Inlyta

Indicated For

renal cell carcinoma

About This Medication

# Pfizer Patient Assistance Program Guide: How to Get Inlyta at Low or No Cost ## About This Guide If you've been prescribed Inlyta (axitinib) to treat renal cell carcinoma and are concerned about the cost, you may qualify for free or reduced-price medication through the Pfizer Patient Assistance Program. This guide will help you understand the program, determine your eligibility, and apply. ## What Is Inlyta? Inlyta is a prescription medication used to treat renal cell carcinoma, a type of kidney cancer. It works by blocking certain proteins that help cancer cells grow and spread. Your doctor has determined that this medication is an important part of your treatment plan. ## About the Pfizer Patient Assistance Program The Pfizer Patient Assistance Program (part of Pfizer Oncology Together) is a free program designed to help patients who cannot afford their medications. Pfizer provides Inlyta at no cost or at reduced cost to eligible patients, regardless of insurance status. ## Who Can Apply? You may be eligible for this program if: - You are a U.S. resident - You have a valid prescription for Inlyta from your doctor - You are **uninsured** OR - You have **government insurance** (Medicare or Medicaid) AND do not qualify for other assistance programs - **Note:** If you have commercial insurance, you are not eligible for this program, but you may qualify for the Inlyta Savings Card (see "Other Financial Assistance Options" below) ## Income Eligibility To qualify, your household income must be at or below 400% of the Federal Poverty Level (FPL). Use this table to determine your eligibility: | Household Size | Maximum Annual Income | |---|---| | 1 person | $75,000 | | 2 people | $101,200 | | 3 people | $127,400 | | 4 people | $153,600 | | 5 people | $179,800 | | 6 people | $206,000 | | 7 people | $232,200 | | 8 people | $258,400 | *Note: For households larger than 8, add $26,200 for each additional person.* **Your household income** includes all income from all household members, including wages, self-employment income, Social Security, pensions, disability payments, and child support. ## What You'll Need to Apply Gather these documents before applying: 1. **Proof of Income** — Recent pay stubs, tax returns, Social Security statements, pension statements, or unemployment documentation 2. **Proof of Residency** — Utility bill, lease agreement, or mortgage statement with your current address (must be dated within the last 60 days) 3. **Prescription** — A copy of your Inlyta prescription from your doctor 4. **Insurance Information** — If applicable, information about your current insurance status ## How to Apply The Pfizer Patient Assistance Program accepts applications through multiple methods: ### Method 1: Online Application Visit **https://www.pfizeroncologytogether.com/patient** to complete the online application. This is the fastest and most convenient option. ### Method 2: Mail or Phone If you prefer to apply by mail or phone, contact your healthcare provider or social worker, who can help you submit an application or direct you to the appropriate contact method. ### Step-by-Step Application Process 1. **Gather your documents** — Collect all items listed in the "What You'll Need to Apply" section above 2. **Complete the application** — Provide accurate information about your household size, income, residency, and insurance status 3. **Submit your documents** — Upload copies of your supporting documents according to the application method you choose 4. **Provide prescription information** — Include your doctor's name, contact information, and a copy of your Inlyta prescription 5. **Submit** — Review your application for completeness and submit 6. **Wait for approval** — See timeline below ## Timeline and Delivery **Processing Time:** Your application will typically be reviewed and processed within **2-4 weeks**. You will receive notification of approval or denial by mail or email. **Delivery:** Once approved, your medication will be **shipped directly to you** or to your pharmacy, depending on the program's instructions. You will not need to pay for shipping. ## After You're Approved ### Getting Your Refills Once approved, you may be able to receive additional refills through the program. Follow the instructions provided in your approval letter. ### Annual Reauthorization Required You must **reauthorize your enrollment each year**. Pfizer will contact you when it's time to reapply. Continue providing proof of income and residency as requested. ## What If Your Application Is Denied? If you're denied due to income or insurance status, you have options: - **Appeal:** You may be able to appeal the decision. Contact Pfizer for information about the appeal process. - **Inlyta Savings Card:** Even if you don't qualify for the patient assistance program, you may qualify for the Inlyta Savings Card, which can reduce your out-of-pocket costs. Visit **https://www.inlyta.com/financial-assistance** - **Other Resources:** Ask your doctor's office about other financial assistance programs, state-specific programs, or clinical trials - **Patient Advocacy Organizations:** Organizations like the National Association for Prostate Cancer Awareness, American Cancer Society, or CancerCare may offer additional financial support ## Other Financial Assistance Options ### Inlyta Savings Card If you have commercial insurance and don't qualify for the patient assistance program, you may be eligible for the **Inlyta Savings Card**. This card can significantly reduce your copay or out-of-pocket costs. **Learn more:** Visit https://www.inlyta.com/financial-assistance ## Important Reminders - **Be honest:** Provide accurate information on your application. Fraud can result in program termination and legal consequences. - **Keep documents:** Save copies of your application, approval letter, and reauthorization reminders. - **Update information:** If your income, address, or insurance status changes, notify the program immediately. - **Work with your doctor:** Your healthcare provider's office can often assist with applications and appeals. - **Ask for help:** If you're unsure about anything, ask your doctor, nurse, social worker, or call your health insurance company's patient advocate. ## Contact and Resources - **Program Website:** https://www.pfizeroncologytogether.com/patient - **Savings Card:** https://www.inlyta.com/financial-assistance - **Your Doctor's Office:** Can provide assistance with applications and paperwork - **Hospital Social Worker or Patient Advocate:** Can help navigate financial assistance options ## Legal Disclaimer This guide provides general information about the Pfizer Patient Assistance Program and is not medical or legal advice. Program eligibility, requirements, and benefits are subject to change. Pfizer reserves the right to modify or terminate the program at any time. For the most current and complete information about program requirements and eligibility, visit the official program website or contact Pfizer directly. This information is not a substitute for professional medical or financial advice. Consult with your healthcare provider or a financial advisor if you have questions about your treatment or financial situation.

Program information last verified: March 25, 2026