Specialty Pharmacies:
An
Extension of Your
BOSULIF®
(bosutinib) Support
Network
Specialty pharmacies are like traditional pharmacies that you are used to, but they
offer additional services for patients, including prescriptions available by mail order
and delivered to your home for added convenience.
Pfizer will work with your doctor to find a specialty pharmacy that takes your insurance.
For more information, please call 1-877-744-5675 or visit PfizerOncologyTogether.com.
Making your support needs a priority. Together.
At Pfizer Oncology Together, we treat your individual needs as a priority. We’ll help you identify financial assistance
options so you can get your prescribed Pfizer Oncology medicine. We’ll also connect you with a dedicated Care
Champion who has social work experience and can provide resources that may help with some of your day-to-day
challenges. Because when it comes to support, we’re in this together. For live, personalized support,
call 1-877-744-5675.

Finding resources for your
day-to-day. Together.
Managing day-to-day life after diagnosis can be overwhelming, but
you don’t have to do it alone. With Pfizer Oncology Together, you’ll
have a dedicated Care Champion who has social work experience.
Your Care Champion will talk with you one-on-one in order to
provide you with resources to help with some of the day-to-day
challenges you may be facing.a
Emotional Support
Find resources for emotional support and other daily
challenges. These resources include support groups, an
independent organization’s helpline, and a free app
designed to help you connect with loved ones.


Transportation and Lodging
Connect to an independent organization that helps eligible patients
find rides and lodging for treatment-related appointments.
Workplace Guidance
Receive information to help you prepare for leaving
or returning to work after being diagnosed.


Ongoing Education
Get guidance on living with your condition, including nutritional
information, communication tips, and toolkits specific to your
prescribed medicine.
Want to sign up for Care
Champion support? (Optional)
Our dedicated Care Champions, who have social
work experience, can provide you with resources
that may help with some of your daily challenges.
To get started, click here to visit the Pfizer
Oncology Together Website.


Finding resources for your
day-to-day. Together.
Managing day-to-day life after diagnosis can be overwhelming, but
you don’t have to do it alone. With Pfizer Oncology Together, you’ll
have a dedicated Care Champion who has social work experience.
Your Care Champion will talk with you one-on-one in order to
provide you with resources to help with some of the day-to-day
challenges you may be facing.a

Emotional Support
Find resources for emotional support and other daily
challenges. These resources include support groups, an
independent organization’s helpline, and a free app
designed to help you connect with loved ones.

Transportation and Lodging
Connect to an independent organization that helps eligible patients
find rides and lodging for treatment-related appointments.

Workplace Guidance
Receive information to help you prepare for leaving
or returning to work after being diagnosed.

Ongoing Education
Get guidance on living with your condition, including nutritional
information, communication tips, and toolkits specific to your
prescribed medicine.

Want to sign up for Care
Champion support? (Optional)
Our dedicated Care Champions, who have social
work experience, can provide you with resources
that may help with some of your daily challenges.
To get started, click here to visit the Pfizer
Oncology Together Website.
aSome services are provided through third-party organizations that operate independently and are not controlled by Pfizer.
Availability of services and eligibility requirements are determined solely by these organizations.
Learning about financial assistance. Together.
Finding ways to save on your medicine can be confusing. But it may be easier if you’re able to research options together.
Pfizer Oncology Together can help you understand your insurance and identify what financial support may be available for
your prescribed BOSULIF. In addition, we can help find a specialty pharmacy that can fill your prescription.
SELECT AN INSURANCE STATUS


Resources for eligible commercial, private, employer, and
state health insurance marketplace patients:
Co-pay assistance: Eligible, commercially insured patients
may pay as little as $0 per month for BOSULIF.b There are
no income requirements, forms, or faxing to enroll.
bLimits, terms, and conditions apply. Patients are not eligible to use this card if they are enrolled in a state or federally funded insurance program, including
but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs healthcare, a state prescription drug assistance program, or the Government Health
Insurance Plan available in Puerto Rico. Patients may receive up to $25,000 in savings annually. The offer will be accepted only at participating
pharmacies. This offer is not health insurance. No membership fees apply. Pfizer reserves the right to rescind, revoke, or amend this offer without notice.
For any questions, please call 1-877-744-5675, visit PfizerOncologyTogether.com/terms or write: Pfizer Oncology Together Co-Pay Savings Program, 2250
Perimeter Park Drive, Suite 300, Morrisville, NC 27560.


Help identifying resources for eligible patients with Medicare/Medicare Part D, Medicaid, and other government insurance plans:
- Assistance with searching for support from independent charitable foundations:
These foundations exist independently of Pfizer and have their own eligibility
criteria and application processes. Availability of support from the foundations is
determined solely by the foundations - Financial assistance through Extra Help, a Medicare Part D Low-Income Subsidy
(LIS) program - Free medicinec
c If support from independent charitable foundations or Medicare Extra Help is not available, Pfizer Oncology Together will provide eligible patients with
medication for free through the Pfizer Patient Assistance Program. The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer
Patient Assistance Foundation™. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions.


Help identifying resources for eligible patients without any
form of healthcare coverage:
- Help finding coverage
- Free medicine through the Pfizer Patient Assistance Program,
or at a savings through the Pfizer Savings Programd
d The Pfizer Savings Program is not health insurance. For more information, call the toll-free
number 1-877-744-5675. There are no membership fees to participate in this program.
Estimated savings are 50% and depend on such factors as the particular drug purchased,
amount purchased, and the pharmacy where purchased.
FOR LIVE, PERSONALIZED SUPPORT
Co-Pay Card Terms and Conditions
By using this co-pay card, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms
and Conditions described below:
- Patients are not eligible to use this card if they are enrolled in a state or federally funded insurance program, including but
not limited to Medicare, Medicaid, TRICARE, Veterans Affairs healthcare, 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.
- With this card, eligible patients will pay a $0 co-pay per eligible monthly prescription, subject to a maximum amount of
$25,000 per calendar year. The amount of any benefit is the difference between your co-pay and $0. After the annual
maximum of $25,000 is reached, you will be responsible for the remaining monthly out-of-pocket costs. This card may not
be redeemed more than once per 30 days. - This co-pay card 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 co-pay card from any reimbursement request submitted to your insurance plan, either
directly by you or on your behalf. - You are responsible for reporting use of the co-pay 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 18 years of age or older to redeem the co-pay card.
- This co-pay card is not valid where prohibited by law.
- Card cannot be combined with any other savings, free trial, or similar offer for the specified prescription.
- Card will be accepted only at participating pharmacies.
- This card is not health insurance.
- Offer good only in the U.S. and Puerto Rico.
- Card is limited to 1 per person during this offering period and is not transferable.
- 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 12/31/2020.
- If your pharmacy does not participate, you may be able to submit a request for a rebate in connection with this offer. Mail
a copy of the patient’s pharmacy receipt indicating patient name, name of medication purchased, price paid, and date
purchased, along with a copy of the patient’s Pfizer Oncology Together Co-Pay Savings Card, to:
Pfizer Oncology Together Co-Pay Savings Program
2250 Perimeter Park Drive, Suite 300
Morrisville, NC 27560