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Pfizer Connection to Care

Summary

Pfizer, Inc. was founded by Charles Pfizer and Charles Erhardt in Brooklyn, New York, 1849. Pfizer, Inc. is ranked number one in pharmaceutical sales worldwide and is considered to be the world's largest research-based pharmaceutical company. They have made advancements that lead to mass production of penicillin during World War II and experienced a significant growth in new development since the 1980s. Pfizer, Inc. has a very broad focus in their research and development, allowing them to provide improvement in nearly all areas relating to human health.

Eligibility

Pfizer Connection to Care, a patient assistance program provided by Pfizer, Inc., offers the medications listed to the right at no cost for up to 90 days to those who are eligible for the program. Eligibility is based off of the following requirements:

  • You must not be covered by private or public health insurance.
  • Your income must be less than or equal to 200% of the Federal Poverty Guideline for the size of your household (see chart below).

    • Those eligible for Medicare Part D but not enrolled may still be eligible. There is also a Hardship Form for those who have difficulty with their co-payment. Most of these medications must be sent to the physicians office.


    SOURCE: 2008 HHS Poverty Guidelines
    Persons in Family or Household 48 Contigous States and D.C. Alaska hawaii
    1 $10,400 $13,000 $11,960
    2 $14,000 $17,500 $16,100
    3 $17,600 $22,000 $20,240
    4 $21,200 $26,500 $24,380
    5 $24,800 $31,000 $28,520
    6 $28,400 $35,500 $32,660
    7 $32,000 $40,000 $36,800
    8 $35,600 $44,500 $40,940
    For each addtional person, add $3,600 $4,500 $4,140

    What’s Next?

    Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Pfizer, Inc. program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

    Other Tips

  • If you have any questions please call the Pfizer, Inc. program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to Pfizer, Inc. program. Without their help millions of people will be without medication.




    • PAP Links:
    Create Account to View

    Company Website:
    Create Account to View

    Company Phone: Create Account to View
    Company Fax: Create Account to View
    Company Address:
    Create Account to View

    List of Medications:
    Accupril Tablets 5mg, 10mg, 20mg, 40mg (quinapril), Accuretic Tablets 12.5mg/10mg, 12.5mg/20mg, 25mg/20mg (hydrochlorothiazide/quinapril), Aldactazide Tablets 25mg/25mg (hydrochlorthiazide/spironolactone), Aldactone Tablets-Film Coated 25mg, 50mg, 100mg (spironolactone), Antivert Tablets 12.5mg, 50mg (meclizine), Arthrotec Tablets 50mg/200mcg, 75mg/200mcg (diclofenac/nisoprostol), Azulfidine EN-Tabs Delayed Release  (sulfasalazine), Azulfidine Tablets 500mg (sulfasalazine), Caduet Tablets 5mg/10mg, 5mg/20mg, 5mg/40mg, 5mg/80mg, 10mg/10mg, 10mg/20mg, 10mg/40mg, 10mg/80mg (amlodipine/atorvastatin), Calan Tablets 40mg, 80mg, 120mg (verapamil), Calan SR Tablets 240mg (verapamil), Cardura Tablets 1mg, 2mg, 4mg, 8mg (doxazosin), Caverject Injection  (alprostadil Injection- Aqueous), Celebrex Capsules 100mg, 200mg, 400mg (celcoxib), Celontin Capsules  (methsuximide), Chantix Tablets 0.5mg, 1mg (varenicline), Cleocin Capsules 2% (clindamycin), Cleocin Capsules 75mg, 150mg, 300mg (clindamycin), Cleocin Vaginal Ovules  (clindamycin Vaginal Ovules), Cleocin T Capsules 10mg/ml (clindamycin), Colestid Granules 5gm (colestipol), Colestid Tablets 1gm (colestipol), Cortef Tablets 5mg, 10mg, 20mg (hydrocortisone), Covera HS Tablets 180mg, 240mg (varapamil), Cytotec Tablets 100mcg, 200mcg (misoprostol), Daypro Capsules 600mg (oxaprozin), Depo SubQ Provera Injection  (medroxyprogesterone Acetate), Depo-Estradiol Injection 5mg/ml (estradiol Cypionate), Depo-Medrol Injection 20mg/ml, 40mg/ml, 80mg/ml (methylprednisolone Acetate), Depo-Provera Injection 150mg/ml (medroxyprogesterone Acetate), Detrol Tablets 1mg (tolterodine), Detrol LA Capsules 2mg, 4mg (tolterodine), Diabinese Tablets 100mg, 250mg (chlorpropamide), Diflucan Tablets 100mg, 200mg (fluconazole), Dilantin Capsules 30mg, 50mg, 100mg (phenytoin), Dilantin Suspension 125mg (phenytoin), Dostinex Tablets 0.5mg (cabergoline), Estring Vaginal Ring 2mg (estradiol Vaginal Ring), Feldene Capsules 10mg, 20mg (piroxicam), Flagyl 375 Capsules 375mg (metronidazole), Geodon Capsules 20mg, 40mg, 60mg, 80mg (ziprasidone), Glucotrol Tablets 5mg, 10mg (glipizide), Glucotrol XL Tablets 5mg (glipizide), Glynase PresTab Tablets 1.5mg, 3mg, 6mg (glyburide), Glyset Tablets 25mg, 50mg, 100mg (miglitol), Inspra Tablets 25mg (eplerenone), Licocin  300mg/ml (lincomycin), Lipitor Tablets 10mg, 20mg, 40mg, 80mg (atorvastatin), Lopid Tablets 600mg (gemfibrozil), Lyrica Capsules 25mg, 50mg, 75mg, 100mg, 150mg, 200mg, 225mg, 300mg (pregabalin), Medrol Tablets 2mg, 4mg, 8mg, 16mg, 32mg (methylprednisolone), Micronase Tablets 1.25mg, 2.5mg, 5mg (glyburide), Minipress Capsules 1mg, 2mg, 5mg (prazosin), Mycobutin Tablets  (rifabutin), Nardil Tablets 15mg (phenelzine), Navane Capsules  (thiothixene), Neurontin Capsules 100mg, 300mg, 400mg (gabapentin), Neurontin Oral Solution 250mg/ml (gabapentin), Neurontin Tablets 600mg, 800mg (gabapentin), Nicotrol Inhaler   (nicotine Inhaled), Nicotrol NS Nasal Spray  (nicotine Nasal), Norpace Capsules 100mg, 150mg (disopyramide), Norpace CR   (disopyramide), Norvasc Tablets 2.5mg, 5mg, 10mg (amlodipine), Ogen Tablets 0.625mg, 1.25mg, 2.5mg (estropipate), Procardia Capsules 10mg (nifedipine), Procardia XL Capsules 30mg, 60mg, 90mg (nifedipine), Provera Tablets 2.5mg, 5mg, 10mg (medroxyprogesterone Acetate), Relpax Tablets 20mg, 40mg (eletriptan), Synarel Nasal Spray 2mg/ml (nafarelin Nasal Spray), Tikosyn Tablets 125mcg, 250mcg, 500mcg (dofetilide), Vantin Oral Solution 50mg/5ml, 100mg/5ml (cefpodoxime), Vantin Tablets 100mg, 200mg (cefpodoxime), Viagra Tablets 25mg, 50mg, 100mg (sildenafil), Vibra-Tabs Tablets 100mg (doxycycline), Vibramycin Capsules 50mg (doxycycline), Vibramycin Oral Suspension 25mg/ml (doxycycline Oral Suspension), Vibramycin Syrup 50mg/ml (doxycycline Oral Syrup), Vistaril Capsules 25mg, 100mg (hydroxyzine), Xalatan   (latanoprost), Zarontin   (ethosuximide), Zithromax Tablets 250mg, 600mg (azithromycin), Zoloft Oral Concentrate  (sertraline), Zoloft Tablets 25mg, 50mg, 100mg (sertraline)

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