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Eligibility
At or below 200%
Federal Poverty Level
(FPL),* adjusted for
household size
Benefits
Distribution Methods
Doctors offices
Lower-income patients with prescription coverage may still be eligible for assistance if they are experiencing significant financial or medical hardship.
PFIZER PROGRAMS
No prescription coverage?
Need Pfizer medicines?
(amlodipine besylate/
atorvastatin calcium)
Cardura
(doxazosin mesylate)
Detrol LA
(tolterodine tartrate
extended release
capsules)
Lyrica
Xalatan
(pregabalin)
Norvasc
(amlodipine besylate)
(eletriptan HBr)
Spiriva
Zyvox
Sutent
Glucotrol XL
(glipizide) extended
release tablets
Inspra
(sunitinib malate)
capsules
VFEND
(voriconazole)
Viagra
(eplerenone)
LIPITOR
(atorvastatin calcium)
(azithromycin
extended release)
for oral suspension
(fluconazole)
Zmax
Relpax
(tiotropium bromide
inhalation powder)
Diflucan
(latanoprost
ophthalmic solution)
(sildenafil citrate)
Viracept
(nelfinavir mesylate)
PFIZER PARTICIPATES
Caduet
At or below 200%
FPL,* adjusted for
household size
Have no prescription
coverage
Live in the US,
Puerto Rico, or the
US Virgin Islands
2 levels of savings
People with income at or below
400% FPL* have access to
greater savings
Patients may also learn about these other Pfizer patient assistance programs:
FirstRESOURCE, Pfizer RSVP Program, Pfizer Bridge Program
At or below 200%
FPL,* adjusted for
household size
Patients may also receive contact information for the following programs managed by Pfizer partners:
Aricept Patient Assistance Program, Spiriva HandiHaler Patient Assistance, and MS LifeLines
Aricept is a registered trademark of Eisai Co., Ltd. Spiriva HandiHaler is a registered trademark of Boehringer Ingelheim Pharmaceuticals, Inc.
Majority of pharmacies
nationwide
Together Rx Access and the Together Rx
Access Logo are registered trademarks of
Together Rx Access, LLC.
*Eligibility for certain programs requires that patients be below specific annual income levels. 200% of the 2009 Federal Poverty Level (FPL) for the 48 contiguous states and the District of Columbia are as
follows: (household size of 1) $21,660; (2) $29,140; (3) $36,620; (4) $44,100; (5) $51,580. 400% of the FPL are as follows: (1) $43,320; (2) $58,280; (3) $73,240; (4) $88,200; (5) $103,160. For persons in
a family household greater than 5, or if you live in Alaska or Hawaii, please call 1-866-706-2400. FPL guidelines are updated annually. For information on the current FPL, visit www.aspe.hhs.gov/poverty.
(linezolid)
Patients who lack prescription coverage and also need medicines from other companies may call the
Partnership for Prescription Assistance (PPA) for help getting medicines. The PPA is a single point of
access to more than 475 public and private patient assistance programs, including nearly 200 programs offered by
pharmaceutical companies.
Call 1-888-4PPA-NOW or visit www.PPARx.org for more information.
Pfizer participates in the PPA.
Pfizer Helpful Answers is a joint program of Pfizer Inc and the Pfizer Patient Assistance Foundation.