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Program Details

PFIZER, INC.
VyndaLink

Vyndaqel (tafamidis meglumine)
 
CONTACT INFO
Address: PO Box 221296
Charlotte, NC 28222
Phone: 1-888-222-8475 Provider Phone:
Fax: 1-888-878-8474 Website: Program Website
ELIGIBILITY
Eligibility Info:
  • Eligibility determined on a case-by-case basis.
  • Meet program income guidelines which are not disclosed.
  • Program offers co-pay assistance, reimbursement support, and patient assistance programs for eligible patients.
  • Income at or below: Not Published
    Medical expenses can be deducted from reported income: Not Published
    Social security requested on form: Not Published
    US citizenship/residency specified: Yes
    APPLICATION
    Attachments Required: Financial
    Physician License #
    Required:
    Not Published
    Prescriber Signature
    Allowed:
    Not Published
    Application may be
    faxed:
    Yes
    Eligibility determination
    letter sent:
    Not Published
    MEDICATION
    Receives: Not Published
    Shipped To: Not Published
    Quantity in Shipment: Not Published
    Delivery Time: Not Published
    Re-application Policy: New application every 12 months
    Refill Policy: Not Published
    Other Information:

    Last Updated: 09/13/2023

     

     

     


    Application Forms
    & Instructions

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


    DocumentForm (English)


    Document Form (Spanish)



     

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