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White Guide and Orange Guide Formatting Project - Pfizer

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<strong>Orange</strong> <strong>Guide</strong> – Chapter 11: Patient Assistance Programs<br />

<strong>Pfizer</strong> <strong>and</strong> the <strong>Pfizer</strong> Patient Assistance Foundation have carefully implemented <strong>Pfizer</strong> PAPs to<br />

ensure compliance with the above <strong>and</strong> relevant laws.<br />

Depending on the particular program, patient access to <strong>Pfizer</strong> PAPs may be through a call center or<br />

paper <strong>and</strong>/or online applications. Patients must have a valid prescription for the desired <strong>Pfizer</strong> product.<br />

Individuals seeking to participate in a <strong>Pfizer</strong> PAP may be required to provide information including<br />

income, residency, <strong>and</strong> insurance coverage to demonstrate that they meet specific program eligibility<br />

requirements. This information may include Sensitive Personal Information (SPI) <strong>and</strong> may not be used<br />

or disclosed unless certain conditions are met. For more information on SPI, see <strong>Orange</strong> <strong>Guide</strong> Chapter<br />

8: Privacy: Protecting Personal Information.<br />

Referring Patients to Particular Plans<br />

Q. You are a Sales representative <strong>and</strong> one of your HCP customers tells you that he<br />

has Lipitor patients who are uninsured. He asks you how <strong>Pfizer</strong> can provide<br />

some assistance to cover the costs of their Lipitor. <strong>Pfizer</strong> Helpful Answers® lists<br />

Lipitor as being covered under Connection to Care®. Should you tell him to<br />

have his patients apply to Connection to Care®?<br />

A. No. Consumers should be referred to the <strong>Pfizer</strong> Helpful Answers® website or<br />

its toll-free number (1-866-706-2400) for information about all <strong>Pfizer</strong> PAPs.<br />

Because each PAP is structured in a fairly specific manner, <strong>and</strong> because <strong>Pfizer</strong><br />

may add or remove products to its PAPs at any time, you should never refer<br />

individuals to any particular PAP. Also, some products are covered by more<br />

than one PAP. All first-time callers to the PHA call center will be asked to<br />

complete a phone screening <strong>and</strong> will be provided with the top three programs<br />

based on their eligibility.<br />

<strong>Pfizer</strong> has checks in place to ensure patients <strong>and</strong> HCPs do not abuse a PAP. Forms of such abuse<br />

include falsifying income information, ignoring refill limits, <strong>and</strong> supplying or requesting a supply of a<br />

product beyond its covered amounts under a PAP.<br />

198<br />

Rev. 09/12<br />

Page 5 of 10

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