PFIZER PATIENT ASSISTANCE PROGRAM ELIGIBILITY CRITERIA

• The Pfizer Patient Assistance Program is not health insurance and is available for eligible uninsured/underinsured patients only.
• Offer is only available to patients who meet financial and other criteria.
• This offer does not require, nor will it be made contingent on, purchase requirements of any kind.
• No claim for reimbursement or credit for any costs associated with the medicine(s) may be submitted to any prescription insurance provider or payer, including Medicare Part D plans.
• Pfizer reserves the right to amend, rescind, or discontinue this program at any time without notification.
• Offer good only in the US and Puerto Rico.
• Patient must be a resident of the US or Puerto Rico.
• Prescription must be provided by a healthcare provider licensed in the US or Puerto Rico.
• Patient must be treated in the outpatient setting of care.
• Additional eligibility criteria may apply. Contact Pfizer Dermatology Patient Access for details.