BeneFIX
Generic: nonacog alfa
Manufacturer: Pfizer · Program: Pfizer Hemophilia Connect Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured patients or those on Medicare/Medicaid
Residency
US resident or Puerto Rico resident
Individual Income Limit
$25,000/year
Patient must have no insurance and income at or below $25,000 if single or $40,000 for a family
Program Information
Processing Time
4–8 weeks
Delivery Method
shipped to patient or physician office
Application Method
Phone
Reauthorization
Required — 90 days
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Enrollment form
- Valid prescription
Indicated For
Hemophilia B
About This Medication
# Pfizer Hemophilia Connect Guide: Getting BeneFIX at Low Cost ## What is BeneFIX? BeneFIX (nonacog alfa) is a prescription medication used to treat Hemophilia B, a bleeding disorder where the body doesn't produce enough clotting factor IX. This guide explains how to access BeneFIX affordably through Pfizer's patient assistance program. ## About the Pfizer Hemophilia Connect Program The Pfizer Hemophilia Connect Patient Assistance Program helps eligible patients access BeneFIX at reduced or no cost. This program is designed for uninsured patients and those with Medicare or Medicaid coverage who may struggle to afford their medication. ## Eligibility Requirements ### Income Limits Your household income must fall within these guidelines: - **Individual**: Up to $25,000 per year - **Note**: Income limits may vary based on household size and specific circumstances. Contact the program directly for your exact eligibility threshold. ### Insurance Status You qualify if you are: - **Uninsured** (have no health insurance) - **On Medicare** (with or without supplemental coverage) - **On Medicaid** (state or federal) If you have private commercial insurance, you may still qualify depending on your circumstances. Call the program to discuss your situation. ### Citizenship You must be a U.S. resident to participate. ## What You'll Need to Apply Before calling, gather these documents: 1. **Enrollment form** (provided by the program) 2. **Valid prescription** from your doctor for BeneFIX 3. **Proof of income** (recent tax return, pay stub, or benefit statement) 4. **Proof of insurance status** (Medicare card, Medicaid card, or letter confirming uninsured status) 5. **Identification** (driver's license or state ID) ## How to Apply: 4 Simple Steps ### Step 1: Call the Program Contact Pfizer Hemophilia Connect at **(844) 989-4366**. A representative will answer your questions and confirm you meet basic requirements. ### Step 2: Complete Your Application The program will send or provide an enrollment form. Complete it with your: - Personal information - Income details - Insurance information - Prescription details You can apply entirely by phone—no need to mail documents unless requested. ### Step 3: Submit Documentation Provide your valid prescription and income/insurance verification to the program. You can fax, mail, or submit documents online through their website at https://www.pfizerhemophiliasupport.com/benefix. ### Step 4: Receive Your Medication Once approved, BeneFIX will be shipped to you or your healthcare provider. The program will provide instructions on how to access your medication. ## Timeline and Reauthorization - **Approval time**: Most applications are processed within 5-7 business days - **Program reauthorization**: Required every 90 days to continue receiving assistance - **Refill reminders**: The program will contact you before your authorization expires ## Savings Card Option Even if you don't qualify for full assistance, Pfizer offers a **savings card** that may reduce your out-of-pocket costs for BeneFIX. Ask about this when you call. ## Important Notes - **No biosimilars available**: Currently, there are no biosimilar alternatives to BeneFIX covered under this program. - **Doctor involvement**: Your healthcare provider must provide a valid prescription. The program can work directly with your doctor's office to obtain this. - **Confidentiality**: All information you provide is kept confidential and used only for program eligibility determination. - **No cost to you**: There is no application fee to participate. ## Next Steps 1. **Call today**: (844) 989-4366 2. **Visit online**: https://www.pfizerhemophiliasupport.com/benefix 3. **Gather documents**: Have your prescription and income information ready 4. **Start treatment**: Receive affordable access to BeneFIX ## Need Help? If you have questions about eligibility, the application process, or your status, the Pfizer Hemophilia Connect team is ready to help. Representatives can answer questions about your specific situation and guide you through each step.
Program information last verified: March 25, 2026
Ready to apply for BeneFIX assistance?
ProvisionRX manages the complete application process. Start your application in about 15 minutes.