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      Patient Assistance Program Center

Program Details

Pfizer RxPathways

Lyrica (pregabalin)
Address: PO Box 66585
St. Louis, MO 63166-6585
Phone: 1-866-706-2400 Provider Phone:
Fax: 1-866-470-1748 Website: Program Website
Eligibility Info:
  • Pfizer RxPathways is a comprehensive assistance program that provides eligible patients with a range of support services, including insurance counseling, co-pay assistance, and access to medicines for free or at a savings. Available services vary by product and eligibility. Visit www.PfizerRxPathways.com to learn more.
  • Patients must not have any prescription drug coverage, or not enough coverage to pay for their Pfizer medicines.
  • Patients must meet program income guidelines.
  • Patients must reside in the US, Puerto Rico, or the USVI.
  • Income at or below: Not Published
    Other Income Requirements:
  • 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 from reported income: Not Published
    Social security requested on form: No
    US citizenship/residency specified: Yes
    Attachments Required: Financial
    If requesting Lyrica - send copy of photo id and prescription must be signed by MD/DO.
    Physician License #
    Either DEA or State
    Prescriber Signature
    Application may be
    Eligibility determination
    letter sent:
    Both Provider and Patient
    Receives: Medication
    Shipped To: Provider
    Note: Lyrica, oral oncology, and specialty products are shipped to the patient's home
    Quantity in Shipment: 90 days
    Delivery Time: 2-4 weeks
    Re-application Policy: New application every 12 months
    New financial information every 12 months
    Refill Policy: Re-orders can be placed by the HCP online via www.PfizerPAP.com, or through Pfizer RxPathways automated phone re-ordering system at 855-742-7497
    Other Information: For help with Prevnar 13, please contact customer service and talk to you health care provider.

    Last Updated: 09/11/2015




    Application Forms
    & Instructions

    The following documents are provided in interactive PDF format, allowing you to type information directly into the form.

    Document Enrollment Form - Group A Medicines

    Document Enrollment Form - Group B Medicines

    Document Enrollment Form - Group C Medicines


    Print-friendly version

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