Xalkori

(crizotinib)
crizotinib 200 MG Oral Capsule [Xalkori]crizotinib 250 MG Oral Capsule [Xalkori]
NO BLACK BOX WARNING

Dosage & administration

drug label

Xalkori prescribing information

Have more Xalkori questions?

Submit MSL Request
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Need to report a Xalkori issue?

ONLINE FORM
Report adverse event
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samples

Request Xalkori samples

Online Sample Form
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prior authorization

Xalkori Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request
Coverage Authorization Appeals
Formulary Exception Letter
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Benefits investigation

Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Xalkori Financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
HCP Office: Attest & Print Co-Pay Card
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
Pfizer Oncology Together Form
Pfizer Oncology Together Form - Spanish
Pfizer Patient Assistance Program
Pfizer Pledge Warranty Program
Pfizer Pledge Patient Warranty Claim Form
Pfizer Pledge Patient Declarations and Authorizations Form
Pfizer Pledge Physician Attestation Form
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patient education

Xalkori Patient education

Getting started on Xalkori

NOT PROVIDED BY BRAND
Instructions For Use: NSCLC

Patient toolkit

Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Pfizer Oncology Patient Access Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Pfizer Oncology Patient Access Guide - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xalkori
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
View How to Take Xalkori
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
The ALK and ROS1 Genes
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Financial Assistance Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Caregiver Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Getting Xalkori
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.