Lorbrena

Indicated For

non-small cell lung cancer

About This Medication

# Pfizer Patient Assistance Program Guide: How to Get Lorbrena at Low or No Cost ## About This Program If you've been prescribed Lorbrena (lorlatinib) to treat non-small cell lung cancer and are struggling to afford your medication, the **Pfizer Patient Assistance Program** may be able to help. This program provides Lorbrena at no cost or reduced cost to eligible patients who meet specific income and insurance requirements. ## About Lorbrena (Lorlatinib) Lorbrena is a prescription medication used to treat non-small cell lung cancer (NSCLC), particularly in patients with ALK (anaplastic lymphoma kinase) mutations. As an ALK inhibitor, it works by blocking cancer cells from growing and dividing. Because this is a specialized cancer medication, it can be very expensive—making assistance programs essential for many patients. ## Who Can Apply? You may qualify for the Pfizer Patient Assistance Program if you meet **all** of the following criteria: ### Income Eligibility Your household income must be at or below **400% of the Federal Poverty Level (FPL)**. The maximum income limits based on household size are: | Household Size | Maximum Annual Income | |---|---| | 1 person | $75,000 | | 2 people | $101,000 | | 3 people | $127,000 | | 4 people | $153,000 | | 5 people | $179,000 | | 6 people | $205,000 | | 7 people | $231,000 | | 8 people | $257,000 | *Note: For each additional family member, add approximately $26,000* ### Insurance Requirements You must fall into one of these categories: - **Uninsured** (no health insurance coverage) - **Government insured** only (Medicare or Medicaid) - **Commercially insured** patients are **not eligible** for this program **Important:** If you have other resources available (such as insurance coverage or other assistance programs), those must be exhausted or formally denied before you can receive help through this program. ## What You'll Need to Apply Before starting your application, gather the following documents: 1. **Proof of Income** - Recent tax return, pay stubs, or Social Security statement - Proof of unemployment benefits (if applicable) - Bank statements or other financial documentation 2. **Proof of Residency** - Utility bill, lease agreement, or mortgage statement - Must be dated within the last 3 months 3. **Valid Prescription** - Current prescription for Lorbrena from your oncologist - Can be submitted as a copy or electronically by your doctor 4. **Insurance Denial (if applicable)** - If you have insurance that denied coverage, you'll need written proof of the denial - This helps the program confirm other resources have been exhausted ## How to Apply The Pfizer Patient Assistance Program offers multiple application methods for your convenience: ### Method 1: Online Application Visit **https://www.pfizerrxpathways.com** to complete your application directly on their secure website. This is often the fastest method. ### Method 2: Phone Application Call **1-877-744-5675** to speak with a program representative. They can guide you through the application process over the phone and answer any questions. This is helpful if you need assistance or prefer to apply verbally. ### Method 3: Paper Application You can also request a paper application form be mailed to you by calling the number above. Complete it, gather your required documents, and submit by mail. ## Step-by-Step Application Process 1. **Choose Your Application Method** – Select online, phone, or paper based on your preference 2. **Gather Your Documents** – Collect all required proof of income, residency, prescription, and insurance information 3. **Complete the Application** – Provide accurate information about your household size, income, insurance status, and medical condition 4. **Submit Your Documents** – Include copies (not originals) of all required documentation 5. **Wait for Processing** – The program typically reviews applications within 2-4 weeks 6. **Receive Approval Decision** – You'll be notified by mail, phone, or email about your eligibility status 7. **Start Receiving Medication** – Once approved, Lorbrena will be shipped either directly to you or to your doctor's office ## Timeline and Medication Delivery **Processing Time:** Your application will be reviewed within **2-4 weeks** of submission. During busy periods, it may take toward the longer end of this range. **Delivery Options:** - Medication can be shipped directly to your home - Alternatively, it can be sent to your physician's office for pickup You'll receive information about your shipment and tracking details once your application is approved. ## Annual Reauthorization This program requires **annual reauthorization**. This means you'll need to reapply once per year to continue receiving assistance. The program will contact you when it's time to renew, and the process is usually faster than the initial application. ## Additional Savings Resources Even if you don't qualify for the patient assistance program, other options may be available: ### Lorbrena Savings Card Pfizer offers a savings card program that may help reduce your out-of-pocket costs if you have commercial insurance. Visit **https://www.lorbrena.com/personalized-support** to learn more and download a savings card. ### Clinical Trials Ask your oncologist if you're eligible for any clinical trials involving Lorbrena. Participating in a trial provides the medication at no cost. ### Hospital Financial Assistance Many cancer treatment centers have financial assistance programs. Ask your oncology office about available resources. ### Non-Profit Organizations Organizations like CancerCare, Patient Advocate Foundation, and other cancer charities may offer additional financial assistance. ## What If Your Application Is Denied? If you don't qualify initially, here's what you should do: 1. **Ask Why** – Contact the program to understand the specific reason for denial 2. **Verify Information** – Ensure all income and insurance information was correct 3. **Explore Alternatives** – Ask about the savings card or other company programs 4. **Contact Your Doctor** – Your oncology team may have access to additional resources or programs 5. **Seek Other Assistance** – Look into non-profit organizations or hospital financial assistance programs ## Questions to Ask Your Healthcare Provider When discussing this program with your oncologist or healthcare team: - "Can you help submit my prescription for the patient assistance program?" - "Are there other medication assistance programs I should know about?" - "Do you have any resources to help with the application?" - "If this program denies me, what other options are available?" ## Privacy and Confidentiality Your information is protected and kept confidential. The program operates under strict privacy guidelines and will not share your personal or financial information without your consent. ## Legal Disclaimer This guide provides general information about the Pfizer Patient Assistance Program for Lorbrena. Program eligibility, requirements, and benefits are subject to change without notice. For the most current and complete information, please visit **https://www.pfizerrxpathways.com** or call **1-877-744-5675**. This information is not a substitute for professional medical or financial advice. Always consult with your healthcare provider or a financial counselor if you have questions about your specific situation.

Program information last verified: March 25, 2026