Abrysvo

Indicated For

RSV prevention in infants via maternal immunization, RSV lower respiratory tract disease in older adults

About This Medication

# Pfizer Patient Assistance Program Patient Guide: How to Get Abrysvo (bivalent RSVpreF vaccine) at Low or No Cost Abrysvo is a **bivalent RSVpreF vaccine** from Pfizer designed to protect adults aged 60 and older, and infants through maternal immunization, against respiratory syncytial virus (RSV), a common cause of severe respiratory illness[5][9]. The **Pfizer Patient Assistance Program (PAP)** offers this vaccine **at no cost** to eligible uninsured or underinsured patients who meet strict income and other criteria, helping bridge financial gaps for those in need[1][2][3]. ## Who Qualifies for the Program? This program targets patients facing financial hardship who lack adequate insurance coverage for Abrysvo. Key eligibility includes: - **Residency**: You must live in the United States, Puerto Rico, or U.S. Virgin Islands[2]. - **Healthcare Setting**: Treatment must occur in an outpatient setting by a U.S.-licensed provider[2]. - **Prescription**: A valid prescription for Abrysvo from your doctor[2][6]. - **Insurance Status**: Uninsured or underinsured without prescription coverage; **commercially insured patients are not eligible**, even if the vaccine isn't covered[2][8]. Medicare Part D or Advantage patients may qualify but must first enroll in the Medicare Prescription Payment Plan (MPPP) and apply to relevant Independent Charitable Patient Assistance Programs (ICPAPs), providing denial proofs[10]. ## About Abrysvo **Abrysvo** (RSVpreF vaccine) is Pfizer's FDA-approved vaccine providing active immunity against RSV. It's given as a single intramuscular dose: - For adults 60+ years to prevent lower respiratory tract disease (LRTD) caused by RSV. - For pregnant individuals (32-36 weeks gestation) to protect infants from RSV through birth up to 6 months. RSV is highly contagious and particularly dangerous for older adults and infants, causing pneumonia and hospitalization. Abrysvo targets two RSV subgroups (A and B) for broad protection. Common side effects include injection site pain, fatigue, and headache—discuss risks with your doctor. Pfizer offers separate reimbursement support for insured patients at 1-866-744-3198[5][7]. ## Income Eligibility Breakdown Eligibility hinges on **household income at or below 400% of the Federal Poverty Level (FPL)**. Thresholds adjust yearly; use these as guidelines (based on program data): | Household Size | Max Annual Income | |----------------|-------------------| | 1 (Individual) | $30,000 | | 2 (Couple) | $40,000 | | 3 | $50,000 | | 4 | $60,000 | | Add ~$10,000 per extra person | Varies | **Notes**: Pre-tax household income. Provide proof like tax returns (1040 pages 1-2), W-2s, pay stubs, or SSA-1099. Check exact FPL at Pfizer RxPathways for your year—guidelines can change[1][2][6][8]. ## Insurance Requirements - **Uninsured/Underinsured**: Primary qualifiers—no or limited prescription coverage[1]. - **No Commercial Insurance**: Job-based or similar plans disqualify you[2][8]. - **Medicare Patients**: Enroll in MPPP first, exhaust ICPAPs, and submit proofs[10]. - **Others**: May need to pursue other funding before PAP consideration[2][10]. ## Step-by-Step Application Process 1. **Confirm Eligibility**: Use Pfizer RxPathways Program Finder—enter "Abrysvo" and follow prompts[1][4]. Call 1-844-989-PATH (7284) or (800) 889-2727 for guidance[1][2]. 2. **Gather Documents**: - Completed enrollment form (patient and prescriber sections)[6]. - **Proof of income** (W-2, tax return, pay stubs)[2][6]. - **Proof of residency** (utility bill, etc.). - **Prescription** for Abrysvo[2]. - **Proof of insurance status** (denials, MPPP enrollment, ICPAP rejections)[10]. 3. **Submit**: Online via Pfizer PAP Connect (if available for Abrysvo), mail to P.O. Box 66585, St. Louis, MO 63166-6585, or fax 866-470-1748. Prescriber can fax with cover page[1][4][6]. 4. **Wait for Notification**: 2-4 weeks[1][6]. **Tip**: Download interactive forms from Pfizer RxPathways or RxAssist[4]. ## Timeline and Delivery - **Processing**: 2-3 weeks typically; up to 4 weeks[1][6]. - **Notification**: Letter with enrollment term and next steps[6]. - **Delivery**: Shipped free to your home or doctor's office[program data]. - **Reauthorization**: Required—reauth every 12 months or as specified[program data][8]. ## Alternatives if Denied - **Appeal**: Review denial reasons; resubmit missing docs or updated income. - **Other Programs**: Pfizer RxPathways connects to copay savings, ICPAPs, or state aid[3][10]. - **Reimbursement Support**: For insured, call 1-866-744-3198[5][7]. - **RxAssist.org**: Search similar programs[4]. - **Doctor/Pharmacy Help**: Ask about samples or low-cost clinics. - **Medicare MPPP**: Spreads Part D costs monthly[10]. ## Disclaimer This guide summarizes publicly available info as of latest data—**program rules change**; always verify at www.PfizerRxPathways.com or by phone[1][2]. Not medical/financial advice. Consult your doctor for Abrysvo suitability. Pfizer RxPathways/PAP eligibility subject to verification; no guarantees. Income/FPL based on household guidelines—use official calculators. For full terms, contact Pfizer directly.

Program information last verified: March 30, 2026