CAMPTOSAR
Generic: irinotecan hydrochloride
Manufacturer: Pfizer · Program: Pfizer Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured patients without insurance coverage
Residency
US resident
Income Threshold
Up to 500% FPL
At or below 500% of the Federal Poverty Level, adjusted for family size
Program Information
Processing Time
2–8 weeks
Delivery Method
shipped to patient
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- proof of income
- proof of residency
- prescription
Indicated For
colorectal cancer
About This Medication
# Pfizer Patient Assistance Program Patient Guide: How to Get CAMPTOSAR (irinotecan hydrochloride) at Low or No Cost CAMPTOSAR (irinotecan hydrochloride) is a chemotherapy medication used to treat certain types of cancer, such as colorectal cancer. The **Pfizer Patient Assistance Program** offers this drug at no cost to eligible uninsured or underinsured patients who meet income guidelines and other criteria.[1][5] ## About CAMPTOSAR (Irinotecan Hydrochloride) **CAMPTOSAR** is an injectable chemotherapy drug manufactured by Pfizer. It works by interfering with cancer cell growth, specifically targeting enzymes called topoisomerases that help DNA unwind during cell division. Doctors prescribe it for advanced colorectal cancer, often in combination with other treatments like 5-fluorouracil and leucovorin. It's administered in a hospital or clinic setting via intravenous infusion. Common side effects include diarrhea (which can be severe), nausea, vomiting, low blood cell counts, fatigue, and hair loss. Your doctor will monitor you closely and may prescribe supportive medications to manage these. Always follow your healthcare provider's instructions, as this guide does not replace medical advice.[5] ## Who Qualifies for the Program? The Pfizer Patient Assistance Program helps patients who cannot afford their Pfizer medications. Key eligibility requirements include: - **Residency**: You must live in the U.S. or a U.S. territory with a valid U.S. address. Proof of residency is required—no U.S. citizenship proof needed.[5] - **Age and Treatment**: 18 years or older, with a valid prescription from a U.S.-licensed healthcare provider for outpatient use.[5][8] - **Insurance Status**: Uninsured or underinsured without coverage for CAMPTOSAR. **Commercially insured patients are not eligible**. Medicare Part D or Advantage patients may qualify if they cannot afford costs after exhausting other options, like enrolling in the Medicare Prescription Payment Plan.[5][6][8] - **Income**: Household income at or below **500% of the Federal Poverty Level (FPL)**, adjusted for family size.[8] - **Diagnosis**: An FDA-approved diagnosis is typically required.[3][9] Patients must attest they cannot afford the medication and may need to try other assistance first.[6] ## Income Eligibility Breakdown Eligibility is based on pre-tax annual household income ≤ **500% FPL**. Use the table below for 2026 guidelines (FPL updates annually; check www.PfizerRxPathways.com for latest).[1] | Household Size | Max Annual Income (500% FPL) | |----------------|------------------------------| | 1 (Individual) | $75,300 | | 2 (Couple) | $101,500 | | 3 | $127,600 | | 4 | $153,800 | | +1 per member | +$26,200 | *Notes*: Include all household income sources. Provide proof like tax returns, W-2s, or pay stubs. Electronic verification is optional.[3][4] ## Insurance Requirements - **Uninsured**: Fully eligible if other criteria met.[5] - **Underinsured/Government Insurance**: Qualify if no coverage for CAMPTOSAR or denied after appeal. Medicare patients must document enrollment in the Payment Plan and attest inability to pay.[6][8] - **Commercial Insurance**: **Not eligible**—use co-pay programs first.[3][5][9] Include insurance cards (front/back) if applicable.[8] ## Step-by-Step Application Process 1. **Check Eligibility**: Visit www.PfizerRxPathways.com, enter "CAMPTOSAR," and use the Program Finder.[1][5] 2. **Gather Documents**: - Proof of income (e.g., 1040 tax return pages 1-2, W-2, pay stubs, SSA-1099).[4] - Proof of residency (e.g., utility bill).[program details] - Prescription from your doctor.[program details] - Insurance cards if applicable.[8] 3. **Start Application**: - **Online (Preferred)**: Use Pfizer PAP Connect at pfizerpapconnect.com. New patients create account; upload docs.[2][10] - **Phone**: Call (844) 989-7284 for help or manual process.[program details][1] - **Mail/Fax**: Download form from PfizerRxPathways.com, complete with doctor, mail to P.O. Box 66585, St. Louis, MO 63166-6585 or fax 866-470-1748.[4] 4. **Doctor's Role**: Prescriber completes certification, confirms diagnosis/prescription.[9] 5. **Sign and Submit**: Patient signs attestations; authorize income verification if desired.[3][8] 6. **Track Status**: Via PAP Connect or expect notification in 2-3 weeks.[1][4] Applications support multiple methods.[program details] ## Timeline and Delivery - **Processing**: 2-3 weeks for approval notice.[1][4] - **Delivery**: Medication shipped directly to you (patient's home).[program details] - **Reauthorization**: Required—reauthorize before supply ends via PAP Connect or phone.[program details][2] ## Alternatives if Denied or Ineligible - **Appeal**: Contact program if denied; resubmit docs.[1] - **Other Pfizer Programs**: Pfizer Oncology Together for insured patients (1-877-744-5675).[7] - **Government Aid**: Apply to Medicaid/State Exchange first if uninsured.[5] - **Co-Pay Assistance**: For commercial/Medicare if PAP ineligible.[8] - **Patient Access Network (PAN) Foundation** or NeedyMeds.org for cancer drugs. - **Manufacturer Alternatives**: No biosimilars listed for CAMPTOSAR.[program details] ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility/rules can change—verify at www.PfizerRxPathways.com or call (844) 989-7284. Not medical/financial advice. Consult your doctor/pharmacist. Pfizer not liable for application errors. Word count: 1028.
Program information last verified: March 30, 2026
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