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PATIENT ASSISTANCE PROGRAM APPLICATIONPatient Application for XR (tofacitinib) extended release tablets/ (tofacitinib) tablets Phone 1844XELJANZ (18449355269) Fax 18662973471 2730 S.

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About This drug is more popular than comparable drugs. There are currently no generic alternatives to . While 96% of insurance plans cover the most common version of at a co-pay of $60.00-$83.00, many of them have restrictions. Manufacturer and pharmacy coupons can help offset the cost.

About This drug is more popular than comparable drugs. There are currently no generic alternatives to . While 96% of insurance plans cover the most common version of at a co-pay of $60.00-$83.00, many of them have restrictions. Manufacturer and pharmacy coupons can help offset the cost.

Drugs for: Anorexia, weight loss, or weight gain. Fertility. ... Prescription vitamins and minerals (except prenatal vitamins and fluoride preparations) Non-prescription drugs (over-the-counter drugs)

If you have no insurance and need financial assistance, we will refer you to Medicaid if you appear to be eligible. If turned down, we will evaluate you for the Pfizer Patient Assistance Program. If you are eligible, we will provide you or XR at no cost to you.

The lowest GoodRx price for the most common version of is around $2,412.79, 25% off the average retail price of $3,225.95.

Does Medicare cover and how much does it cost? Medicare part D and Medicare advantage plan typically cover this drug. The average copay range is $1121-$5153 but you can pay $4,263.98 when using your SingleCare discount card or coupon as this may sometimes be cheaper than your health coverage.

Pfizer RxPathways connects eligible patients to assistance programs that offer insurance support, co-pay assistance, and medicines for free or at a saving. Learn more by visiting www.PfizerRxPathways.com or calling 1 844 989 PATH (7284).

The cost for oral solution (1 mg/mL) is around $4,127 for a supply of 240 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans. is available as a brand name drug only, a generic version is not yet available.

Manufacturer and pharmacy coupons can help offset the cost. The lowest GoodRx price for the most common version of is around $2,412.79, 25% off the average retail price of $3,225.95.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232