Bosulif Prescription Assistance Programs

Bosulif: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Bosulif. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Pfizer Savings Program

(Program 1 of 2 — Scroll down to see them all )

Provided by: Pfizer, Inc.
PO Box 66585 St. Louis, MO 63166-6585
TEL: 866-706-2400
FAX: 866-470-1748
Languages Spoken:
English, Spanish
Program Website
Medications
  • Bosulif (bosutinib monohydrate)
Eligibility Requirements
  • 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
Application
  • 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
Medication
  • 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
Additional Information
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)
Updated July 9, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

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Pfizer Oncology Together

(Program 2 of 2 — Scroll down to see them all )

Provided by: Pfizer, Inc.
PO Box 220366 Charlotte, NC 28222-0366
TEL: 877-744-5675
FAX: 877-736-6506
Languages Spoken:
English, Spanish
Program Website
Program Applications and Forms
Medications
  • Bosulif (bosutinib monohydrate)
Eligibility Requirements
  • Insurance Status Contact program for details.
  • Those with Part D Elibible? Contact program for details.
  • Income Not disclosed
  • Diagnosis/Medical Criteria Varies
  • U.S. Residency Required? The patient must also be under treatment from a US doctor.
Application
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning Fax, mail or via Online Portal
  • Doctor's Action Varies
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Not specified
  • Decision Timeframe Varies
Medication
  • Amount/Supply Varies
  • Sent To Varies
  • Delivery Time Varies
  • Refill Proces Not specified
  • Limit Varies
  • Re-application Not specified
Additional Information
Co-payment assistance, reimbursement support, and patient assistance programs are available for eligible patients.
Updated July 9, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

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