plan, they will not be eligible for enrollment/re-enrollment in the Pfizer Patient Assistance Program. We… Read More
When are these changes effective?
All changes are effective January 1, 2025. Patients who have already submitted their application in 2024 and are awaiting their PAP determination for 2025 will be informed if they need to take additional action such as providing proof/documentation of MPPP enrollment and/or ICPAP denials.
Pfizer made changes to the program in 2023 and 2024. Why is Pfizer making changes to the PAP again, in 2025?
Periodically, Pfizer reviews the PAP to confirm it is supporting the evolving needs of patients in a rapidly changing healthcare environment. These changes are a response to the Inflation Reduction Act which caps Medicare Part D/Medicare Advantage patients’ annual out of pocket prescription drug… Read More
Will Pfizer continue to make these changes in future years?
Pfizer may adjust the PAP in coming years in accordance with changes in the healthcare landscape, including but not limited to, new policies and regulations that impact patients’ ability to afford their Pfizer medicine and vaccines.**
What are the income eligibility criteria for the Pfizer PAP?
The income eligibility criteria for all patients applying to the PAP for assistance with any product other than a vaccine remains at an annual pre-tax household income at or below 300% Federal Poverty Level (FPL) adjusted for household size. (Federal Poverty Level Guidelines available at https://… Read More