Programas de asistencia al paciente para Xeljanz

Solicite apoyo para su receta con Xeljanz

Si califica, los programas a continuación le pueden ser útiles para conseguir Xeljanz. Revise la información para saber si califica. Las solicitudes están disponibles en formato PDF y deben enviarse directamente a quien proporciona el programa de asistencia al paciente.

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Pfizer Patient Assistance Program

(Programa 1 de 2 — Para visualizar todos, deberá desplazarse hacia abajo )

Provienen de: Pfizer, Inc.
None
TEL: 866-706-2400
Idiomas hablados:
English, Spanish
La Página del Programa
Medicamentos
  • Xeljanz (tofacitinib)
Requisitos de Elegibilidad
  • Insurance Status Uninsured or Underinsured
  • Those with Part D Elibible? Yes
  • Income Varies
  • Diagnosis/Medical Criteria Not specified
  • U.S. Residency Required? Must be residing in the US or US territory
Solicitud
  • Obtaining Call or download
  • Receiving Mailed or downloaded from website
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Varies
Medicamento
  • Amount/Supply Varies
  • Sent To Varies
  • Delivery Time Varies
  • Refill Proces Varies per medication
  • Limit None
  • Re-application New application, new documentation yearly
Información Adicional
Pfizer also has programs that provide eligible patients with insurance, support assistance, and medicines at a savings. Contact Pfizer RxPathways for details (844-989-7284).
Actualizado November 30, 2018

Si usted, su paciente o un ser querido no es elegible para este programa o otros, se pueden encontrar precios de aquí.

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Pfizer Savings Program

(Programa 2 de 2 — Para visualizar todos, deberá desplazarse hacia abajo )

Provienen de: Pfizer, Inc.
PO Box 66585 St. Louis, MO 63166-6585
TEL: 866-706-2400
FAX: 866-470-1748
Idiomas hablados:
English, Spanish
La Página del Programa
Medicamentos
  • Xeljanz (tofacitinib)
Requisitos de Elegibilidad
  • Insurance Status Must be uninsured
  • Those with Part D Elibible? No
  • Income Varies
  • Diagnosis/Medical Criteria Not specified
  • U.S. Residency Required? Must be residing in the US or US territory
Solicitud
  • Obtaining Call for prescreening
  • Receiving There is no application
  • Returning The completed application's destination is not applicable
  • Doctor's Action Give prescription to patient
  • Applicant's Action Call to enroll
  • Decision Communicated Decision made during phone screening
  • Decision Timeframe Decision made during phone screening
Medicamento
  • Amount/Supply Contact the program for more details.
  • Sent To Pharmacy
  • Delivery Time Not applicable
  • Refill Proces Varies per medication
  • Limit None
  • Re-application New enrollment every 12 months
Información Adicional
This program provides uninsured patients with savings on their prescriptions at the pharmacy. Pfizer also has programs that provide eligible patients with insurance support, copay assistance, and medicines for free. Contact Pfizer RxPathways for details (844-989-7284)
Actualizado November 13, 2018

Si usted, su paciente o un ser querido no es elegible para este programa o otros, se pueden encontrar precios de aquí.

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