Duavee

Indicated For

menopause

About This Medication

# Pfizer Patient Assistance Program Patient Guide: How to Get Duavee at Low or No Cost Duavee (conjugated estrogens/bazedoxifene) is a prescription medication used to treat moderate to severe hot flashes associated with menopause and to help prevent postmenopausal osteoporosis in women at high risk for fracture who cannot take other osteoporosis medications.[1][10] The **Pfizer Patient Assistance Program** offers eligible patients free Duavee if they meet income, residency, and insurance criteria, making it accessible for those struggling with costs.[1][2][7] ## Who Qualifies for the Program? This program targets **uninsured or underinsured patients** who cannot afford their Pfizer medications, including Duavee.[1][2][7] Key eligibility factors include: - Residing in the US, Puerto Rico, or US Virgin Islands with a valid US address (proof of citizenship not required).[2] - Having a valid prescription from a US-licensed healthcare provider for outpatient use.[2] - Meeting income guidelines based on household size (specific Federal Poverty Level percentage not publicly detailed, but proof of income is reviewed case-by-case).[1][2][9] - **Insurance status**: No commercial insurance; Medicare Part D patients must enroll in the voluntary Medicare Prescription Payment Plan.[1][2] Patients treated at participating federally qualified health centers, disproportionate share hospitals, or free clinics may qualify under the Pfizer Institutional Patient Assistance Program if at or below 300% FPL, uninsured, and registered outpatients.[2] ## About Duavee **Duavee** combines conjugated estrogens (hormones to ease menopause symptoms) with bazedoxifene (a selective estrogen receptor modulator that protects the uterus without needing progestin).[10] It's indicated for: - **Vasomotor symptoms**: Reducing hot flashes and night sweats.[10] - **Osteoporosis prevention**: In high-risk postmenopausal women when other treatments aren't suitable.[10] Common side effects include muscle spasms, nausea, dizziness, and neck pain. Always consult your doctor for personalized advice. This program helps ensure access without financial burden for eligible patients.[7][10] ## Income Eligibility Breakdown Exact income thresholds are not publicly specified and vary by household; applications are evaluated individually.[1][2][9] Provide proof like tax returns, W-2s, or pay stubs.[2][3] For reference, here's a general table based on 2026 Federal Poverty Levels (FPL) – note program uses undisclosed %FPL, potentially up to 300-400% in some cases: | Household Size | 200% FPL | 300% FPL | 400% FPL | |---------------|----------|----------|----------| | 1 person | $30,120 | $45,180 | $60,240 | | 2 people | $40,880 | $61,320 | $81,760 | | 3 people | $51,640 | $77,460 | $103,280| | 4 people | $62,400 | $93,600 | $124,800| *Add ~$10,760 per person for larger families at 200% FPL. Contact program for your situation.*[2] ## Insurance Requirements - **Uninsured/underinsured**: Primary candidates.[1][2][7] - **Commercially insured**: Not eligible.[2] - **Medicare Part D**: Eligible if enrolled in the voluntary Prescription Payment Plan (enroll Oct 15, 2025+ via medicare.gov).[1][2] - Medicaid-eligible patients may need to apply first for temporary aid.[2] ## Step-by-Step Application Process 1. **Check eligibility**: Visit www.PfizerRxPathways.com, enter "Duavee," and use the Program Finder.[1][7] 2. **Gather documents**: - Proof of income (W-2, tax return pages 1-2, pay stubs, SSA-1099).[2][3][8] - Proof of residency (US address).[2] - Valid prescription.[2] - Insurance info (or proof of none).[1] 3. **Apply**: - **Online**: Use Pfizer PAP Connect to complete, upload docs, track status.[1][4] - **Phone**: Call (866) 706-2400 for forms/help.[1][2][7] - **Mail/Fax**: Send to P.O. Box 66585, St. Louis, MO 63166-6585 or fax 866-470-1748.[3] Doctor completes/signs medical necessity section.[3][9] 4. **Submit**: Patient and prescriber sign enrollment form.[2][3] ## Timeline and Delivery Expect notification in **2-3 weeks**.[1][3] If approved, receive enrollment letter with term (typically 1 year, reauthorization needed) and shipment details.[1][3][9] Medication ships free to your home or doctor's office.[1] ## Alternatives if Denied - **Pfizer Co-Pay Card**: For commercially insured (not Medicare), pay $30-50/month via Duavee.com.[7] - **Pfizer Bridge Program**: Temporary aid for uninsured/underinsured.[9] - **State programs/Medicaid**: Apply if eligible.[2] - **RxAssist.org** or **RxHope.com** for other Duavee aid.[5][9] - Generic alternatives or therapeutic switches (e.g., other HRT); discuss with doctor. ## Disclaimer This guide is for informational purposes based on available sources as of 2026. Eligibility/rules change; confirm at PfizerRxPathways.com or (866) 706-2400. Not medical/financial advice – consult healthcare provider. Pfizer not liable for application outcomes.[1][2]

Program information last verified: March 29, 2026