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Program Details


Connection To Care®
1-866-706-2400



How can this program help?
Connection to Care provides free Pfizer medicines to eligible patients through their doctor's office.*

What Pfizer medicines are available?
With Connection to Care, qualified patients can get many Pfizer branded medicines for free.
View full list of available medicines covered

What are the eligibility requirements?
To be eligible, you must:

  • Have no prescription coverage or be eligible for a hardship exception
    For patients seeking a Hardship Exception

    If you have prescription drug coverage but are faced with significant financial hardship, you may qualify for a Hardship Exception through Connection to Care. To enroll, you can fill out the Hardship Exception section on the Patient Application form.

  • Meet the household income guidelines for this program
  • Be a resident of the US, Puerto Rico, or the US Virgin Islands

Where would I get my medicine?
Patients in the program pick up a 90-day supply of medicine from the doctor’s office. Refills are available during the 1-year enrollment period.

How do I apply?
To apply to Connection to Care, please:

  • Download an application or request it by calling 1-866-706-2400
  • You and your doctor must complete the 1-page application. Mail the completed application, proof of income
    Proof of income includes copies of one of the following documents that show your total gross annual household income:

    • Current paycheck stub
    • Federal tax return (Form 1040 or 1040EZ) for the prior tax year
    • Wage and tax statements (W-2 forms)
    • Social security, pension, or railroad retirement statements (SSA-1099 or similar)
    • Statements of interest, dividends, or other income (1099-INT, 1099, 1099-DIV or other forms)

    If you do not have any proof of income, please call us at 1-866-706-2400.
    , and a prescription for a Pfizer medicine to Connection to Care

Keep photocopies of your application and your original income documentation. You will be notified of your status within about 3-4 weeks of receipt of your application. If approved, you and your doctor will receive a welcome letter.

All medicines will be sent to your doctor's office for you to pick up, except Lyrica®, which will be shipped directly to your home.

Once accepted into Connection to Care, you will remain enrolled for up to 1 year. To continue receiving program benefits, you must reapply yearly. In addition to serving US residents, Connection to Care is now available to residents of Puerto Rico and the US Virgin Islands

Enrollment is easy with our user-friendly Patient Application
Connection to Care provides free Pfizer medicines to uninsured patients, and patients with prescription coverage who are faced with a significant financial hardship.
Download New Patient Application in English
Download New Patient Application in Spanish
Download authorization form
Patients should also sign the authorization form above and give it to their doctors. It allows their doctors to share certain patient information with Pfizer in connection with the program. This form should not be returned with a patient's application.

For new patients
If you are a healthcare provider and want to expedite the delivery of your patients' first supply of the Pfizer medicines listed below, please call 1-866-706-2400.

  • Geodon® (ziprasidone HCI)
  • Inspra® (eplerenone)
  • Tikosyn® (dofetilide)(registered prescribers only)
  • Zithromax® (azithromycin)

For enrolled patients
Download Enrolled Patient Order Form in English (to reorder medicines)

*Home delivery in Puerto Rico and US Virgin Islands.