For new patient applications (general application)
Applications for enrollment in MAINTAIN will be accepted through December 31, 2012.
Download English application Download Spanish application
Download Oral medicines English application Download IV medicines English application Download Oral medicines Spanish application Download IV medicines Spanish application
*The Pfizer Pfriends savings program is not health insurance. For a complete list of participating pharmacies, please click here or call the toll-free number 866-706-2400. There are no membership fees to participate in the Pfizer Pfriends program. Estimated savings range up to 15-36% and depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.