#Xeljanz copay card program trial#

You may be eligible for the Free 30-Day Trial Offer for ELIQUIS® (apixaban) if:You have not previously filled a prescription for ELIQUIS You have a valid 30-day prescription for ELIQUIS You are being treated with ELIQUIS for an FDA-approved indication that an HCP has planned for more than 35 days of treatment More items. Patient assistance programs (PAPs) are usually sponsored by pharmaceutical manufacturers and are promoted as a safety net for Americans who have no health insurance or are underinsured. Is patient assistance program legitimate? The Organon Access Program representative can refer you to the Organon Patient Assistance Program for eligibility determination. THE ORGANON PATIENT ASSISTANCE PROGRAM FOR RENFLEXIS The Organon Patient Assistance Program provides certain Organon medicines free of charge to eligible patients. Pfizer Patient Assistance Program Provides free Pfizer medicines to eligible patients through their doctor's office or at home.ĭoes Organon have a patient assistance program? What is Pfizer patient assistance program? XELJANZ/XELJANZ XR (tofacitinib) is indicated for the treatment of adult patients with active psoriatic arthritis who have had an inadequate response or intolerance to methotrexate or other disease-modifying antirheumatic drugs (DMARDs).Edmonds Lane, Suite 300, Lewisville, TX 75067 Patient Declaration– By signing below, I affirm that my answers and my proof-of-income documents are complete, true, and accurate to the best of my knowledge.Ĭan you get XELJANZ if you don't have insurance?Ĭan XELSOURCE change your health insurance? Contact your Pfizer Representative to be put in touch with your FRM See how the XELSOURCE HCP Portal streamlines the enrollment processFind out more about XELSOURCEForms and resources to help eligible patients access their prescribed medicationXELSOURCE Prescription and Enrollment Form Complete, print, and fax to enroll patients in XELSOURCE. How do I enroll patients in xelsource HCP? To activate your card, call 1-84 and say “Activate.” * For eligible underinsured or uninsured patients, XELSOURCE may offer financial assistance through the Pfizer Patient Assistance Program. and the Pfizer Patient Assistance Foundation™.įollow the directions to print a card or save it to your digital wallet immediately after registering. †‡ * The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. XELJANZ is covered for 99% of commercially-insured, moderate to severe rheumatoid arthritis patients with a prescription.

Xeljanz copay card program