Access to factor. A mobile logging tool. Just some of the ways Pfizer is here to help.
We're dedicated to supporting members of the hemophilia community in multiple ways, including:
- Help with access to factor for both insured and uninsured patients
- Savings on factor§
- A trial prescription program||
- A mobile logging tool
- Scholarship assistance
For more information, click the tabs below or call the Hemophilia Hotline at 1-888-999-2349.
The Factor Savings Card helps commercially insured patients gain access to BeneFix through reimbursement support services and the patient assistance program. The Factor Savings Card can help cover the cost of out-of-pocket co-pays, deductibles, and coinsurance associated with BeneFix.
Enrolling is easy—go to Pfizerfactorsavingscard.com
to learn more and download your card.
If you have any questions about the use of this Pfizer Factor Savings Card,
please call 1-888-240-9040 or send questions to:
Pfizer Factor Savings Program
6501 Weston Parkway, Suite 370
Cary, NC 27513
Pfizer Factor Savings Card cannot be combined with other offers.
OFFER TERMS: By using the Pfizer Factor Savings Card, you acknowledge that you currently meet the
eligibility criteria and will comply with the terms and conditions described below: The Card is not
valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare or any other federal or state healthcare programs (including any state prescription drug assistance programs and the Government Health Insurance Plan, available in Puerto Rico, formerly known as "La Reforma de Salud"). The Card is not valid for prescriptions that are eligible to be reimbursed by private insurance plans or other health or pharmacy benefit programs which reimburse you for the entire cost of your prescription drugs. You will receive a total benefit of $500 over 12 months, or the amount of your co-pay over 12 months less a patient financial responsibility of $10 per month, whichever is less. You must deduct the value of this offer from any reimbursement requests submitted to your insurance plan either by you or on your behalf.
The Card is not valid where otherwise prohibited by law. The Card cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription.
The card will be accepted only at participating pharmacies. This coupon is not health insurance. Offer good only in the U.S. and Puerto Rico. The Card is limited to 1 per person during this offering period and is not transferable. Offer limited to one use per month up to 12 times per patient per year. Pfizer reserves the right to rescind, revoke, or amend this offer without notice. Offer expires 12/31/13. No membership fees.
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RSVP—the Reimbursement Solutions, Verification, and Payment HELPline—is a reimbursement support services and patient assistance program designed to help uninsured or underinsured patients gain access to the Pfizer medicines they need.
If you have insurance
RSVP can help you understand your coverage choices and provide reimbursement support services for BeneFix
If a claim is underpaid or denied, an RSVP representative can look into it on your behalf and explain the appeals process to you
An RSVP representative can refer you to alternate funding services that you may qualify for
Patients with prescription coverage who demonstrate significant financial hardship can apply for hardship assistance through the RSVP program. If eligible, patients can access BeneFix for free. An RSVP representative will help determine a patient's eligibility
If you don't have insurance
An RSVP representative can find out if you are eligible for free BeneFix through the Pfizer patient assistance program
Once your eligibility is established, you will receive a supply of BeneFix at no cost, as prescribed by your doctor
Contact RSVP
By phone: Call 1-888-327-RSVP (7787) to speak with an operator in English or Spanish, M-F
9:00 am to 8:00 pm Eastern Time
By fax: 1-888-773-0121
By mail:
Pfizer RSVP
PO Box 220574
Charlotte, NC 28222-0574
For eligibility criteria and further details, please visit HemophiliaVillage.com.
Tuition assistance from Pfizer Hemophilia
Named for a pioneer in the field of hemophilia research, the Pfizer Hemophilia Soozie Courter Scholarship Program awards $50,000 in scholarships every year to students living with hemophilia.
Awards are made based on academic achievement, persuasive application essay, and strong recommendations. To start the application process, simply download the application by clicking the link below. Be sure to submit your application before the deadline of Friday, May 24, 2013.
To start the application process, download the application by clicking here.
Click to download
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BeneFix Trial Prescription Program: get up to 20,000 IU of BeneFix at no cost†
You may be eligible to receive a one-time, 1-month supply up to 20,000 IU of BeneFix at no cost. For commercially insured only. Medicare/Medicaid beneficiaries are not eligible.
Talk to your health care provider to see if BeneFix is right for you, and follow the steps below.
† Terms and Conditions apply.
3 steps to get started:
1. Download a discussion guide and enrollment form. Click to download
2. Bring it to your next visit with your health care provider.
3. Ask your health care provider if BeneFix is right for you.
OFFER TERMS: By enrolling in the BeneFix Trial Prescription Program, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below: You are currently covered by a private [commercial] insurance plan. An original free trial offer and a valid prescription must be presented. No claim for reimbursement for BeneFix dispensed pursuant to this free trial offer may be submitted to any third-party payor. Medicaid, Medicare, or any other federal or state health care program beneficiaries are not eligible for this offer (this includes any state prescription drug assistance programs and Government Health Insurance Plan, available in Puerto Rico, formerly known as "La Reforma de Salud"). The free trial offer is not valid for prescriptions that are eligible to be reimbursed by private insurance plans or health or pharmacy benefit programs that reimburse you for the entire cost of your prescription drugs. This free trial offer is not valid where otherwise prohibited by law. You will receive a 1-month supply up to 20,000 IU of factor. The free trial offer cannot be combined with any other rebate/coupon, free trial, or similar offer for the prescribed prescription. The free trial offer will only be accepted by participating factor providers. This free trial offer is not health insurance. Offer good only in the U.S. and Puerto Rico. Only new patients may use this offer. By redeeming this offer, you certify that you are not currently using BeneFix. Only 1 offer per person may be redeemed under this program. This offer is not transferable. Pfizer reserves the right to rescind, revoke, or amend this free trial offer without notice. Offer expires 1 month from enrollment date or when the maximum benefit up to 20,000 IU at no cost has been reached. No membership fees.
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We're excited to share with you the HemMobile™ logging app. You can manage infusions and bleeds from the palm of your hand.
With HemMobile™ you can:
Record the date, time, location, and reason for every infusion. You can even add multiple doses
Capture the factor, lot number, and IU amount with your iPhone camera§
Photograph, map, and log bleeds
Get a graphical view of your logged information—dates of infusions and bleeds, severity of bleeds, IU per infusion, and time between infusions or bleeds.
Note: Pfizer respects the privacy of your personal information. Pfizer will not have access to any personal information you enter into HemMobile™ unless you choose to enroll in Hemophilia Village.
§For Pfizer products only.
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