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Connection to Care provides free Pfizer medicines to eligible patients through their doctor's office.*
With Connection to Care, qualified patients can get many Pfizer branded medicines for free. View full list of available medicines covered
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
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.
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
Your total gross annual household income must be at or below 2 times the federal
poverty level (see below chart).
- Total number of persons in household includes yourself and those for whom you are
financially responsible
- Total Gross Income includes incomes from all earners in the household before taxes
and deductions
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Annual Income (2009) |
$21,660 |
$29,140 |
$36,620 |
$44,100 |
$51,580 |
Please visit
www.aspe.hhs.gov/poverty for more information concerning federal poverty guidelines. For households that have more than five people, or if you live in Alaska or Hawaii, call 1-866-706-2400.
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