pfizer oncology together™ co-pay savings program for ......within your billing software, search...

Pfizer Oncology Together™ Co-Pay Savings Program for Injectables:Guide to Claim Submission and Payment

Pfizer Oncology Together is a trademark of Pfizer Inc.

Table of Contents

Introduction................................................................................................................................................................................................. 3Submission of Co-Pay Claims Electronically Using Your Office Billing Software................................................................ 4Submission of Co-Pay Claims Using Claim.MD............................................................................................................................... 5Registering with EnrollHub to Receive HCP Co-Pay Remittance Through Electronic Funds Transfer (EFT)............... 9Specialty Pharmacy Submission of Co-Pay Claims........................................................................................................................ 12Pfizer Oncology Together Co-Pay Savings Program for Injectables: NIVESTYM™ (filgrastim-aafi) Injection........ 13

This guide provides information to healthcare providers (HCPs) about the options for co-pay claim submission and receiving co-pay payments through the Pfizer Oncology Together Co-Pay Savings Program for Injectables, including how to register for co-pay remittance via electronic funds transfer (EFT). The process for a specialty pharmacy to submit co-pay claims is also described in this brochure.

Personalized Support Starts Here

LiveCall 1-877-744-5675 (Monday–Friday 8 AM-8 PM ET)

OnlineVisit PfizerOncologyTogether.com

LocalContact your Pfizer Oncology Account Specialist

Pfizer Oncology Together Provider Portal

Pfizer Oncology Together has a secure provider portal at PfizerOncologyPortal.com. The portal includes online, real-time access to Pfizer Oncology Together support and resources and tracking the progress of patient requests.

Visit PfizerOncologyPortal.com, and click “Register Now”

2

http://PfizerOncologyPortal.com


Introduction

The Pfizer Oncology Together™ Co-Pay Savings Program for Injectables provides eligible commercially insured patients with private insurance assistance for claims received by the program. Federal and State health care beneficiaries are not eligible. The co-pay program covers only drug costs, not procedures, administration fees, or office visits. Please see page 13 for details on co-pay assistance for NIVESTYM™ (filgrastim-aafi) injection. HCPs, specialty pharmacies (SPs), or eligible patients may submit a co-pay claim to receive payment. The co-pay program can provide co-pay assistance under either a medical or pharmacy coverage benefit.

3

Enro

llmen

tC

laim

s

Subm

issi

on a

nd

Paym

ent

HCP Buys and Bills Specialty Pharmacy Purchases and Bills

Patient enrolls in/is approved for co-pay program

Patient assigns co-pay benefit to HCP

HCP submits co-pay claim form with EOB

HCP receives co-pay payment


Patient does not assign co-pay benefit

to HCP

Patient submits co-pay claim form with EOB

Patient receives co-pay payment


HCP sends completed SP Fax Cover Sheet and the prescription to SP

SP submits co-pay claim

SP receives co-pay payment

Co-Pay Savings Program for Injectables Overview

EOB - explanation of benefits

Submission of Claims to the Pfizer Oncology Together Co-Pay Savings Program for Injectables

When the HCP Purchases and Bills for the Drug (Buy-and-Bill Scenario)

HCPs have 3 ways to submit claims to the co-pay savings program for Injectables:

1. Fax or mail a Pfizer Oncology Together Co-Pay Savings Program for Injectables Claim Form2. Utilize your practice’s billing software3. Utilize Claim.MD

• Upload claims directly• Submit claims manually• Submit claims via secure file transfer protocol (sFTP)

Submission of Co-Pay Claims Electronically Using Your Office Billing Software

1. Within your billing software, search for PSKW0 (PSKW zero) as an available payer.

If PSKW0 is an available payer, you may begin submitting electronic claims transactions (837 files)

If PSKW0 is not available, please work directly with your software vendor to add PSKW0 as an available payer

After confirming that PSKW0 is an available payer within your software, please add the co-pay program for the drug prescribed to the patient to your patient’s insurance profile as a secondary payer. Make sure to include the payer ID (PSKW0), group number (EC30005006), and program member ID. Claims submitted without this information will be rejected automatically

2. Request that your practice management software vendor accept electronic remittance advice (ERA) (835) transactions from PSKW0.

After this request is fulfilled by your vendor, you should receive an ERA approximately 5 to 7 business days after claim submission

Additional information on submission of co-pay claims electronically through Claim.MD is found on pages 5-8 of this brochure.

4

Submission of Co-Pay Claims Using Claim.MD

5

The co-pay payer for the Co-Pay Program has an established relationship with Claim.MD. HCPs can submit co-pay claims through Claim.MD by completing the following steps:

1. Register and complete account setup with Claim.MD. Your IT and EDI Coordinator may be able to help.2. Once registered, co-pay claims can be submitted by one of the following methods:

• Upload claims directly• Upload claims manually• Submit claims via sFTP

• Change Healthcare• Claim.MD• ClaimLogic/TriZetto • Availity

• ABILITY Network• Infinedi• Capario• eClaims

• NaviCure• Office Ally• Passport Health• RealMed

Some co-pay payers have established relationships with software vendors and clearinghouses, such as the entities listed below. If a specific entity is not listed, please contact Pfizer Oncology Together™ at 1-877-744-5675 for assistance.

Details on each of the above methods for use of Claim.MD to submit co-pay claims are found on pages 6-8 of this brochure.

6

Using Claim.MD to Upload Co-Pay Claims Directly: **Attention EDI Coordinator**

Please ask the person in your office who manages EDI enrollment to complete the following steps to register and get started:

Navigate to the registration site at claim.md/crx/

1. Complete the required personal information to begin the registration• You will receive an activation email. Click the link within the email to continue the registration process

2. Complete your account setup• Provide your practice name and contact details• Select your billing system. If your billing system is not listed, choose “Other”• Select “Full Access” in the vendor access field on the vendor settings page• Review and agree to the Business Associate Agreement• Provide practice details

3. Complete the claims-mapping process • Select “Upload Claims” from the claim menu• Select the claim to be uploaded and click “Upload Selected File”• Within 3 to 5 business days, you will receive an email notification that you may begin uploading claims

Once complete, you will receive a confirmation email from Claim.MD that will include your username and account ID.

Follow these steps to begin uploading claim files within the web interface:

1. Create a claim file within your billing system • Refer to your individual billing system instructions on how to do this

2. Navigate to Claim.MD website at claim.md/crx/3. Log in to your account4. Upload claims

• Select “Upload Claims” from the claim menu• Select the claim to be uploaded and click “Upload Selected File”

5. Transmit the claim• Select “Manage Claims” from the claim menu• Select “Approve Transmit”

Once a claim is submitted, you should receive an ERA within the Claim.MD interface within approximately 5 to 7 business days.

http://claim.md/crx/


7

Using Claim.MD to Upload Claims Manually






Follow these steps to begin uploading claims:

1. Log in to your account at the Claim.MD website at claim.md/crx/2. Enter a claim

• Select “Manage Claims” from the claim menu• Select “Create Blank Claim” • Complete claim data entry

— To ensure accurate transmission, make sure that “PSKW0” is selected as a secondary payer• Save the claim

3. Transmit the claim• Select “Manage Claims” from the claim menu• Select “Approve Transmit”




8

Using Claim.MD to Submit Claims via sFTP






Follow these steps to begin uploading claims:

1. Log in to your account at Claim.MD website at claim.md/crx/2. Select “Manage Users”3. Select “sFTP”

• Provide your contact details• Click “New” to submit your request

Once complete, you will receive an email confirming your access and sFTP site information.

Follow these steps to set up sFTP access:

1. Connect to the sFTP folder using your office’s established process• The sFTP site address and port information will be provided in your confirmation email from Claim.MD

2. Submit the claim• Select the claim file• Move the claim to the upload folder (/SendFiles)

Please allow 5 to 7 business days for processing. You will return to the sFTP site and retrieve the ERA from the download folder (/ReceiveFiles).




9

Registering With EnrollHub to Receive HCP Co-Pay Remittance Through EFT

If a patient has checked “Yes” to the assignment of benefits (AOB) statement in Section 4 of the Pfizer Oncology Together™ Enrollment Form to authorize co-pay payment directly to the HCP, HCPs may elect to submit the co-pay claim form and receive co-pay remittance for their patients as a paper check or through EFT. To receive payment through EFT, HCPs should register in advance of submitting the first claim to avoid payment delays. HCPs can enroll in EFT on the EnrollHub website at https://solutions.CAQH.org.

See the How to Register With EnrollHub to Receive EFT Payments for the Pfizer Oncology Together Co-Pay Savings Program for Injectables instructions on pages 10-11 for more information.

• Once registered for EFT payment, the HCP will submit the co-pay claim form for the specific drug prescribed for the patient and the EOB from the patient’s primary and secondary insurance (if applicable) for the drug

• When the co-pay claim is approved, the HCP will receive a fax from Pfizer Oncology Together notifying them that payment has been sent for a specific patient

• Each EFT transaction in the HCP bank statement for the Pfizer Oncology Together Co-Pay Savings Program for Injectables will be denoted as “placeholder,” and each patient’s co-pay payment will be listed separately.

• Each bank may present EFT payments to its account holders differently. The HCP bank statement may include additional co-pay assistance program information, such as the patient co-pay program Member ID Number

If you have any questions about your EFT transactions in your bank statement, please call Pfizer Oncology Together at 1-877-744-5675.

https://solutions.caqh.org

10

How to Register with EnrollHub to Receive EFT Payments for the Pfizer Oncology Together™ Co-Pay Savings Program for Injectables

New EnrollHub Users

Please have the following information available: • Practice name, address, phone, and fax • Tax identification number • Bank account information • An image of a check or a bank letter

ExistingEnrollHub Users

Please have the following information available: • Username • Login

Follow these steps to register and enroll in EFT:

1. Navigate to the EnrollHub website at https://solutions.caqh.org 2. Click the “Register Now” button

• Complete the required personal information• Create a username and password• Set up security questions

3. Activate your account and log in• You will receive an activation email. Click the link within the email to log in and complete the registration process

4. Create a provider record by entering practice details and banking information and uploading the check image or bank letter

5. Enroll in EFT by selecting your bank account and selecting ConnectiveRx* from the payer list• Accept the payment terms agreement

Follow these steps to enroll for EFT:

1. Navigate to the EnrollHub website at https://solutions.caqh.org2. Log in to your account3. Enroll in EFT by selecting your bank account and selecting ConnectiveRx from the payer list

• Accept the payment terms agreement• Complete your submission by clicking “Confirm”

*ConnectiveRx processes the claims for the Pfizer Oncology Co-Pay Savings Program for Injectables. ConnectiveRx partners with EnrollHub to support the collection of your EFT information.



11

EFT Payment Next Steps

• EnrollHub will verify your account information by submitting a payment to you in the amount of $0.01• Your bank will receive the payment, verify account information, and either accept or reject the payment*• You will receive an email from EnrollHub notifying you of the outcome of the account verification process• If rejected, please follow instructions within the email to review the account information and resubmit • Once your account has been approved, EnrollHub will share your enrollment with the Pfizer Oncology Together™

Co-Pay Savings Program for Injectables, so no separate registration with Pfizer Oncology Together is required. • You are able to receive EFT payments for co-pay claims submitted through the co-pay program within 2 to

3 weeks of enrollment. In the interim, all eligible claims will be paid by check

* It may take up to 10 business days for your bank to complete this transaction.

If you need more information or account support, you may access the EnrollHub Getting Started document at https://solutions.caqh.org/bpas/Common/HelpGettingStarted.pdf.

Confidentiality Notice: The facsimile transmission and accompanying documents contain information that is confidential or privileged. This information is intended for the individual or entity named on this transmission sheet. If you are not the intended recipient, be aware that any disclosure, copying, distribution or the use of the contents of this faxed information is strictly prohibited. If you received this fax in error, please notify us by telephone (<Program Phone>) to arrange for the return of the original documents to us and the retransmission of them to the intended recipient.

Thank you for your participation in the Pfizer Oncology Together Co-Pay Savings Program for Injectables for <Full Brand Name>. This notification is to inform you that funds have been transferred to your account on behalf of <Patient First Name> <Patient Last Name>, <Member ID>, <Patient DOB>. This amount reflects the patient’s out-of-pocket costs incurred and covered by the program. Please see full Terms and Conditions below. If you have questions about the Pfizer Oncology Together Co-Pay Savings Program for Injectables, or if there are any changes to the provider, administering provider, insurance coverage, or contact information, please call us at 1-877-744-5675. We are available Monday–Friday, 8 AM–8 PM ET. Sincerely, Pfizer Oncology Together Co-Pay Savings Program for Injectables

Fax Transmission

To: <Practice Name>

<Practice Billing Fax Number> From:

<Program Name>

<Program Fax Number>

Date: <Date> Pages: <Number of Pages>

Date of Service Amount Paid <Date of Service>

<Amount Paid>

Pfizer Oncology Together Co-Pay Savings Program for Injectables HCP EFT Notification of Funds Transfer Fax

https://solutions.caqh.org/bpas/Common/HelpGettingStarted.pdf

12

Processing Pfizer Oncology Together™ Co-Pay Savings Program for Injectables Claims

In certain cases, the HCP may send the prescription to an SP (eg, when the drug is covered under the patient’s prescription benefits or when an eligible patient’s commercial insurance requires the drug to be obtained through a payer-affiliated SP).

When an SP Dispenses and Bills the Patient’s Insurance Plan

When an SP purchases and bills for the drug, the HCP is not responsible for billing the patient’s insurance plan or the co-pay assistance program

OR

• The HCP or patient provides patient co-pay information to the specialty pharmacy to process co-pay claims

• The HCP completes and sends, with the prescription, the Pfizer Oncology Together Co-Pay Savings Program for Injectables Specialty Pharmacy Fax Cover Sheet to provide information to a specialty pharmacy for a patient (see blank form available here)

• Your patient may also provide the co-pay claims-processing information on their Pfizer Oncology Together Co-Pay Savings Program for Injectables ID Card directly to the pharmacist

• The pharmacy processes the co-pay claim and collects any additional balance due from the patient

http://PfizerOncologyTogether.com/NivestymCopaySPFaxForm

13

Terms and Conditions: By using this program, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions below:

The Pfizer Oncology Together Co-Pay Savings Program for Injectables for NIVESTYM is not valid for patients who are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”). Program offer is not valid for cash-paying patients. With this program, eligible patients may pay as little as $0 co-pay per NIVESTYM treatment, subject to a maximum benefit of $10,000 per calendar year for out-of-pocket expenses for NIVESTYM including co-pays or coinsurances. The amount of any benefit is the difference between your co-pay and $0. After the maximum of $10,000 you will be responsible for the remaining monthly out-of-pocket costs. Patient must have private insurance with coverage of NIVESTYM. This offer is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plans or other private health or pharmacy benefit programs. You must deduct the value of this assistance from any reimbursement request submitted to your private insurance plan, either directly by you or on your behalf. You are responsible for reporting use of the program to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the program, as may be required. You should not use the program if your insurer or health plan prohibits use of manufacturer co-pay assistance programs. This program is not valid where prohibited by law. This program cannot be combined with any other savings, free trial or similar offer for the specified prescription. This program is not health insurance. This program is good only in the U.S. and Puerto Rico. This program is limited to 1 per person during this offering period and is not transferable. No other purchase is necessary. Data related to your redemption of the program assistance may be collected, analyzed, and shared with Pfizer, for market research and other purposes related to assessing Pfizer’s programs. Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other assistance redemptions and will not identify you. Pfizer reserves the right to rescind, revoke or amend this program without notice. This program may not be available to patients in all states. For more information about Pfizer, visit www.pfizer.com. For more information about the Pfizer Oncology Together Co-Pay Savings Program for Injectables, call 1-877-744-5675, or write to Pfizer Oncology Together Co-Pay Savings Program for Injectables, P.O. Box 220366, Charlotte, NC 28222. Program terms will expire at the end of each calendar year. Before the calendar year ends, you will receive information and eligibility requirements for continued participation.

Pfizer Oncology Together Co-Pay Savings Program for Injectables: NIVESTYM

Pfizer Oncology Together Co-Pay Savings Program for Injectables: NIVESTYM™ (filgrastim-aafi) Injection*

• Eligible patients may pay as little as $0 for each NIVESTYM treatment. Please see full Terms and Conditions below

• Provides eligible commercially insured patients with assistance of up to $10,000 per patient, per calendar year

• Applies to out-of-pocket costs associated with NIVESTYM, including co-pays and coinsurances

*The Pfizer Oncology Together Co-Pay Savings Program for Injectables covers only drug costs, not procedures, administration fees, or office visits.

http://www.pfizer.com

14

NIV

ESTYM

™ (filgrastim

-aafi)

How to Get Started with NIVESTYM Co-Pay Program Enrollment Through Pfizer Oncology Together™The HCP and patient can complete and sign the Pfizer Oncology Together Support Services & Patient Assistance Enrollment Form available at PfizerOncologyPortal.com.

Patients need to read the Enrollment Form and assign the benefit based on whether they or the HCP will receive the co-pay check from the Pfizer Oncology Together Co-Pay Program for Injectables.

– The HCP or patient submits the completed Enrollment Form to Pfizer Oncology Together

Pfizer Oncology Together Access Counselors can complete a benefit verification and will communicate if the patient may be eligible for the co-pay program or other financial assistance programs if requested

– Eligible patients will be enrolled into the Pfizer Oncology Together Co-Pay Savings Program for Injectables. The patient and HCP will receive a co-pay program approval letter including the identification card with instructions for submitting co-pay claims

– After treatment with NIVESTYM and receipt of the Explanation of Benefits (EOB) from the patient’s insurance, the HCP completes the NIVESTYM Co-Pay Savings Program Claim Form and submits it, with the EOB to the Pfizer Oncology Together Co-Pay Savings Program for Injectables. A sample completed claim form is available on page 15 of this resource

If the patient has assigned their NIVESTYM Co-Pay Savings Program payment to the HCP, their HCP will receive reimbursement via check or electronic funds transfer after the claim is approved

1

2

3

4

To learn more or to obtain enrollment and claim forms, go to www.pfizeroncologytogether.com

If the patient does not assign benefits to the HCP, and the HCP does not submit a NIVESTYM co-pay claim (or if a pharmacy dispensed the prescription), then the patient (or pharmacy) can submit a NIVESTYM co-pay claim to the Pfizer Oncology Together Co-Pay Savings Program for Injectables and receive payment via check after the co-pay claim is processed

– The Specialty Pharmacy Fax Cover Sheet for NIVESTYM can be used by a patient’s HCP to provide information to a specialty pharmacy for a patient who has been approved and enrolled in the Pfizer Oncology Together Co-Pay Savings Program for Injectables when a patient’s NIVESTYM co-pay claim needs to be processed by the specialty pharmacy

– The Specialty Pharmacy Fax Cover Sheet for NIVESTYM is available here


http://www.pfizeroncologytogether-portal.com

http://PfizerOncologyTogether.com/NivestymCopaySPFaxForm

15

Sample Completed NIVESTYM™ Co-Pay Claim Form

SAMPLE

UPDATED INSURANCE DETAIL (if the insurance has changed since last submission)

Pfizer Oncology Together Co-Pay Savings Program for Injectables | CLAIM FORM All fields marked with an asterisk (*) are required.

*ZIP CODE *DATE OF BIRTH

PATIENT

*PATIENT GROUP NUMBER (ie, EX00000000) (from program ID card on the approval letter)

*PATIENT MEMBER ID NUMBER (11-digit ID from program ID card on the approval letter)

Male Female*GENDER

PP-NIV-USA-0093 © 2019 Pfizer Inc. All rights reserved. Printed in USA/August 2019

Terms and Conditions: By using this program, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions below:The Pfizer Oncology Together Co-Pay Savings Program for Injectables for NIVESTYM is not valid for patients who are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”). Program offer is not valid for cash-paying patients. With this program, eligible patients may pay as little as $0 co-pay per NIVESTYM treatment, subject to a maximum benefit of $10,000 per calendar year for out-of-pocket expenses for NIVESTYM including co-pays or coinsurances. The amount of any benefit is the difference between your co-pay and $0. After the maximum of $10,000 you will be responsible for the remaining monthly out-of-pocket costs. Patient must have private insurance with coverage of NIVESTYM. This offer is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plans or other private health or pharmacy benefit programs. You must deduct the value of this assistance from any reimbursement request submitted to your private insurance plan, either directly by you or on your behalf. You are responsible for reporting use of the program to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the program, as may be required. You should not use the program if your insurer or health plan prohibits use of manufacturer co-pay assistance programs. This program is not valid where prohibited by law. This program cannot be combined with any other savings, free trial or similar offer for the specified prescription. This program is not health insurance. This program is good only in the U.S. and Puerto Rico. This program is limited to 1 per person during this offering period and is not transferable. No other purchase is necessary. Data related to your redemption of the program assistance may be collected, analyzed, and shared with Pfizer, for market research and other purposes related to assessing Pfizer’s programs. Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other assistance redemptions and will not identify you. Pfizer reserves the right to rescind, revoke or amend this program without notice. This program may not be available to patients in all states. For more information about Pfizer, visit www.pfizer.com. For more information about the Pfizer Oncology Together Co-Pay Savings Program for Injectables, call 1-877-744-5675, or write to Pfizer Oncology Together Co-Pay Savings Program for Injectables, P.O. Box 220366, Charlotte, NC 28222. Program terms will expire at the end of each calendar year. Before the calendar year ends, you will receive information and eligibility requirements for continued participation.

PRIMARY INSURANCE BIN FOR PHARMACY BENEFIT

PRIMARY INSURANCE PCN FOR PHARMACY BENEFIT

PRIMARY INSURANCE NAME

PRIMARY INSURANCE GROUP # FOR PHARMACY BENEFIT

PRIMARY INSURANCE ID FOR PHARMACY BENEFIT

PRIMARY INSURANCE GROUP # FOR MEDICAL BENEFIT

ADMINISTERING PROVIDER (Enter the name of the administering provider or infusion center)

PRACTICE NAME

*PROVIDER FIRST NAME *PROVIDER LAST NAME

*DATE(S) OF SERVICE (Provide date or date ranges)

*PATIENT OUT-OF-POCKET AMOUNT FOR NIVESTYM

PATIENT MIDDLE INITIAL*PATIENT LAST NAME*PATIENT FIRST NAME

PRIMARY INSURANCE ID FOR MEDICAL BENEFIT

Regional Medical Center

01234

EC30005006 01234567891

05/11/1969 05/01/2019 500.00

Smith

Holly Doe, MD

Jane

Pfizer Oncology Together™ Co-Pay Savings Program for Injectables: NIVESTYM™ (filgrastim-aafi) Injection Claim Form

Patients may be eligible for this offer if they: • Have commercial insurance that covers NIVESTYM• Are not enrolled in a state or federally funded insurance program

CLAIMS PROCESS NOTE: Patients must be enrolled in the Pfizer Oncology Together Co-Pay Savings Program for Injectables.

Please submit the following: 1. A completed claim form within 120 days of the issue date shown

on the patient’s Explanation of Benefits (EOB)2. A copy of the EOB (or dated pharmacy receipt if the prescription was

filled by a pharmacy) 3. The group and member ID information on the Pfizer Oncology Together

Co-Pay Savings Program for Injectables identification card (provided on the approval letter)

Submit via mail or fax: Mail: Pfizer Oncology Together Co-Pay Savings Program for Injectables P.O. Box 10751, Fairfield, NJ 07004Fax: 1-833-307-2193Questions: 1-877-744-5675

The Pfizer Oncology Together Co-Pay Savings Program for Injectables for NIVESTYM provides eligible commercially insured patients with assistance of up to $10,000 per calendar year. Eligible enrolled patients may pay as little as $0 for each NIVESTYM treatment. Federal and state healthcare beneficiaries not eligible. Private insurance only. The co-pay program covers only drug costs, not procedures, administration fees, or office visits. Please see full Terms and Conditions below.

If there are any changes to the patient’s provider, administering infusion provider, insurance, or contact information, call Pfizer Oncology Together at 877-744-5675 prior to the submission of the co-pay claim form.

Access Counselors are available Monday–Friday, 8 am–8 pm ET.

pfizer oncology together™ co-pay savings program for ......within your billing software, search...

Documents