Inflectra

Indicated For

Crohn’s Disease, Ulcerative Colitis, Rheumatoid Arthritis, Ankylosing Spondylitis, Psoriatic Arthritis, Plaque Psoriasis

About This Medication

# Pfizer enCompass Co-Pay Assistance Program Patient Guide: How to Get INFLECTRA at Low or No Cost ## About INFLECTRA (Infliximab-dyyb) INFLECTRA is a biosimilar medication used to treat inflammatory conditions including rheumatoid arthritis, Crohn's disease, ulcerative colitis, ankylosing spondylitis, psoriasis, and psoriatic arthritis. As a biosimilar, it works similarly to the original biologic drug but may be more affordable. The Pfizer enCompass Co-Pay Assistance Program helps eligible patients access INFLECTRA by reducing out-of-pocket costs through co-pay support and financial assistance. ## Who Qualifies for This Program To be eligible for the Pfizer enCompass Co-Pay Assistance Program, you must meet ALL of the following criteria: - Have **commercial prescription drug insurance** that covers INFLECTRA - NOT be enrolled in Medicare, Medicaid, or other state or federally funded health insurance programs - NOT be an active duty military member - NOT be a cash-paying patient (you must have insurance) - Be a U.S. resident **Important:** There are no income limits for this program. Your eligibility is based solely on your insurance type, not your income level. ## Insurance Requirements This program is designed exclusively for patients with commercial insurance. The following insurance types are **NOT eligible**: | Insurance Type | Eligible? | |---|---| | Commercial health insurance with prescription drug coverage | Yes | | Medicare (including Medicare Advantage) | No | | Medicaid | No | | TRICARE or VA benefits | No | | State-funded health programs | No | | Self-pay/cash patients | No | Your commercial insurance must cover INFLECTRA for your condition. If you're unsure whether your insurance qualifies, call Pfizer enCompass at 1-844-722-6672 (Monday-Friday, 8 AM-8 PM ET) to verify. ## How to Apply There are multiple ways to enroll in the Pfizer enCompass Co-Pay Assistance Program: ### Option 1: Online Self-Enrollment (Fastest) Visit **www.PfizerCopay.com** and complete the enrollment form directly. Your co-pay card will be activated in real time during enrollment. This option works best if you don't need additional support like benefit verification or prior authorization assistance. ### Option 2: Provider Portal Your healthcare provider can enroll you through the provider portal at **www.pfizerencompassonline.com**. Your provider will complete the enrollment form and submit it to Pfizer enCompass. ### Option 3: Phone Enrollment Call **1-844-722-6672** (Monday-Friday, 8 AM-8 PM ET) to speak with a Pfizer enCompass Access Counselor who can help you enroll and answer questions about the program. ### Option 4: Mail or Fax Your healthcare provider can mail or fax the completed enrollment form to: - **Pfizer enCompass Co-Pay Assistance Program** - **P.O. Box 220040** - **Charlotte, NC 28222** - **Fax: 1-877-847-3291** ## Required Documents When applying, you'll need to provide: - **Proof of commercial insurance** (insurance card or policy information) - **Completed enrollment form** (available online or by mail) - **Patient demographic information** (name, date of birth, contact information) - **Prescription information** (medication name, prescribing provider) If you're applying through your healthcare provider, they may help gather some of this information. ## What Happens After You Apply ### Approval and Co-Pay Card Once approved, you'll receive an approval letter containing your co-pay card numbers. If you enrolled online, your card is activated immediately. Your healthcare provider will also receive notification of your approval. ### Co-Pay Support The program will help reduce your out-of-pocket costs for INFLECTRA. The exact amount of assistance depends on your specific insurance plan and co-pay amount. ### Additional Support Available If you need help with: - **Prior authorization** from your insurance company - **Benefit verification** to understand your coverage - **Insurance appeals** if your claim is denied - **Device and starter kits** (where appropriate) Pfizer enCompass can provide this support at no additional cost. ## Submitting Co-Pay Claims After you receive INFLECTRA, you can submit co-pay claims to get reimbursed for your out-of-pocket costs: ### Timeline for Submission Submit your claim **within 180 days** of the date of service shown on your Explanation of Benefits (EOB). ### How to Submit **Online (Recommended):** Visit **www.PfizerCopay.com** and submit your claim through the portal. **By Fax:** Fax your completed claim form along with your EOB to **1-877-847-3291**. ### What to Include - Completed Pfizer Co-Pay Claim Form (or CMS-1500 or UB-04 form) - Copy of your Explanation of Benefits (EOB) or dated pharmacy receipt - Your patient group number and member ID (from your approval letter) - Your out-of-pocket amount paid for INFLECTRA ### Claim Approval Once your claim is approved, you'll receive a confirmation email notifying you that payment will be sent. ## Timeline and Delivery - **Enrollment:** Immediate (if applying online) to several business days (if mailing/faxing) - **Co-pay card activation:** Real-time upon online enrollment - **Claim processing:** Varies; you'll receive email confirmation when approved - **Reimbursement delivery:** Sent after claim approval (method depends on your submission) ## Program Terms and Renewal This program's terms and offers expire at the end of each calendar year. You'll need to **reauthorize your enrollment annually** to continue receiving co-pay assistance in the following year. Pfizer enCompass will contact you about renewal before your current enrollment expires. ## What If Your Application Is Denied? If you're denied enrollment, possible reasons include: - You don't have commercial insurance - Your insurance is government-funded (Medicare, Medicaid, etc.) - You're a cash-paying patient - Your insurance doesn't cover INFLECTRA **Next steps:** 1. Call Pfizer enCompass at 1-844-722-6672 to understand why you were denied 2. Ask if you qualify for other Pfizer patient assistance programs 3. Explore alternative biosimilars like Remicade (infliximab), which may have different assistance programs 4. Contact your healthcare provider to discuss other treatment options or insurance alternatives ## Alternative Medications If you don't qualify for this program or need additional options, ask your healthcare provider about: - **Remicade (infliximab)** - The original biologic that INFLECTRA is based on; may have its own assistance programs - Other TNF inhibitors or biologic medications for your condition ## Important Disclaimer This guide provides general information about the Pfizer enCompass Co-Pay Assistance Program as of March 2026. Program eligibility, benefits, and terms may change. For the most current and complete information, visit **www.PfizerCopay.com** or call **1-844-722-6672**. Always consult with your healthcare provider and insurance company about your specific coverage and eligibility. This program is not insurance and does not replace your health insurance coverage. ## Contact Information **Pfizer enCompass Co-Pay Assistance Program** - **Phone:** 1-844-722-6672 (Monday-Friday, 8 AM-8 PM ET) - **Website:** www.PfizerCopay.com - **Mailing Address:** P.O. Box 220040, Charlotte, NC 28222 - **Fax:** 1-877-847-3291

Program information last verified: March 30, 2026