Aromasin

Pfizer Patient Assistance Program Patient Guide: How to Get Aromasin at Low or No Cost

About This Program

The Pfizer Patient Assistance Program (PAP) provides Aromasin (exemestane) at no cost to eligible patients who cannot afford their medication. This program is jointly administered by Pfizer Inc. and the Pfizer Patient Assistance Foundation, a separate legal entity designed to help financially needy patients access critical medications.

Who Qualifies for Aromasin Assistance

To be eligible for the Pfizer Patient Assistance Program, you must meet ALL of the following criteria:

• Have a valid prescription for Aromasin written by a licensed US healthcare provider
• Be treated in an outpatient setting (not hospitalized)
• Have an FDA-approved diagnosis requiring Aromasin
• Be uninsured OR insured through a government program (see insurance requirements below)
• Be unable to afford your medication after considering your out-of-pocket costs
• Have a US address (US citizenship is not required)
• Meet income requirements based on your household size and financial situation

About Aromasin (Exemestane)

Aromasin is an aromatase inhibitor used to treat hormone receptor-positive breast cancer in postmenopausal women. It works by reducing estrogen levels in the body, which helps slow or stop cancer cell growth. This medication is typically prescribed as part of long-term hormone therapy and requires consistent access to be effective.

Insurance Requirements

Who IS Eligible

• Uninsured patients with no health insurance coverage
• Medicare patients (including Medicare Part D and Medicare Advantage)
• Medicaid patients enrolled in state Medicaid programs
• TRICARE beneficiaries (military health insurance)
• VA patients (Veterans Affairs coverage)
• Other government-sponsored insurance programs

Who IS NOT Eligible

Commercially insured patients are NOT eligible for the Pfizer Patient Assistance Program. This includes patients with:

• Insurance through an employer
• Insurance purchased through a Federal Employer Plan
• Private health insurance plans

If you have commercial insurance, you may need to explore other assistance options, such as manufacturer coupons, pharmacy discount programs, or state pharmaceutical assistance programs.

Income Eligibility

While specific income thresholds are not published, eligibility is determined on a case-by-case basis. The program evaluates whether you are unable to afford your medication based on:

• Your total household pre-tax income
• Your family size
• Your out-of-pocket prescription costs
• Your annual out-of-pocket maximum (if applicable)

You will need to provide proof of income during the application process. The program considers your financial situation holistically rather than applying a strict income cutoff.

Step-by-Step Application Process

Step 1: Gather Required Documents

Before starting your application, collect the following:

• Completed Pfizer PAP enrollment form (provided by Pfizer or your healthcare provider)
• Proof of income (choose ONE of the following):
  • Most recent federal tax return (Form 1040 or 1040EZ) - pages 1 & 2
  • W-2 form(s) from your employer
  • Two recent paycheck stubs
  • Social Security, pension, or railroad retirement statements (SSA-1099 or similar)
• Proof of insurance status (documentation showing you are uninsured or publicly insured)
• Valid prescription for Aromasin from your healthcare provider
• Signed authorization and consent forms (included in the enrollment packet)

Step 2: Complete Your Application

You have two options for completing your application:

Option A: Online Application (Recommended)

1. Visit www.PfizerRxPathways.com
2. Use the Program Finder tool
3. Enter "Aromasin" or "exemestane" as your prescribed medicine
4. Follow the onscreen instructions
5. For select Pfizer medicines, you can complete the entire application online through Pfizer PAP Connect
6. Upload your eligibility documents directly
7. Track your application progress online

Option B: Paper Application

1. Complete the enrollment form by hand
2. Have your healthcare provider complete and sign the prescriber section
3. Attach copies of your proof of income and insurance status
4. Mail or fax your completed application to:
   • Mailing Address: Pfizer Patient Assistance Program, P.O. Box 66585, St. Louis, MO 63166-6585
   • Fax: 1-877-548-1734 or 866-470-1748

Step 3: Submit Your Application

• Online: Submit directly through www.PfizerRxPathways.com or Pfizer PAP Connect
• By Phone: Call (866) 706-2400 for assistance
• By Mail/Fax: Use the addresses listed above

Do NOT send medical records or other unrequested documentation, as this may cause your application to be rejected.

Timeline and What to Expect

Processing Time: You will be notified of your enrollment status within 2 to 3 weeks of submitting your application.

If Approved:

• You will receive an approval letter with your enrollment term
• The letter will include instructions on how to receive your Aromasin
• Your medication will be shipped to you or your physician's office
• You may be required to reauthorize your enrollment periodically

If Denied:

• You will receive a denial letter explaining the reason
• You may be able to reapply if your circumstances change
• Consider alternative assistance programs or discussing generic options with your healthcare provider

Medication Delivery

Once approved, your Aromasin will be delivered to either:

• Your home address, or
• Your healthcare provider's office

Your approval letter will specify the delivery method and provide instructions for receiving your medication.

What If Your Application Is Denied?

If you are not approved for the Pfizer Patient Assistance Program, consider these alternatives:

• Reapply: If your financial situation changes, you may reapply
• State Pharmaceutical Assistance Programs: Many states offer programs for uninsured or underinsured residents
• Nonprofit Organizations: Cancer support organizations may offer financial assistance
• Generic Alternatives: Ask your healthcare provider about generic exemestane, which may be more affordable
• Pharmacy Discount Programs: GoodRx, SingleCare, or similar programs may offer discounts
• Manufacturer Coupons: Check Pfizer's website for current coupon offers

Important Reminders

• Reauthorization: You may need to reauthorize your enrollment periodically to continue receiving assistance
• Eligibility Changes: If your insurance status or financial situation changes, notify Pfizer immediately
• Prescription Requirements: You must maintain a valid prescription from your healthcare provider
• Program Changes: Eligibility rules are subject to change at any time

Contact Information

• Website: www.PfizerRxPathways.com
• Phone: (866) 706-2400
• Online Portal: Pfizer PAP Connect at www.pfizerpapconnect.com
• Mailing Address: Pfizer Patient Assistance Program, P.O. Box 66585, St. Louis, MO 63166-6585
• Fax: 1-877-548-1734

Disclaimer

This guide provides general information about the Pfizer Patient Assistance Program for Aromasin. Program eligibility, requirements, and benefits are subject to change without notice. For the most current and complete information, visit www.PfizerRxPathways.com or contact Pfizer directly. This information is not a guarantee of enrollment or assistance. Always consult with your healthcare provider about your treatment options and financial assistance programs.