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Getting Access | BOSULIF® (bosutinib) Tablets | Safety Info

Getting access to BOSULIF

Getting access to BOSULIF

BOSULIF is available only by prescription through retail and specialty pharmacies. Specialty pharmacies offer a range of services, including mail order, to help with access and are able to coordinate delivery of BOSULIF regardless of where you live. If you need help determining which specialty pharmacy to use, your doctor’s office may be able to help you find one that works with your insurance.

A Pfizer First Resource® program counselor may also be able to help you or your doctor's office identify an appropriate specialty pharmacy. Call 1-877-744-5675 for more information.

A Pfizer First Resource® program counselor may also be able to help you or your doctor’s office identify an appropriate specialty pharmacy. Call 1-877-744-5675 for more information.

30-day free trial supply

If you are new to BOSULIF and are eligible for the program, you can receive a 30-day free trial supply. Terms and Conditions apply. Please see below.

You may only be offered enrollment in the program through your healthcare provider. Enrolling is easy–just follow these steps:

  1. With your healthcare provider, fill out an Enrollment form and a Patient Authorization form.
  2. Have the forms faxed to 1-855-578-1686.
  3. The 30-day free trial supply will then be mailed to you.

The trial voucher is not a prescription for BOSULIF beyond 30 days and there is no obligation to continue BOSULIF. If you do continue treatment with BOSULIF, a separate prescription must be written or filled at your pharmacy of choice.

By enrolling in the 30-day trial voucher offer for BOSULIF, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms and Conditions.

Your co-pay could be covereda

Your co-pay could be covered

How does it work?

If you are eligible, the BOSULIF Co-pay Program can help lower your out-of-pocket costs for BOSULIF. If eligible, you will pay no more than $10 for each 30-day prescription of BOSULIF, with a maximum annual savings of $25,000a.

The BOSULIF Co-pay Program is not health insurance. This is available only at participating pharmacies. For a complete list of participating pharmacies, please call the program at 1-855-4-BOSULIF (1-855-426-7854). There are no membership fees to participate.

You can apply for the co-pay card by calling 1-855-4-BOSULIF (1-855-426-7854) 24 hours a day Monday-Friday, Saturday 8 AM–7 PM (EST), and Sunday 9 AM –5 PM (EST).

aCo-pay program is also available to cash-paying customers. Maximum annual savings of $25,000 still applies.

Am I eligible?

To be eligible for the BOSULIF Co-pay Card, you must:

  • Have a prescription for BOSULIF
  • Be 18 years or older
  • Not get prescription medication through a government-funded healthcare program such as Medicare, Medicaid, or a federal or state prescription drug program

Are you uninsured or do not have enough coverage?

If you are uninsured or do not have enough prescription drug coverage, you may be able to get your prescription for BOSULIF for free through the Pfizer First Resource program. A program counselor can help research and find what programs you may be eligible for to get BOSULIF.

Call 1-877-744-5675, Monday–Friday, 9 AM –8 PM (EST) to learn more.

Terms and Conditions for Voucher Program

The trial voucher is not a prescription for BOSULIF beyond 30 days and there is no obligation to continue BOSULIF. To continue a patient on therapy, a separate prescription must be written to be filled at the patient’s pharmacy of choice.

Patients may be offered enrollment in the trial voucher program exclusively through their healthcare provider. This offer is valid once per patient for a 30-day supply through 12/31/14.

By enrolling in the 30-day trial voucher offer for BOSULIF, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms and Conditions described below:

  1. Voucher is valid for 30 days of dosing of BOSULIF, not to exceed 500 mg once daily for 30 days, for new patients.
  2. A Patient Authorization form and Patient Enrollment form should be completed and returned.
  3. No claim for reimbursement for product dispensed pursuant to this voucher may be submitted to any third-party payer, whether a private or government payer.
  4. This free trial voucher cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription.
  5. This free trial is not health insurance.
  6. Offer good only in the United States and Puerto Rico.
  7. Only patients new to BOSULIF may use this voucher. By redeeming this voucher, you certify that you are not currently using BOSULIF. Only 1 voucher per person may be redeemed under this program. This voucher is not transferable.
  8. Pfizer reserves the right to rescind, revoke, or amend this free trial voucher without notice.
  9. The free trial voucher expires 12/31/2014.
  10. Typical savings with this voucher for insured patients is estimated to be $65, or the full out-of-pocket cost for the patient for a 30-day prescription.

Scroll for Important Safety Information for patients and Indication.

BOSULIF may cause serious side effects, including:

  • Stomach problems. BOSULIF may cause stomach (abdomen) pain, nausea, diarrhea, or vomiting. Tell your doctor about any stomach problems
  • Low blood cell counts. BOSULIF may cause low platelet counts (thrombocytopenia), low red blood cell counts (anemia) and low white blood cell counts (neutropenia). Your doctor should do blood tests to check your blood cell counts regularly during your treatment with BOSULIF. Call your doctor right away if you have unexpected bleeding or bruising, blood in your urine or stools, fever, or any signs of an infection
  • Liver problems. BOSULIF may cause liver problems. Your doctor should do blood tests to check your liver function regularly during your treatment with BOSULIF. Call your doctor right away if your skin or the white part of your eyes turns yellow (jaundice) or you have dark “tea color” urine
  • Your body may hold too much fluid (fluid retention). Fluid may build up in the lining of your lungs, the sac around your heart, or your stomach cavity. Call your doctor right away if you get any of the following symptoms during your treatment with BOSULIF:
    • – shortness of breath and cough
    • – chest pain
    • – swelling in your hands, ankles, or feet
    • – swelling all over your body
    • – weight gain
  • Kidney problems. BOSULIF may cause kidney problems. Your doctor should do tests to check your kidney function when you start treatment with BOSULIF and during your treatment. Call your doctor right away if you get any of the following symptoms during your treatment with BOSULIF:
    • you urinate more or less often than normal
    • you make a much larger or smaller amount of urine than normal
  • The most common side effects of BOSULIF include:
    • – diarrhea
    • – nausea
    • – low blood cell counts
    • – vomiting
    • – stomach pain
    • – rash
    • – fever
    • – tiredness or weakness

Before you take BOSULIF, tell your doctor if you:

  • have liver problems
  • have heart problems
  • have kidney problems
  • have any other medical conditions
  • are pregnant or plan to become pregnant. BOSULIF can harm your unborn baby. You should not become pregnant while taking BOSULIF. Tell your doctor right away if you become pregnant while taking BOSULIF
  • are a woman who may become pregnant. Use effective contraception (birth control) during and for at least 30 days after completing treatment with BOSULIF. Talk to your doctor about forms of birth control
  • are breastfeeding or plan to breastfeed. It is not known if BOSULIF passes into your breast milk or if it can harm your baby. You and your doctor should decide if you will take BOSULIF or breastfeed. You should not do both

Scroll for Important Safety Information for patients and Indication.

BOSULIF may cause serious side effects, including:

  • Stomach problems. BOSULIF may cause stomach (abdomen) pain, nausea, diarrhea, or vomiting. Tell your doctor about any stomach problems
  • Low blood cell counts. BOSULIF may cause low platelet counts (thrombocytopenia), low red blood cell counts (anemia) and low white blood cell counts (neutropenia). Your doctor should do blood tests to check your blood cell counts regularly during your treatment with BOSULIF. Call your doctor right away if you have unexpected bleeding or bruising, blood in your urine or stools, fever, or any signs of an infection
  • Liver problems. BOSULIF may cause liver problems. Your doctor should do blood tests to check your liver function regularly during your treatment with BOSULIF. Call your doctor right away if your skin or the white part of your eyes turns yellow (jaundice) or you have dark “tea color” urine
  • Your body may hold too much fluid (fluid retention). Fluid may build up in the lining of your lungs, the sac around your heart, or your stomach cavity. Call your doctor right away if you get any of the following symptoms during your treatment with BOSULIF:
    • – shortness of breath and cough
    • – chest pain
    • – swelling in your hands, ankles, or feet
    • – swelling all over your body
    • – weight gain
  • Kidney problems. BOSULIF may cause kidney problems. Your doctor should do tests to check your kidney function when you start treatment with BOSULIF and during your treatment. Call your doctor right away if you get any of the following symptoms during your treatment with BOSULIF:
    • – you urinate more or less often than normal
    • – you make a much larger or smaller amount of urine than normal
  • The most common side effects of BOSULIF include:
    • – diarrhea
    • – nausea
    • – low blood cell counts
    • – vomiting
    • – stomach pain
    • – rash
    • – fever
    • – tiredness or weakness

Before you take BOSULIF, tell your doctor if you:

  • have liver problems
  • have heart problems
  • have kidney problems
  • have any other medical conditions
  • are pregnant or plan to become pregnant. BOSULIF can harm your unborn baby. You should not become pregnant while taking BOSULIF. Tell your doctor right away if you become pregnant while taking BOSULIF
  • are a woman who may become pregnant. Use effective contraception (birth control) during and for at least 30 days after completing treatment with BOSULIF. Talk to your doctor about forms of birth control
  • are breastfeeding or plan to breastfeed. It is not known if BOSULIF passes into your breast milk or if it can harm your baby. You and your doctor should decide if you will take BOSULIF or breastfeed. You should not do both