|
If you are currently unemployed and are uninsured, you may qualify for MAINTAIN (Medicines Assistance for Those who Are In Need). If you are eligible, MAINTAIN can provide free Pfizer medicines delivered right to your home for up to one year, or until you become insured again, whichever comes first.
As a result of Pfizer and Wyeth joining, Pfizer has extended the benefits of MAINTAIN to patients who are unemployed, uninsured, and need help staying on their Wyeth medicines. For more information about Wyeth medicines, or to apply, please call 1-800-568-9938.
You and your immediate family members can receive free Pfizer medicines if you: - Became unemployed on or after January 1, 2009
- Were prescribed and taking a Pfizer medicine for at least 3 months prior to becoming unemployed and enrolling in the program
- Have no prescription coverage
- Can attest that you are experiencing a financial hardship
- Live in the United States
MAINTAIN offers many Pfizer branded medicines for free. View the full list of medicines offered.
If you are prescribed a Pfizer specialty or oncology medicine, you can find out if you are eligible for another Pfizer patient assistance program by calling 1-866-706-2400.
A 90-day supply of medicine will be shipped directly to your home. Medicine refills will be sent to you for up to one year, or until you become insured, whichever comes first. Call 1-866-578-4995 to order your refills.
Applications for enrollment in MAINTAIN will be accepted through December 31, 2010.
To apply for MAINTAIN, please:- Download an application here or request it by calling 1-866-706-2400
- Fill out and mail the completed application, together with proof of unemployment
Proof of Unemployment:(submit one) - State unemployment benefits confirmation letter
- Unemployment benefit check stub
- Previous employer termination letter
.
Your application will be processed in 2 to 3 weeks. MAINTAIN enrollment is easy with our user-friendly, 1-page application.
Your total gross annual household income must be at or below 2 times the federal
poverty level (see the chart below).
- Total number of persons in the household includes yourself and each of your dependents
- Total gross income includes incomes from all earners in your household before taxes
and deductions
|
Annual Income (2009) |
$21,660 |
$29,140 |
$36,620 |
$44,100 |
$51,580 |
Please visit
www.aspe.hhs.gov/poverty for more information about federal poverty
guidelines. For households of more than 5 people, or if you live in Alaska
or Hawaii, call 1-866-706-2400.
|