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Estimated Patient Savings $2,352,400
Program Details
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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 Pfriends, a patient assistance program provided by Pfizer, Inc., offers the medications listed to the right at a discount of up to 32% to those who are eligible for the program. Eligibility is based off of the following requirements:

  • You must be a citizen of the United States or its Territories.
  • You must not be covered by any private, public, or Medicare Part D prescription coverage programs.
  • Your income must be less than or equal to 300% of the Federal Poverty Guideline for the size of your household to receive a 32% discount. Those who have an income greater than 300% will receive a 15% discount. (see chart below).

  • This is a prescription savings program that utilizes a discount card.


    SOURCE: 2008 Poverty Chart
    Family Size 100% 133% 150% 200% 250% 300%
    1 $10,830 $14,404 $16,245 $21,660 $27,075 $32,490
    2 $14,570 $19,378 $21,855 $29,140 $36,425 $43,710
    3 $18,310 $24,352 $27,465 $36,620 $45,775 $54,930
    4 $22,050 $29,327 $33,075 $44,100 $55,125 $66,150
    5 $25,790 $34,301 $38,685 $51,580 $64,475 $77,370
    6 $29,530 $39,275 $44,295 $59,060 $73,825 $88,590
    7 $33,270 $44,249 $49,905 $66,540 $83,175 $99,810
    8 $37,010 $49,223 $55,515 $74,020 $92,525 $111,030
    For each additional family member $3,740 $4,974 $5,610 $7,480 $9,350 $11,220


    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:
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    • Address:
    • Phone:
    • Fax:
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    List of Medications
    Accupril Tablets 5mg, 10mg, 20mg, 40mg (quinapril), Accuretic Tablets 12.5mg/10mg, 12.5mg/20mg (hydrochlorothiazide/quinapril), Aldactazide Tablets 25mg/25mg, 50mg (hydrochlorthiazide/spironolactone), Aldactone Tablets-Film Coated 25mg, 50mg, 100mg (spironolactone), Antivert Tablets 12.5mg, 50mg (meclizine), Aromasin Tablets 25mg (exemestane), Arthrotec Tablets 50mg/200mcg, 75mg/200mcg (diclofenac/nisoprostol), Atgam Serile Solution Ampoules (lymphocyte Immune Globulin/anti-thymocyte), Azulfidine Tablets 500mg (sulfasalazine), Bacitracin Sterile Powder (bacitracin), 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), Camptosar Injection (irinotecan), Cardura Tablets 1mg, 2mg, 4mg, 8mg (doxazosin), Cardura XL Tablets (doxazosin), Caverject Injection (alprostadil Injection- Aqueous), Celebrex Capsules 100mg, 200mg, 400mg (celcoxib), Celontin Capsules (methsuximide), Cerebyx Injection (fosphenytoin), Chantix Tablets 0.5mg, 1mg (varenicline), Cleocin Capsules 2%, 75mg, 300mg (clindamycin), Cleocin Vaginal Cream (clindamycin), Cleocin Pediatric Oral Suspension 75mg/5ml (clindamycin), Cleocin T Capsules 10mg/ml (clindamycin), Cleocin T Lotion (clindamycin), Colestid Granules 5gm (colestipol), Colestid Tablets 1gm (colestipol), Cortef Tablets 5mg, 10mg, 20mg (hydrocortisone), Corvert Injection (ibutilide Fumarate), Covera HS Tablets 180mg, 240mg (varapamil), Cyklokapron Ampoules (tranexamic Acid), Cytotec Tablets 100mcg, 200mcg (misoprostol), Daypro Capsules 600mg (oxaprozin), Depo-Estradiol Injection 5mg/ml (estradiol Cypionate), Depo-Medrol Injection 20mg/ml, 40mg/ml, 80mg/ml (methylprednisolone Acetate), Depo-Provera (medroxyprogesterone Acetate), Depo-Provera Injection 150mg/ml (medroxyprogesterone Acetate), Depo-subQ Provera 104 Contraceptive Injection (medroxyprogesterone Acetate), Depo-Testosterone Injection 100mg/ml, 100mg/10ml, 200mg/ml, 200mg/10ml (testosterone Cypionate), Detrol Tablets 1mg (tolterodine), Detrol LA Capsules 2mg, 4mg (tolterodine), Diabinese Tablets 100mg, 250mg (chlorpropamide), Didrex Tablets 50mg (benzphetamine), Diflucan Injection (fluconazole), Diflucan Oral Suspension (fluconazole), Diflucan Tablets 100mg, 200mg (fluconazole), Dilantin Infatabs (phenytoin), Dilantin Kapseals (phenytoin), Ellence Injection 50mg/25ml (epirubicin), Emcyt Capsules (estramustine), Eraxis Injection (anidulafungin), Estring Vaginal Ring 2mg (estradiol Vaginal Ring), Feldene Capsules 10mg, 20mg (piroxicam), Flagyl 375 Capsules 375mg (metronidazole), Gelfilm Sterile Film (absorbable Gelatin), Gelfoam Sterile Powder (absorbable Gelatin), Gelfoam Sterile Sponge (absorbable Gelatin), Gelfoam Dental Sterile Sponge (absorbable Gelatin), Genotropin [rDNA Origin] Lyophilized Powder (somatropin), Genotropin [rDNA Origin] MiniQuick (somatropin), Genotropin Pen (injector), Geoden Injection (ziprasidone Meysylate), 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), Halcion Tablets 0.125mg, 0.25mg (triazolam), Hemabate Sterile Solution For Injection (carboprost Tromethamine), Idamycin Injection (idarubicin), Inspra Tablets 25mg (eplerenone), Lincocin 300mg/ml (lincomycin), Lipitor Tablets 10mg, 20mg, 40mg, 80mg (atorvastatin), Lomotil Liquid (diphenoxylate/atropine), Lomotil Tablets (diphenoxylate/atropine), Lopid Tablets 600mg (gemfibrozil), Lyrica Capsules 25mg, 50mg, 75mg, 100mg, 150mg, 200mg, 225mg, 300mg (pregabalin), Medrol Tablets 2mg, 4mg, 8mg, 16mg, 32mg (methylprednisolone), Minipress Capsules 1mg, 2mg, 5mg (prazosin), Motrin Tablets (ibuprofen), Mycobutin Tablets 150mg (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 Inhaler (nicotine Inhaled), Norpace Capsules 100mg, 150mg (disopyramide), Norpace CR Capsules 100mg, 150mg (disopyramide), Norvasc Tablets 2.5mg, 5mg, 10mg (amlodipine), Ogen Tablets 0.625mg, 1.25mg, 2.5mg (estropipate), Pfizerpen Injection (pencillin G Potassium), Prepidil Cervical Gel 3gram Syringe (dinoprostone), Procardia Capsules 10mg (nifedipine), Procardia XL Capsules 30mg, 60mg, 90mg (nifedipine), Prostin E2 Vaginal Suppository 20mg (dinoprostone), Prostin VR Pediatric Sterile Solution For Injection (alprostadil), Provera Tablets 2.5mg, 5mg, 10mg (medroxyprogesterone Acetate), R-Gene Injection (arginine), Relpax Tablets 20mg, 40mg (eletriptan), Rescriptor Tablets 200mg (delavirdine), Revatio Tablets 20mg/ml (sildenafil), Selzentry Tablets 150mg, 300mg (maraviroc), Solu-Cortef Sterile Powder For Injection (hydrocortisone), Solu-Medrol Sterile Powder For Injection (methylprednisolone), Somavert Subcutaneous 10mg Vial, 15mg Vial, 20mg Vial (pegvisomant), Sutent Capsules 12.5mg, 25mg, 50mg (sunitinib), Synarel Nasal Spray 2mg/ml (nafarelin Nasal Spray), Tikosyn Tablets 125mcg, 250mcg, 500mcg (dofetilide), Unasyn Powder 1.5g Vial, 3g Vial (ampicillin/sulbactam), Unasyn Powder (ampicillin/sulbactam), Vantin Oral Solution 50mg/5ml, 100mg/5ml (cefpodoxime), Vantin Tablets 100mg, 200mg (cefpodoxime), VFEND Filmtab 200mg (voriconazole), VFEND IV 200mg (voriconazole), VFEND Oral Solution 45g (voriconazole), VFEND Tablets-Film Coated 50mg (voriconazole), Viagra Tablets 25mg, 50mg, 100mg (sildenafil), Vibra Tabs (doxycycline Hyclate), Vibramycin Capsules 50mg (doxycycline), Vibramycin Oral Suspension 25mg/ml (doxycycline Oral Suspension), Vibramycin Syrup 50mg/ml (doxycycline Oral Syrup), Viracept Oral Powder 50mg/g (nelfinavir), Viracept Tablets 250mg, 625mg (nelfinavir), Vistaril Capsules 25mg, 50mg, 100mg (hydroxyzine), Xalatan Ophthalmic Solution (latanoprost), Xanax Tablets C-IV (alprazolam), Xanax XR Tablets 0.5mg, 1mg, 2mg, 3mg (alprazolam), Zarontin (ethosuximide), Zinecard Injection (dexrazoxane), Zithromax IV (azithromycin), Zithromax Oral Suspension 100mg/5ml, 200mg/5ml, 900mg (azithromycin), Zithromax Powder For Oral Suspension 1200mg (azithromycin), Zithromax Tablets 250mg, 600mg (azithromycin), ZMax Oral Suspension (azithromycin), Zoloft Oral Concentrate (sertraline), Zoloft Tablets 25mg, 50mg, 100mg (sertraline), Zyvox IV Solution (linezolid), Zyvox Oral Solution (linezolid), Zyvox Tablets 600mg (linezolid)

    Forms and other information are Copyright © Pfizer Pfriends

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