Support & resources

Eligible patients may pay as little as $0 for PANZYGA*

• Patients must have commercial insurance to be eligible
• Patients are not eligible if they are enrolled in a state or federally funded insurance program

*Eligible, commercially, insured patients may pay as little as $0 for PANZYGA and may receive a maximum benefit of $12,500 per year or the cost of a patient’s co-pay in a 12-month period (whichever is less) for claims received by the program.

No membership fees are required. Federal and state healthcare beneficiaries are not eligible. The PANZYGA Co-Pay Program is good only in the U.S. and Puerto Rico.

Terms and conditions/eligibility requirements apply. See full terms and conditions below.

Admin Support Co-Pay Program

In addition, eligible* patients may receive support to reduce out-of-pocket costs related to getting their PANZYGA treatment—including home infusions, administration services, supplies, and equipment.

• The value of the admin co-pay support is limited to a maximum of $1,500 for PANZYGA per calendar year or the cost of patient co-pay in a 12-month period, whichever is less

*Eligible, commercially, insured patients may receive support to reduce out-of-pocket costs related to getting their PANZYGA treatment, up to $1,500 per year or the cost of a patient’s co-pay in a 12-month period (whichever is less) for claims received by the program. No membership fees are required. Federal and state healthcare beneficiaries are not eligible. The PANZYGA Co-Pay Program is good only in the U.S. and Puerto Rico. The PANZYGA Admin Support Co-Pay Program is not valid for Massachusetts or Rhode Island residents. Terms and conditions/eligibility requirements apply. See full terms and conditions below.

If you have been prescribed PANZYGA and have questions about your coverage, call Pfizer IGuide™ Monday through Friday, 8 AM to 8 PM ET, at 1-844-448-4337.

Financial Assistance

• Pfizer IGuide™ can help identify financial assistance resources for which you may be eligible to help with out-of-pocket costs for PANZYGA

Commercially Insured Patients

• If you have commercial, employer, or private coverage, including coverage purchased through a state health insurance marketplace, you may be eligible for the PANZYGA Co-Pay Program, which can help cover the cost of your co-pay. Eligible patients may pay as little as $0 per PANZYGA treatment. The value of the co-pay card is limited to a maximum of $12,500 per calendar year. See terms and conditions below

Medicare/Government-Insured Patients

• If you have government-funded insurance and need help to cover the cost of PANZYGA, Pfizer IGuide™ can help identify financial support options including alternate coverage resources, if available

Uninsured Patients

• If you do not have health insurance and cannot afford your PANZYGA treatment, Pfizer IGuide™ can connect you to potential resources that may help cover the cost of PANZYGA, including how to apply to Medicaid if you may be eligible

The Pfizer PANZYGA Co-Pay Program Terms and Conditions for Patients

TERMS AND CONDITIONS

By using PANZYGA Co-Pay Program, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

• Eligible patients with commercial prescription drug insurance coverage for PANZYGA may pay as little as $0 per administration. Patient out of pocket expense will vary. The value of this offer is limited to annual benefit of $12,500 for Panzyga per calendar year or the cost of patient co-pay in a 12-month period, whichever is less. The value of the admin co-pay support is limited to a maximum of $1,500 for PANZYGA per calendar year or the cost of patient co-pay in a 12-month period, whichever is less. Once a patient reaches the annual maximum benefit patient is responsible for paying the remaining monthly out-of-pocket costs.
• Patients are not eligible for the PANZYGA Co-Pay Program card if they are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veteran Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”).
• Patient must have private insurance. Offer is not valid for cash paying patients.
• This offer is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plan or other private health or pharmacy benefit programs.
• You must deduct the value of this offer from any reimbursement request submitted to your private insurance plan, either directly by you or on your behalf.
• You are responsible for reporting use of the copay card to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the co-pay card, as may be required. You should not use the co-pay card if your insurer or health plan prohibits use of manufacturer co-pay cards.
• You must be 2 years of age or older to redeem the PANZYGA Co-Pay Program Card.
• This PANZYGA Co-Pay Program is not valid for Massachusetts or Rhode Island residents whose prescriptions are covered in whole or in part by third party insurance.
• Not valid in MA or RI.
• This co-pay card is not valid where prohibited by law.
• The benefit under the co-pay card program is offered to, and intended for the sole benefit of, eligible patients and may not be transferred to or utilized for the benefit of third parties, including, without limitation, third party payers, pharmacy benefit managers, or the agents of either.
• Third party payers, pharmacy benefit managers, or the agents of either, are prohibited from assisting patients with enrolling in the co-pay card program.
• Co-pay card cannot be combined with any other external savings, free trial or similar offer for the specified prescription (including any program offered by a third-party payer or pharmacy benefit manager, or an agent of either, that adjusts patient cost-sharing obligations, through arrangements that may be referred to as “accumulator adjustment” or “co-pay maximizer” programs).
• Some health insurers or pharmacy benefit managers (or their agents) may have established accumulator adjustment or co-pay maximizer programs based on the availability of support under the /co-pay card program and/or exclude the financial assistance provided under the co-pay card program from counting towards patient deductibles or out-of-pocket cost limitations.
• Patients subject to an accumulator adjustment or co-pay maximizer program are not eligible for this offer. Since you may be unaware whether you are subject to an accumulator adjustment or co-pay maximizer program when you enroll in this offer, Pfizer may monitor program utilization data and reserves the right to discontinue, reduce, or otherwise modify this offer at any time without notice.
• The PANZYGA Co-Pay Program Card will be accepted only at participating pharmacies.
• If your pharmacy does not participate, you may be able to submit a request for a rebate in connection with this offer.
• This co-pay card is not health insurance.
• Offer good only in the U.S. and Puerto Rico. The PANZYGA Admin Co-Pay Support Program is not valid for Massachusetts or Rhode Island residents.
• Co-pay card is limited to 1 per person during this offering period and is not transferable.
• Co-pay card may not be redeemed more than once per 13 days per patient for PANZYGA.
• No other purchase is necessary.
• Data related to your redemption of the co-pay card may be collected, analyzed, and shared with Pfizer, for market research and other purposes related to assessing Pfizer’s programs. Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other co-pay card redemptions and will not identify you.
• Pfizer reserves the right to rescind, revoke or amend this offer without notice.
• Offer expires 12/31/2026.

For questions regarding the offer, please call 1-866-293-5922. For more information about the Panzyga Co-Pay Program visit https://panzyga.pfizerpro.com/support/co-pay-program-for-patients or write: Panzyga Co-Pay Program, 430 Mountain Ave, Suite #105, New Providence, NJ 07974