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Estimated patient savings $763,860,776.29
Aricept Assistance Program

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.

Eisai, Inc. was founded in 1995 as a U.S. Pharmaceutical subsidiary of Tokyo-based Eisai Co., Ltd.. Eisai, Inc. is considered to be in the top 25 pharmaceutical companies worldwide thanks to their development of the donepezil and rabeprazole molecule. Eisai, Inc. developes and produces therapies through co-promotion with other pharmaceutical companies.

Aricept is a cholinesterase inhibitors launched by Pfizer, Inc.& Eisai, Inc in 1996. Aricept has been approved by the FDA for treatment of Alzheimer's in all forms. Aricept is administered in tablet form.

Eligibility

Aricept Assistance Program , a patient assistance program provided by Pfizer, Inc.& Eisai, Inc, offers Aricept at no cost four up to 90 days to those who are eligible for the program. Eligibility is based off of the following requirements:

You must not be eligible for or covered by any private, public, or Medicare Part D prescription coverage programs.

You must be a citizen of the United States or its Territories.

You must be an outpatient currently under the care of a physician.

Your annual income must be no greater than $25,000 if single, but no greater than $40,000 for your entire household.

The medication must be sent to the physicians office.

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

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.& Eisai, 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.& Eisai, 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 AAI Pharma Inc. program. Without their help millions of people will be without medication.

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