Torisel Patient Assistance Programs

Torisel: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Torisel. 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 Oncology Together

(Program 1 of 4 — 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
  • Torisel (temsirolimus)
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 Doctor/Doctor's office must call
  • Receiving Varies
  • Returning Varies
  • Doctor's Action Varies
  • Applicant's Action Inform Doctor that he/she is in need
  • 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
Resources for HEALTHCARE PROFESSIONALS ONLY. Co-payment assistance, reimbursement support, and patient assistance programs are available for eligible patients.
Updated November 14, 2018

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Pfizer Patient Assistance Program

(Program 2 of 4 — Scroll down to see them all )

Provided by: Pfizer, Inc.
None
TEL: 866-706-2400
Languages Spoken:
English, Spanish
Program Website
Medications
  • Torisel (temsirolimus)
Eligibility Requirements
  • 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
Application
  • 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
Medication
  • Amount/Supply Varies
  • Sent To Varies
  • Delivery Time Varies
  • Refill Proces Varies per medication
  • Limit None
  • Re-application New application, new documentation yearly
Additional Information
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).
Updated November 13, 2018

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HealthWell Foundation Copay Program

(Program 3 of 4 — Scroll down to see them all )

Provided by: HealthWell Foundation
PO Box 220410 Chantilly, VA 20153-0410
TEL: 800-675-8416
FAX: 800-282-7692
Languages Spoken:
English, Others By Translation Service
Program Website
Medications
  • Torisel (temsirolimus)
Eligibility Requirements
  • Insurance Status May have insurance
  • Those with Part D Elibible? Yes
  • Income Varies
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? The patient must also be residing in the US.
Application
  • Obtaining Call or complete online
  • Receiving Sent out or may be completed online
  • Returning The completed application must be mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach a copy of proof of income
  • Decision Communicated Patient notified in writing
  • Decision Timeframe 3-5 business days
Medication
  • Amount/Supply Not applicable
  • Sent To Varies
  • Delivery Time Not specified
  • Refill Proces Good for one year
  • Limit Not specified
  • Re-application New application every 12 months
Additional Information
This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.
Updated November 1, 2018

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Patient Access Network Foundation (PAN)

(Program 4 of 4 — Scroll down to see them all )

Provided by: Patient Access Network Foundation
None
TEL: 866-316-7263
FAX: 866-316-7261
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Medications
  • Torisel (temsirolimus)
Eligibility Requirements
  • Insurance Status *See Additional Information section below
  • Those with Part D Elibible? Determined case by case
  • Income Between 400-500% of FPL
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? Must reside and receive treatment in US
Application
  • Obtaining Call or complete online
  • Receiving Complete online or by phone
  • Returning Complete online or by phone
  • Doctor's Action Will be discussed with patient and Doctor after request is received
  • Applicant's Action Call for information or inform doctor that he/she is in need
  • Decision Communicated Patient and Doctor notified in writing
  • Decision Timeframe Within 48 hours
Medication
  • Amount/Supply Not applicable
  • Sent To Patient sent card to be used at pharmacy
  • Delivery Time Once approved; shipped same day
  • Refill Proces Patient presents voucher/card to pharmacy for each refill
  • Limit None
  • Re-application New application every 12 months
Additional Information
*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Updated July 10, 2018

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