Pfizer Prescription Assistance
Alexandria, VA - 22313
About Pfizer Prescription Assistance
Patient assistance program for the diabetes medications Diabenese (Chlorpropamide), Glucotrol (Glipizide), and Glucotrol XL (Glipizide). Eligibility: Any patient that a physician is treating as an indigent is eligible.
Patients must have incomes below $12,000 (single) or $15,000 (family). Must not be receiving or be eligible for third party or Medicaid reimbursements.
No copayment or cost sharing is required by the patient.
Other information: Physician must write a letter on their letterhead to Pfizer stating the patient meets income criteria and is uninsured for pharmaceuticals and enclose a prescription for the desired product.
The letter must be signed by the prescribing physician.
Products are shipped to the physician and it may take up to 4 weeks to receive the products.