Tivdak Co-Pay Savings Program
Funded
About
Eligible patients with commercial prescription drug insurance coverage for TIVDAK may pay as little as $0 or per administration. Patient out of pocket expense will vary. The value of this offer is limited to annual benefit of $25,000. Once a patient reaches the annual maximum benefit patient is responsible for paying the remaining monthly out of pocket costs.
Insurance requirements: Commercially insured
Enrollment Forms
Enrollment Form
Benefits
•$25000 annual maximum benefit
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Must be 18 years of age or older
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: No
•Activation Required: No
Program Details
•For questions regarding the offer, please call 18777445675, visit https://www.pfizeroncologytogether.com/ or write Pfizer Oncology Together CoPay Savings Program for Injectables, 2730 S. Edmonds Lane, Suite 300, Lewisville, TX 75067.
Enrollment Forms
Enrollment Form