Fill out this form to download a Copay Savings Card and receive ongoing tools, tips, and information about CIBINQO.
Sign up below
https://cibinqocom-main-page.web.pfizer/global/fragments/copay-sign-up
*Eligibility required. No membership fees. This is not health insurance. For CIBINQO, the maximum benefit per patient is $15,000 per calendar year. Only for use with commercial insurance. If you are enrolled in a state or federally funded prescription insurance program, you may not use the copay card. Terms and Conditions apply.
Other ways to get your Copay Savings Card
- Text SAVE1 to 82000†
- Call us at 1-833-956-DERM (1-833-956-3376)
- Ask your doctor’s office
†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.
Have a physical card?
Does your pharmacy accept the Copay Savings Card?
If not, a rebate form is available. Rebate terms and conditions apply.