How can this program help me?
First Resource offers reimbursement support services and patient assistance to help you gain access to the Pfizer medicines you need. A First Resource counselor will help confirm if you are eligible for assistance, and can guide you through the enrollment process.

Download the First Resource brochure for more information on how this program can help you.

What Pfizer medicines are available?
The following medicines are available through the First Resource program:

• Aromasin^® (exemestane tablets)
• Camptosar^® (irinotecan HCI injection)
• Ellence^® (epirubicin hydrochloride injection)
• Emcyt^® (estramustine phosphate sodium capsules)
• Idamycin^® (idarubicin hydrochloride for injection, USP)
• Inlyta^® (axitinib) tablets
• Neumega^® (oprelvekin)
• Sutent^® (sunitinib malate)
• Torisel^® (temsirolimus) injection
• Xalkori^® (crizotinib) capsules
• Zinecard^® (dexrazoxane for injection)

How can First Resource help if I do have insurance coverage*?
If you have prescription drug coverage, First Resource can provide the following benefits:

• Reimbursement Support Services: A First Resource counselor will research and verify your benefits for the medicine you need, explain coverage options and policies, as well as investigate and explain the prior authorization process


• Alternate Funding Assistance: First Resource can help you find alternate sources of funding if you need them. These may include state pharmaceutical assistance programs (SPAPs), Medicaid, Medicare Part D, low-income subsidies, and charitable foundations


• Appeals Process Information: If a claim is underpaid or denied, First Resource will investigate and explain the appeals process


• Specialty Pharmacy Referral: If you are insured and have been prescribed Xalkori or Inlyta, First Resource will refer you to an appropriate specialty pharmacy that can fill your prescription


• Hardship Assistance: If you have prescription coverage but are experiencing significant financial hardship (eg, cannot afford your co-pay or coinsurance), you may be eligible to receive your Pfizer medicine for free, or obtain a Co-Pay Card^† that will cover the full cost of your co-pay

How can First Resource help if I do not have insurance coverage?
First Resource may be able to help you get Pfizer medicines for free if you:

• Have no prescription coverage
• Meet specific income guidelines, adjusted for family size
• Live in the United States, the US Virgin Islands, or Puerto Rico
• Be treated by a licensed doctor in the United States or Puerto Rico

Where would I get my medicine?
There are a few ways to get your medicine. Depending on the medicine you take, it can either be shipped to your doctor's office, or directly to your home. To learn more, call 1-877-744-5675.

How do I apply?
To apply to First Resource, please:

• Call 1-877-744-5675, Monday to Friday, 9 AM to 8 PM ET. First Resource counselors are happy to assist you in English or Spanish
• Download First Resource IV application here or call 1-877-744-5675 to begin the enrollment process
• Download First Resource oral application here or call 1-877-744-5675 to begin the enrollment process
• You and your doctor must fill out and fax or 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 continued assistance (if approved)