Pfizer Patient Assistance Program

Information last checked September 1, 2026

Contact info

To apply, please visit the program interactive forms at: Pfizer PAP Connect
The Pfizer Patient Assistance Program provides eligible patients with select Pfizer medicines for free. To qualify:
Note: Commercially insured patients are not eligible for the PAP, regardless of their income status or medicine's formulary status.
Patients must meet program income guidelines, which vary by product and household size.
Medicines accessed through the PAP must be for an FDA approved indication.
Patients must reside in the US or any of the US territories.

Income limit, single: Not published
Income limit, couple: Not published
Other income rules: Income varies by medication needed.
Adjusted for family size.
NOTE: If patient has no income and does not file taxes, a letter from the physician stating the patient has no income OR a notarized letter from a family member is required.
Medical expenses can be deducted: Not published
Social Security number asked for: No
US citizenship or residency required: Yes

Patient receives: Medication
Shipped to: Provider
Supply per shipment: 90-day supply
Time to first delivery: 3–4 weeks
Refills: Varies
Staying enrolled: New application every 12 months
New proof of income every 12 months

Eligibility

To apply, please visit the program interactive forms at: Pfizer PAP Connect
The Pfizer Patient Assistance Program provides eligible patients with select Pfizer medicines for free. To qualify:
Note: Commercially insured patients are not eligible for the PAP, regardless of their income status or medicine's formulary status.
Patients must meet program income guidelines, which vary by product and household size.
Medicines accessed through the PAP must be for an FDA approved indication.
Patients must reside in the US or any of the US territories.

Income limit, single

Not published

Income limit, couple

Not published

Other income rules

Income varies by medication needed.
Adjusted for family size.
NOTE: If patient has no income and does not file taxes, a letter from the physician stating the patient has no income OR a notarized letter from a family member is required.

Medical expenses can be deducted

Not published

Social Security number asked for

US citizenship or residency required

Yes

Medications covered

Abrysvo (Respiratory Syncytial Virus Vaccine)

Adcetris (brentuximab vedotin)

BeneFIX injection (recombinant)

Besponsa (inotuzumab ozogamicin)

Braftovi capsules (encorafenib)

Celontin (methsuximide)

Cibinqo (abrocitinib tablet)

Comirnaty (COVID-19 Vaccine, mRNA)

Daurismo (glasdegib sodium)

Depo Estradiol (estrodiol cypionate in oil)