Pfizer Patient Assistance Program: Velsipity

Funded

About

The Pfizer Patient Assistance Program: Velsipity offers crucial support to eligible patients who need access to Velsipity, an important drug product. This program is especially beneficial for uninsured or publicly insured individuals residing in the U.S. or its territories, ensuring they receive their prescribed medication without the burden of cost. The Pfizer Patient Assistance Program: Velsipity is dedicated to providing free medication for those who qualify under the income guidelines and cannot afford their copayment.

Insurance requirements: Medicare / Medicaid, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Patients with commercial insurance are not eligible for the Pfizer Patient Assistance Program, even if the medication is not covered by the commercial insurance plan

•Eligible uninsured patients may be able to receive free medication

•HCP must fax completed application and applicable documentation to 6468629655

•If patient's application and prescription have been approved, they will receive a notification when the medicine is shipped

•Call 8003503080, MondayFriday, 8AM8PM ET, for assistance or additional information

Enrollment Forms

Enrollment Form