BeneFIX

Indicated For

hemophilia B

About This Medication

# Pfizer Patient Assistance Program Patient Guide: How to Get BeneFIX (nonacog alfa) at Low or No Cost BeneFIX (nonacog alfa) is a prescription medication used to control and prevent bleeding episodes in people with hemophilia B, a genetic bleeding disorder where the blood doesn't clot properly. The **Pfizer Patient Assistance Program** offers BeneFIX at no cost to eligible patients who meet specific income, insurance, and residency requirements.[1][3] ## About BeneFIX (nonacog alfa) **BeneFIX** is a recombinant coagulation factor IX product, meaning it's a lab-made version of the clotting protein that people with hemophilia B lack. It's administered via intravenous (IV) injection, either at home or in a clinic, to treat or prevent bleeds. Common uses include on-demand treatment for active bleeds, routine prophylaxis to prevent bleeds, and perioperative management (around surgery). Always follow your doctor's instructions for dosing, which is typically based on your weight, bleed severity, and treatment goal. Side effects may include injection site reactions, headache, or rare allergic responses—discuss risks with your healthcare provider.[3] This guide explains how uninsured or publicly insured patients can access BeneFIX for free through Pfizer's program. It's designed for patients, caregivers, and families navigating financial challenges with specialty medications like this. ## Who Qualifies for the Program? To qualify, you must: - Be 18 years or older (or have a legal representative apply). - Reside in the U.S. or a U.S. territory with a valid U.S. address (proof of citizenship not required).[3][9] - Have a valid prescription from a U.S.-licensed healthcare provider for outpatient use.[3] - Meet income limits: Household income at or below **500% of the Federal Poverty Level (FPL)** for specialty products like BeneFIX (may be up to 600% FPL in some cases).[9] - Be uninsured, publicly insured (e.g., Medicare, Medicaid), or denied coverage by your insurer after appeal. **Commercially insured patients are not eligible.**[2][3][7][10] ## Income Eligibility Breakdown Income eligibility is based on pre-tax annual household income compared to the **Federal Poverty Level (FPL)**, which adjusts yearly. For 2026, use the latest HHS guidelines (check www.aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines for current figures). The program covers up to **500% FPL** for individuals, couples, and families—higher than standard programs. Here's a table with approximate 2026 thresholds (based on 2025 continental U.S. FPL of $15,060 individual / $20,440 couple; add ~3% for inflation—verify exacts): | Household Size | 100% FPL (approx.) | 500% FPL Limit (approx.) | |----------------|---------------------|---------------------------| | 1 (Individual) | $15,500 | **$77,500** | | 2 (Couple) | $21,000 | **$105,000** | | 3 | $26,500 | **$132,500** | | 4 | $32,000 | **$160,000** | | +1 per member | +$5,500 | **+27,500** | *Notes: Alaska/Hawaii have higher FPLs. Include all household income sources (wages, Social Security, pensions). Provide proof like tax returns, W-2s, or paystubs. Varies by product; BeneFIX as a specialty item may qualify up to 600% FPL—confirm during application.[1][2][4][9]* ## Insurance Requirements - **Eligible:** Uninsured, Medicare (Part D/Advantage with Medicare Prescription Payment Plan enrollment), Medicaid, or other government programs. Medicare patients must attest they can't afford costs post-prior authorization.[3][7][9] - **Not Eligible:** Commercial/private insurance (e.g., employer plans). You must exhaust co-pay assistance first if applicable.[2][3][9][10] - If denied by insurer, submit appeal denial proof.[9] ## Step-by-Step Application Process 1. **Check Eligibility:** Visit www.PfizerRxPathways.com, use the Program Finder, enter "BeneFIX". Confirm you qualify.[1][3] 2. **Gather Documents:** - Proof of income (e.g., 1040 tax return pages 1-2, W-2, 2 recent paystubs, SSA-1099).[2][4] - Proof of residency (U.S. address via utility bill, etc.).[3] - Prescription for BeneFIX from your doctor.[3] - Insurance info (front/back of cards; denial letter if applicable).[9][10] 3. **Start Application:** Online preferred via Pfizer PAP Connect (www.pfizerrxpathways.com or papconnect). Create account, upload docs, or download form.[1][5][8] - Doctor completes their section (diagnosis, dosing).[10] - Sign consents, including optional electronic income verification.[2][9] 4. **Submit:** Online upload, mail to P.O. Box 66585, St. Louis, MO 63166-6585, or fax 866-470-1748 / 1-877-548-1734 with cover sheet.[4][10] 5. **Phone Help:** Call (844) 989-4366 for assistance.[program details] ## Timeline and Delivery Expect notification in **2-3 weeks** via letter/email with enrollment status and next steps.[1][4] If approved, medication ships free to your **doctor's office or home** (your choice). Initial supply covers 1-12 months; **reauthorization required** annually or as specified—resubmit income proof.[program details][5] ## Alternatives if Denied - **Appeal:** Contact program at (844) 989-4366; resubmit missing docs.[1] - **Other Programs:** Check NeedyMeds.org, Partnership for Prescription Assistance, or hemophilia orgs like NHF or HFA for co-pay help, state programs. - **Biosimilars/Alternatives:** None listed for BeneFIX.[program details] - **Public Options:** Apply to Medicaid/State Exchange if not done; Medicare Extra Help. - **Manufacturer Savings:** Pfizer Oncology Together or other Pfizer copay cards if commercially insured (but ineligible here).[6] ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility rules change; always verify at www.PfizerRxPathways.com or call (844) 989-4366. Pfizer may request additional info or deny for any reason. Not medical/financial advice—consult your doctor and advisor. Program provided by Pfizer Inc. and Pfizer Patient Assistance Foundation; free meds subject to availability. (Word count: 1028)

Program information last verified: March 30, 2026