Foscavir

Indicated For

CMV retinitis in AIDS, acyclovir-resistant CMV

About This Medication

# Pfizer Patient Assistance Program Guide: How to Get Foscavir at Low or No Cost ## About This Program The **Pfizer Patient Assistance Program** is a joint initiative of Pfizer Inc. and the Pfizer Patient Assistance Foundation that has helped U.S. patients access their medications for over 30 years. This program provides **free Foscavir (foscarnet sodium injection)** to eligible patients who are uninsured or underinsured and cannot afford their prescribed medication. In 2024 alone, the program provided over 351,000 prescriptions to more than 44,000 patients at no cost. ## About Foscavir (Foscarnet Sodium Injection) Foscavir is an antiviral medication used to treat certain viral infections, particularly in immunocompromised patients. As an injectable medication, it requires careful medical supervision and is typically administered in outpatient settings under healthcare provider guidance. The cost of this specialty medication can be substantial, making patient assistance programs essential for many patients who need this treatment. ## Who Qualifies for Assistance To be eligible for the Pfizer Patient Assistance Program for Foscavir, you must meet ALL of the following requirements: - **Have a valid prescription** written by a U.S. licensed healthcare provider for an FDA-approved indication - **Be treated in an outpatient setting** (not hospitalized) - **Be uninsured or government-insured** (see insurance requirements below) - **Meet income guidelines** based on your household size - **Provide proof of income** documentation ### Income Eligibility Foscavir is classified as a **Specialty product** in the Pfizer Patient Assistance Program. Specialty medications have higher income thresholds than primary care products to account for the serious nature of conditions they treat. | Household Size | Maximum Annual Income (500% FPL) | Maximum Annual Income (600% FPL) | |---|---|---| | 1 person | ~$68,750 | ~$82,500 | | 2 people | ~$92,750 | ~$111,300 | | 3 people | ~$116,750 | ~$140,100 | | 4 people | ~$140,750 | ~$168,900 | | Each additional person | +$24,000 | +$28,800 | *Note: Income thresholds are based on 500% or 600% of the Federal Poverty Level (FPL) and are subject to change. These figures are approximate and based on 2026 guidelines. Contact Pfizer for current exact thresholds.* ## Insurance Requirements **You are eligible if you are:** - Uninsured (have no health insurance) - Government-insured through Medicare, Medicaid, CHAMPUS/TRICARE, or Veterans Affairs - Unable to afford your out-of-pocket prescription costs even with insurance **You are NOT eligible if you have:** - Commercial insurance (insurance through an employer, Federal Employer Plan, or private marketplace) - Any form of private health insurance, regardless of your out-of-pocket costs **Special Medicare Requirement:** If you have Medicare Part D or Medicare Advantage coverage, you must first enroll in the voluntary **Medicare Prescription Payment Plan** before applying for Pfizer assistance. You can enroll during Medicare Open Enrollment (beginning October 15 each year) or at any time during the plan year. ## How to Apply ### Step 1: Gather Required Documents Before starting your application, collect the following: - Your valid prescription for Foscavir from your healthcare provider - Proof of income (choose one): - Recent paycheck stub - W2 form from your employer - Prior year's tax return - Other income documentation - Proof of citizenship or legal residency (if applicable) - Insurance information (if applicable) ### Step 2: Contact Pfizer or Your Healthcare Provider You have two options to begin the application process: **Option A: Work with Your Healthcare Provider** - Your doctor's office can submit the enrollment form on your behalf - This is the traditional method and is available for all Foscavir patients - Your provider will submit the completed form along with your documentation **Option B: Online Application (if available)** - For certain Pfizer medications, you may be able to apply online through **Pfizer PAP Connect** at www.PfizerPAPConnect.com - Check if Foscavir is available through this online option - If not available online, you must use the manual process through your healthcare provider ### Step 3: Submit Your Application **By Phone:** - Call **1-844-989-PATH (7284)** to speak with a Pfizer Medicine Access Counselor - Available Monday-Friday, 8:00 AM to 9:00 PM Eastern Time - A counselor can answer questions and help guide you through the process **By Mail or Through Your Provider:** - Your healthcare provider can submit the enrollment form directly to Pfizer - Include all required documentation with your application - Ensure the form is completed fully and accurately ### Step 4: Wait for Approval After submitting your application, Pfizer will review your information and notify you of your enrollment status within **2 to 3 weeks**. ## Timeline and Medication Delivery - **Application Processing:** 2-3 weeks from submission - **Notification:** You will be notified of your approval or denial status - **Delivery Method:** Approved patients receive free Foscavir through their doctor's office or delivered to their home, depending on the program structure - **Ongoing Support:** Once enrolled, you may be able to request refills for your PAP medications ## What Happens If Your Application Is Denied If you are denied assistance, you have several options: - **Request clarification** from Pfizer about the reason for denial - **Reapply** if your circumstances change (income, insurance status, etc.) - **Explore other assistance options:** - Contact **Pfizer Oncology Together** at 1-877-744-5675 (Monday-Friday, 8 AM-8 PM ET) for additional financial assistance resources - Ask your healthcare provider about alternative medications or generic options - Contact your state's pharmaceutical assistance program - Reach out to disease-specific organizations that may offer additional support ## Reauthorization and Ongoing Enrollment Your enrollment in the Pfizer Patient Assistance Program is not permanent. You must: - **Notify Pfizer immediately** if your insurance or financial status changes - **Notify Pfizer immediately** if Foscavir is no longer medically necessary for your treatment - **Expect periodic reauthorization** requests to verify continued eligibility - **Maintain contact** with your healthcare provider to ensure your prescription remains active Pfizer reserves the right to change or cancel this program at any time and may terminate your enrollment if you no longer meet eligibility requirements. ## Biosimilar Alternatives If you are unable to access Foscavir through the Pfizer Patient Assistance Program, ask your healthcare provider about **Fresenius Kabi foscarnet sodium injection**, a biosimilar alternative. Your provider can discuss whether this alternative is appropriate for your medical condition and may have separate assistance programs available. ## Important Disclaimer This guide provides general information about the Pfizer Patient Assistance Program for Foscavir. Program details, eligibility requirements, income thresholds, and terms are subject to change at any time without notice. Completing an enrollment form does not guarantee approval. Pfizer will verify all information provided and may request additional documentation. For the most current and complete information, visit **www.PfizerRxPathways.com** or call **1-844-989-PATH (7284)**. Your healthcare provider can also provide program details and assistance with the application process. *This guide is for informational purposes only and does not constitute medical advice. Always consult with your healthcare provider about your treatment options and medication access.*

Program information last verified: March 30, 2026