Savings & Support overview 

Your guide to key resources and savings

Pfizer Dermatology Patient Access logo

Pfizer Dermatology Patient Access is here for you every step of the way, offering savings and personalized support with CIBINQO. 

Get your Copay Savings Card however you prefer

Pay as little as $0* for CIBINQO with the Copay Savings Card. *Terms and Conditions apply.

Choose 1 of these 4 easy ways to get your card today.

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Online

Sign up to download your Copay Savings Card and receive a copy in your inbox.

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Text

Text SAVE1 to 82000 to get your card.‡ You can also sign up online to receive your card by text.

‡Mobile Terms and Conditions apply. Msg & data rates may apply. Msg frequency varies. Text HELP for info, STOP to opt out. Pfizer’s privacy policy can be found at Pfizer.com/privacy.

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Call

Call 1-833-956-DERM
(1-833-956-3376) Monday-Friday, 8:00 AM - 8:00 PM ET.

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Your doctor or a staff member may be able to provide you with more information.

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Financial & Insurance FAQs

Have questions about out-of-pocket costs or insurance? Take a look at some of these commonly asked questions for support. If you need further assistance, Pfizer Dermatology Patient Access is available to help Monday-Friday, 8:00 AM - 8:00 PM ET at 1-833-956-DERM (1-833-956-3376).

To qualify for the Copay Savings Card, the patient or the patient’s caregiver must:

  • Be 18 years of age or older, and
  • Currently live in the United States or Puerto Rico 

You may not qualify if:

  • You have insurance from a federal healthcare program (including Medicare, Medicaid, TRICARE, or any other state or federal medical pharmaceutical benefit program or pharmaceutical assistance program)
  • You, or your partner (if applicable), are over 65 years of age and retired
  • You receive Social Security Disability Insurance (SSDI) or any other Social Security Administration (SSA) benefit
  • You receive health insurance through the military

Please see the Terms and Conditions for more information. You can also call Pfizer Dermatology Patient Access at 1-833-956-DERM (1-833-956-3376) Monday-Friday, 8:00 AM - 8:00 PM ET to help determine whether you are eligible.

Health plans can change—so can your health insurance and prescription benefits. Once your new plan begins, Pfizer Dermatology Patient Access can help review your plan information, verify your coverage if needed, and assist with the prescription approval process. Give us a call at 1-833-956-DERM (1-833-956-3376) Monday-Friday, 8:00 AM - 8:00 PM ET.

Pfizer Dermatology Patient Access may be able to help. Give us a call at 1-833-956-DERM (1-833-956-3376) Monday-Friday, 8:00 AM - 8:00 PM ET.

Eligible, commercially insured patients enrolled in the Interim Care program may receive CIBINQO for up to 2 years at no cost. †See Limits, Terms, and Conditions. Call to explore your options.

†Interim Care Rx is not health insurance and is available for eligible, commercially insured patients only. Offer is only available to patients who have been diagnosed with an FDA-approved indication for CIBINQO™ (abrocitinib), and who experience a delay or denial in insurance coverage during the prior authorization or appeals process. Not available to patients covered under Medicaid, Medicare or other federal or state healthcare programs. Limits, Terms, and Conditions apply.

Pfizer Dermatology Patient Access may be able to help. Give us a call at 1-833-956-DERM (1-833-956-3376) Monday-Friday, 8:00 AM - 8:00 PM ET, to learn more about the support programs that may be available to you.

Pfizer Dermatology Patient Access may be able to help. Pfizer has programs in place designed to help eligible patients afford their treatment. Keep reading for ways you may be able to save on your CIBINQO prescription.

  • If you have commercial insurance, you may qualify for a Copay Savings Card. See Terms and Conditions.
  • If you have government insurance and need financial assistance, we will provide you with information regarding Medicare Extra Help 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 CIBINQO at no cost to you. See Limits, Terms, and Conditions. Eligibility is not based on income.  
  • If you have no insurance and need financial assistance, we will provide you with information regarding 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 CIBINQO at no cost to you. See Limits, Terms, and Conditions.

To speak with someone at Pfizer Dermatology Patient Access about your insurance coverage and medication costs for CIBINQO, call 1-833-956-DERM (1-833-956-3376) Monday-Friday, 8:00 AM - 8:00 PM ET.

*The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™. Free medicines from Pfizer are provided through the Pfizer Patient Assistance Foundation. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions.

You can download and fill out a rebate form to request reimbursement of your out-of-pocket copay costs for CIBINQO. Rebate Terms and Conditions apply.

For more information about pricing, including what out-of-pocket costs may be for your CIBINQO prescription, please visit CIBINQOpricing.com.

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Pfizer Dermatology Patient Access ™Copay Savings Card

REBATE TERMS AND CONDITIONS

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By sending this rebate you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

  • Patients are not eligible to participate in this program if they are enrolled in a state- or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans 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”).
  • This rebate 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.
  • For CIBINQO, you will receive a maximum benefit of $15,000 per calendar year, which is defined by the date of enrollment through December 31st of the enrollment year, and may pay as little as $0 per month copay. After a maximum of $15,000, you will be responsible for paying the remaining monthly out-of-pocket costs.
  • For EUCRISA, you will receive a maximum benefit of $3880 per calendar year, which is defined by the date of enrollment through December 31st of the enrollment year, and may pay as little as $10 per tube. After a maximum of $3880, you will be responsible for paying the remaining monthly out-of-pocket costs.
  • Patient must submit a completed rebate request form and the original, dated store-identified receipt accompanying your prescription as proof of purchase to the address provided on this form. Receipt will not be returned. See instructions on rebate request form.
  • Rebate will be mailed to patients approximately 6 to 8 weeks after receipt of required documentation or earlier, as required by law.
  • You must deduct the value received under this rebate from any reimbursement request submitted to your private insurance plan, either directly by you or on your behalf.
  • Patient is responsible for reporting receipt of rebate to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription for which the patient receives a rebate, as may be required. You should not use this program if your private insurer or health plan prohibits use of manufacturer coupons, copay cards, debit cards, or similar savings programs.
  • This rebate is not valid where prohibited by law.
  • This rebate cannot be combined with any other savings, free trial, or similar offer for the specified prescription.
  • This rebate is not health insurance.
  • Offer good only in the U.S. and Puerto Rico.
  • No other purchase is necessary.
  • Data related to your redemption of the rebate 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 rebate redemptions and will not identify you.
  • Pfizer reserves the right to rescind, revoke, or amend the program without notice.
  • The rebate is applicable to all CIBINQO and EUCRISA formulations.
  • Rebate and Program expires 12/31/2025.

For questions or additional support, call 1-833-956-3376, write to Pfizer Inc., at PO Box 29387, Mission, KS 66201, or visit the CIBINQO website at www.CIBINQO.com or the EUCRISA website at www.EUCRISA.com.

Pfizer Dermatology Patient Access™Interim Care Rx Program

TERMS AND CONDITIONS

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Interim Care Rx is not health insurance and is available for eligible, commercially insured patients only. Offer is only available to patients who have been diagnosed with an FDA-approved indication for CIBINQO™ (abrocitinib). No claim for reimbursement for product dispensed pursuant to this offer may be submitted to any third-party payer. Not available to patients covered under Medicaid, Medicare or other federal or state healthcare programs, including any state prescription drug assistance programs and the Government Health Insurance Plan or for residents of Massachusetts, Michigan, Minnesota, Missouri, Ohio, or Rhode Island. Available up to a 30-day supply. Refills are subject to limitations. Interim Care Rx offer does not require, nor will be made contingent on, purchase requirements of any kind. Pfizer reserves the right to amend, rescind, or discontinue this program at any time without notification. Interim Care Rx can only be dispensed by the exclusive pharmacy and only after benefits investigation has been completed and a delay occurs in the prior authorization or appeals process. Offer good only in the U.S. and Puerto Rico. Prescription must be provided by a healthcare provider licensed in the U.S. or Puerto Rico. Continued eligibility for the program requires submission of two appeals within 180 days of enrollment. After 12 months of program enrollment, an updated prescription and benefits investigation is required to confirm continued eligibility. Additional eligibility criteria may apply. Contact Pfizer Dermatology Patient Access™ at 1-833-956-3376 for details.

PFIZER PATIENT ASSISTANCE PROGRAM ELIGIBILITY CRITERIA

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  • 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.

Pfizer Dermatology Patient Access™Copay Savings Card

TERMS AND CONDITIONS

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By using the Pfizer Dermatology Patient Access Copay Savings Card, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

  • You are not eligible to use this card if you are enrolled in a state or federally funded prescription insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans 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”).
  • You must have commercial insurance. Offer is not valid for cash-paying patients.
  • By using this copay card at participating pharmacies, eligible patients with commercial prescription drug insurance coverage for CIBINQO™ (abrocitinib) may pay as little as $0 per month. Eligible patients with commercial prescription drug coverage may receive a maximum benefit of $15,000 per calendar year, which is defined by the date of enrollment through December 31st of the enrollment year. After a maximum of $15,000, you will be responsible for paying the remaining monthly out-of-pocket costs.
  • By using this copay card at participating pharmacies, eligible patients with commercial prescription drug insurance coverage for EUCRISA® (crisaborole) may pay as little as $10 per tube. Eligible patients with commercial prescription drug insurance coverage that does not cover EUCRISA may pay as little as $100 per tube. Individual savings are limited to $970 per tube. Individual patient savings are limited to $3,880 in maximum total savings per calendar year.
  • This copay card is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your commercial insurance plan or any other health or pharmacy benefit program.
  • You must deduct the value of this copay card from any reimbursement request submitted to your commercial insurance plan, either directly by you or on your behalf.
  • You are responsible for reporting use of the copay card to any commercial insurer, health plan, or other third party that pays for or reimburses any part of the prescription filled using the copay card, as may be required. You should not use the copay card if your insurer or health plan prohibits use of manufacturer copay cards.
  • This copay card is not valid where prohibited by law.
  • Copay card cannot be combined with any other savings, free trial, or similar offer for the specified prescription.
  • Copay 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 copay card is not health insurance.
  • Offer good only in the United States and Puerto Rico.
  • Copay card is limited to 1 per person during this offering period and is not transferable.
  • A copay card may not be redeemed more than once per 30 days per patient.
  • No other purchase is necessary.
  • Data related to your redemption of the copay 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 copay card redemptions and will not identify you.
  • Pfizer reserves the right to rescind, revoke, or amend this offer at any time without notice.
  • Offer expires 12/31/2025.

For questions or additional support, call
1-833-956-3376, write to Pfizer Inc. at PO Box 29387, Mission, KS 66201, or visit the CIBINQO website at www.CIBINQO.com or the EUCRISA website at www.EUCRISA.com.