Inspra

Indicated For

High blood pressure, heart failure post-MI

About This Medication

# Pfizer Patient Assistance Program Patient Guide: How to Get Inspra (Eplerenone) at Low or No Cost ## About This Program The **Pfizer Patient Assistance Program (PAP)** helps eligible patients access Pfizer medications, including Inspra (eplerenone), at no cost or reduced cost. This program is designed for uninsured and underinsured patients who cannot afford their medications. Inspra is used to treat heart failure and high blood pressure, and this guide will help you understand if you qualify and how to apply. ## What Is Inspra (Eplerenone)? Inspra is a prescription medication that belongs to a class of drugs called aldosterone antagonists. It helps manage heart failure and hypertension by reducing the workload on your heart and helping your body eliminate excess salt and water. Your doctor has determined that Inspra is the right medication for your condition. ## Who Qualifies for This Program? To be eligible for the Pfizer Patient Assistance Program for Inspra, you must meet ALL of the following requirements: **Insurance Status:** You must be **uninsured or government underinsured**. Government underinsured means you have coverage through Medicare, Medicaid, CHAMPUS/TRICARE, or the VA. **Importantly, if you have commercial insurance (insurance through your job or a Federal Employer Plan), you are NOT eligible for this program**, even if your insurance does not cover Inspra. **Income Requirements:** Your household income must be at or below **500% of the Federal Poverty Level (FPL)** for specialty products like Inspra. Some products may qualify at 600% FPL depending on classification. The Federal Poverty Level is adjusted based on your household size. **Other Requirements:** - You must have a valid prescription written by a licensed U.S. healthcare provider - You must be treated in an outpatient setting (not hospitalized) - You must reside in the United States ## Income Eligibility Table Use this table to determine if your household income qualifies at 500% of the Federal Poverty Level: | Household Size | 500% FPL Annual Income Limit | |---|---| | 1 person | ~$32,500 | | 2 people | ~$43,750 | | 3 people | ~$55,000 | | 4 people | ~$66,250 | | 5 people | ~$77,500 | | 6 people | ~$88,750 | *Note: These figures are approximate and based on 2026 Federal Poverty Guidelines. Exact limits may vary. Contact the program at 1-866-706-2400 for current income thresholds.* ## Insurance Requirements Explained **You ARE eligible if you have:** - No insurance at all - Medicare (with or without Part D coverage) - Medicaid - CHAMPUS or TRICARE (military coverage) - VA benefits **You are NOT eligible if you have:** - Commercial insurance from your employer - Insurance through a Federal Employer Plan - Private insurance purchased independently If you have commercial insurance, you may want to explore your insurance company's patient assistance programs or co-pay assistance options instead. ## Step-by-Step Application Process **Step 1: Gather Your Documents** Before you start, collect proof of your household income. You will need ONE of the following: - Previous year's federal tax return (Form 1040 or 1040EZ, pages 1 & 2) - W-2 forms from your employer - Two recent paycheck stubs - Social Security, pension, or railroad retirement statements (SSA-1099 or similar) - Statements of interest, dividends, or other income (1099-INT, 1099-DIV, or similar) **Step 2: Visit the Program Website** Go to **www.PfizerRxPathways.com** and click on the Program Finder. Enter the name of your medication (Inspra) and follow the on-screen instructions. **Step 3: Complete Your Application** For Inspra and many other Pfizer medicines, you can complete your application online through Pfizer PAP Connect. If you are unable to participate online, a fully manual process is available. You will need to: - Provide your personal information (name, date of birth, address) - Provide your household income information - Confirm your insurance status - Provide your prescription details - Sign authorization forms allowing Pfizer to verify your information **Step 4: Have Your Healthcare Provider Submit Information** Your doctor or healthcare provider will need to submit their portion of the application, confirming that you have a valid prescription for Inspra and that it is medically appropriate for you. **Step 5: Submit Your Application** Once you and your healthcare provider have completed all sections, submit your application along with your proof of income documentation through the online portal or by mail/fax as instructed. ## Timeline and What to Expect **Processing Time:** You will be notified of your enrollment status **within 2 to 3 weeks** of submitting your complete application. **If Approved:** You will receive a letter that includes: - Your enrollment term (how long you are approved for) - Instructions on how you will receive your medication - Information about refills and ongoing support **Medication Delivery:** Your Inspra will be shipped directly to your home or to your doctor's office, depending on what you arrange with the program. ## What If Your Application Is Denied? If your application is denied, you have several options: 1. **Review the Reason:** Contact the program at 1-866-706-2400 to understand why you were not approved. Common reasons include exceeding the income limit or having commercial insurance. 2. **Reapply if Circumstances Change:** If your income decreases or your insurance status changes, you may reapply. 3. **Explore Other Assistance:** Ask your healthcare provider about: - Pfizer's co-pay assistance programs (if you have insurance) - State pharmaceutical assistance programs - Non-profit organizations that help with medication costs - Generic alternatives to Inspra 4. **Contact Your Healthcare Provider:** Your doctor may have samples or know of other resources to help you access your medication. ## Important Reminders - **Make copies** of all documents you submit; originals typically will not be returned - **Do not submit** extra materials beyond what is requested - **Keep your contact information current** so the program can reach you - **Eligibility rules may change** at any time, so verify current requirements before applying - **If you have Medicare Part D**, you may be required to enroll in the voluntary Medicare Prescription Payment Plan for certain products before accessing this assistance program ## Contact Information For questions about the Pfizer Patient Assistance Program for Inspra: **Phone:** 1-866-706-2400 **Website:** www.PfizerRxPathways.com **Hours:** Monday–Friday (specific hours available on website) ## Disclaimer This guide provides general information about the Pfizer Patient Assistance Program. Program eligibility, requirements, and benefits are subject to change at any time. For the most current and complete information, visit www.PfizerRxPathways.com or call 1-866-706-2400. This guide is not a guarantee of eligibility or enrollment. Always consult with your healthcare provider about your medication and treatment options.

Program information last verified: March 30, 2026