ELREXFIO

Indicated For

relapsed or refractory multiple myeloma

About This Medication

# Pfizer Oncology Together Patient Guide: How to Get ELREXFIO at Low or No Cost ELREXFIO (elranatamab-bcmm) is a prescription medicine used to treat adults with relapsed or refractory multiple myeloma who have received at least two prior therapies, including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 monoclonal antibody. Pfizer Oncology Together offers financial support programs, including co-pay assistance for commercially insured patients and free medication through the Pfizer Patient Assistance Program (PAP) for uninsured or government-insured patients who qualify based on income.[1][2][5] ## About ELREXFIO ELREXFIO is a bispecific B-cell maturation antigen (BCMA)-directed CD3 T-cell engager given as a subcutaneous injection, typically starting with step-up doses to reduce the risk of cytokine release syndrome (CRS), followed by weekly or biweekly full doses. It's administered in a healthcare setting, often outpatient, and requires careful monitoring for side effects like CRS, neurologic toxicity, and infections. Always follow your doctor's instructions and the Medication Guide provided with your prescription.[1][2] ## Who Qualifies for Financial Assistance? Pfizer provides support **regardless of insurance type** through Patient Access Navigators who connect you to the right resources.[1][2][4] There are two main paths: - **Commercially Insured Patients** (private, employer, or marketplace insurance): Eligible for **co-pay assistance** paying as little as **$0 per treatment**, up to **$25,000 per calendar year** for out-of-pocket costs like co-pays or coinsurance. No income requirements. Not for cash-paying patients.[1] - **Uninsured, Medicare, Medicaid, or Other Government Insurance**: Apply to **Pfizer Patient Assistance Program (PAP)** for **free ELREXFIO**. Must meet income limits (typically **500%-600% of Federal Poverty Level (FPL)** for oncology drugs), have an FDA-approved diagnosis, and exhaust other funding sources first.[5][6] **Patient Access Navigators** offer personalized help, including benefits verification, treatment coordination, and linking to third-party resources.[2][4] ## Income Eligibility Breakdown Income eligibility applies mainly to the Pfizer PAP for uninsured/government-insured patients. Commercial co-pay assistance has **no income limits**.[1][5] Here's a general table based on 2026 FPL guidelines (exact limits vary; confirm with Navigator): | Household Size | 500% FPL (Annual Income) | 600% FPL (Annual Income) | |----------------|---------------------------|---------------------------| | 1 Person | ~$73,000 | ~$87,600 | | 2 People | ~$98,400 | ~$118,080 | | 3 People | ~$123,800 | ~$148,560 | | 4 People | ~$149,200 | ~$179,040 | *Notes: Add ~$25,200-$30,240 per additional person. FPL adjusts yearly. Commercially insured: No income check needed. Apply for all other aid first; denials may be required.[3][5]* ## Insurance Requirements - **Commercial/Private Insurance**: Eligible for co-pay card; covers ELREXFIO costs only (not admin fees).[1] - **Medicare/Medicaid**: Not eligible for co-pay assistance but may qualify for PAP if income-eligible and no other resources available. Navigators help with Extra Help or other options.[2][5][6] - **Uninsured**: PAP eligible if income-qualified. Navigators verify benefits and identify coverage gaps.[2][4] ## Step-by-Step Application Process 1. **Contact Pfizer Oncology Together**: Call **1-877-744-5671** (Mon-Fri 8 AM-8 PM ET) or visit **PfizerOncologyTogether.com** to speak with a **Patient Access Navigator**.[1][2] 2. **Enroll**: Use the online Enrollment Form for Injectables at **PfizerOncologySignUp.com/injectable** or have your doctor complete it. Opt into Patient Access Navigator support.[2] 3. **Benefits Check**: Navigator verifies insurance, estimates costs, and matches you to programs.[2][4] 4. **For Co-Pay Assistance**: Commercially insured patients get instant access to savings card (up to $25,000/year).[1] 5. **For PAP (Free Meds)**: - Search third-party resources at **pfizerrxpathways.com** (enter drug, diagnosis, insurance, income).[3] - Apply/exhaust other funds; get denial letters if needed.[3][5] - Submit PAP app online via Pfizer PAP Connect or manually through doctor.[5] 6. **Submit Docs**: Proof of income (tax returns, pay stubs), insurance denial letters, prescription, diagnosis proof.[3][5] Your Navigator guides you every step.[4] ## Timeline and Delivery - **Co-Pay Activation**: Immediate upon eligibility confirmation.[1] - **PAP Processing**: 2-3 weeks for enrollment decision.[5] - **Delivery**: Free meds shipped to doctor's office or home via PAP. Navigators coordinate site-of-care logistics, transport, or lodging if needed (via third parties).[4] For first 6 months, dedicated regional Navigator provides extra support like appointment reminders.[4] ## Alternatives if Denied or Additional Help - **Third-Party Funds**: Navigators search copay/support options via Pfizer RxPathways.[3] - **Appeal PAP**: Provide more docs or reapply.[5] - **Other Resources**: Medicare Extra Help, state programs, patient advocacy groups for transport/nutrition/workplace support.[4][6] - **Biosimilars**: None currently available for ELREXFIO.[ ] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Eligibility, terms, and benefits can change. Pfizer programs have limits/conditions; not valid where prohibited. Consult your doctor, Navigator (1-877-744-5671), or visit sites for latest details. Not a substitute for professional medical/financial advice.

Program information last verified: March 30, 2026