Cibinqo

(abrocitinib)
abrocitinib 100 MG Oral Tablet [Cibinqo]abrocitinib 200 MG Oral Tablet [Cibinqo]
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Dosage & administration

drug label

Cibinqo prescribing information

Have more Cibinqo questions?

Submit MSL Request
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Need to report a Cibinqo issue?

ONLINE FORM
Report adverse event
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samples

Request Cibinqo samples

Online Sample Form
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prior authorization

Cibinqo Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Complete Coverage Authorization appeals

NOT PROVIDED BY BRAND
Coverage Authorization Appeal
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Benefits investigation

Pfizer Dermatology Patient Access Enrollment Form
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Cibinqo Financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
Download Co-Pay Card: HCP Office Only
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Bridge program

commercial only
Bridge Program
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Foundation programs

under insured
no insurance
goverment insurance
65+
Patient Assistance Program Enrollment Form
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patient education

Cibinqo Patient education

Getting started on Cibinqo

NOT PROVIDED BY BRAND
Instructions For Use: Atopic Dermatitis (Eczema)

Patient toolkit

About Cibinqo
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Before and After
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Cibinqo
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.