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If you qualify for the program, Connection to Care will provide free Pfizer medicines to you through your health care provider's office.*
To receive free Pfizer medicines, you must:
Connection to Care offers many Pfizer branded medicines for free. View the full list of medicines offered
A 90-day supply of medicine will be shipped to your health care provider's office* for you to pick up, except Lyrica® (pregabalin), which will be shipped directly to your home. Prescription refills will be available during your 1-year enrollment period.
To apply to Connection to Care, please:- Download an application here or request it by calling 1-866-706-2400
- You and your doctor must fill out and mail the completed application, along with 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. . For Lyrica, you are also required to include the original prescription and copy of your photo ID
Keep a photocopy of your application and your original income documents. You will be informed of your status within about 3 to 4 weeks of receipt of your application. If approved, you and your doctor will receive a welcome letter. You will remain enrolled in the program for up to 1 year. To continue receiving free Pfizer medicines, you must reapply each year.
If you have prescription drug coverage but are faced with serious financial hardship, you may qualify for a hardship exception through Connection to Care. When filling out the Connection to Care application, please complete the hardship exception section. If you are accepted into Connection to Care with a hardship exception, you must reapply to the program at the end of the calendar year (December 31).
For additional information about Connection to Care, call us at 1-866-706-2400.
Connection to Care 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
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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 about federal poverty
guidelines. For households of more than 5 people, or if you live in Alaska
or Hawaii, call 1-866-706-2400.
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