Lyrica CR

Indicated For

neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia

About This Medication

# Pfizer Patient Assistance Program Patient Guide: How to Get Lyrica CR at Low or No Cost Lyrica CR (pregabalin controlled-release) is a prescription medication used to treat conditions like diabetic nerve pain, post-herpetic neuralgia (nerve pain after shingles), and fibromyalgia. The **Pfizer Patient Assistance Program (PAP)** offers **Lyrica CR at no cost** to eligible patients who are uninsured or underinsured through government programs and meet income guidelines. This guide explains everything you need to know to apply and get started. ## Who Qualifies for the Program? The Pfizer PAP is designed for patients struggling to afford their medications. To qualify, you must: - Be a **legal US resident** (including DC, Puerto Rico, and US Virgin Islands). - Have a valid prescription for **Lyrica CR** from a licensed US healthcare provider. - Meet **income eligibility** (household pre-tax income at or below **300% of the Federal Poverty Level (FPL)**, adjusted for household size). - Be **uninsured** or insured only through a government program (like Medicare, Medicaid, or VA) and unable to afford your out-of-pocket costs. - **Commercially insured patients are not eligible**—this includes employer-sponsored plans or marketplace insurance.[1][6] **Important:** Medicare Part D or Medicare Advantage patients may qualify if enrolled in the Medicare Prescription Payment Plan, haven't met their out-of-pocket maximum (for $0 copay), and attest to inability to afford costs.[2][4] ## About Lyrica CR (Pregabalin CR) **Lyrica CR** is the extended-release form of pregabalin, approved by the FDA for: - **Diabetic peripheral neuropathy** (nerve pain from diabetes). - **Postherpetic neuralgia** (pain after shingles). - **Fibromyalgia** (widespread muscle pain and tenderness). It works by calming overactive nerves in the brain and spinal cord to reduce pain signals. Taken once daily, it provides steady relief compared to immediate-release Lyrica. Common side effects include dizziness, sleepiness, dry mouth, swelling in hands/feet, and blurred vision. Always follow your doctor's instructions and report side effects to your healthcare provider or FDA at 1-800-FDA-1088. Through the Pfizer PAP, eligible patients receive free medication supplies, typically for 1-3 months per shipment, with reauthorization needed annually or as supply ends.[1] ## Income Eligibility Breakdown Eligibility is based on your **total pre-tax household income** (before taxes) compared to **300% of the 2026 Federal Poverty Level (FPL)**. Household size includes you, your spouse/partner, and dependents living with you. Here's a table with approximate 2026 FPL thresholds (FPL updates yearly; confirm exact figures at application via www.PfizerRxPathways.com): | Household Size | 100% FPL (approx.) | **300% FPL Limit (approx.)** | |----------------|--------------------|------------------------------| | 1 (Individual) | $15,060 | **$45,180** | | 2 (Couple) | $20,440 | **$61,320** | | 3 | $25,820 | **$77,460** | | 4 | $31,200 | **$93,600** | | +1 person | +$5,380 | **+$16,140** | **Notes:** Thresholds vary slightly by product and location; Primary Care products like Lyrica CR use 300% FPL. Provide proof like tax returns (1040), W-2s, pay stubs, or SSA-1099. Electronic verification is preferred; otherwise, submit documents.[3][4][7] ## Insurance Requirements - **Uninsured patients**: Fully eligible if income-qualified. - **Government-insured** (Medicare, Medicaid, Tricare, VA): Eligible if you can't afford copays/deductibles after prior authorization (if needed). Medicare patients must enroll in the Prescription Payment Plan and confirm costs.[2][4] - **Commercially insured**: **Not eligible**. Explore copay cards or other Pfizer programs via PfizerRxPathways.com instead.[6] Work with your doctor/pharmacy to understand true out-of-pocket costs post-prior auth. ## Step-by-Step Application Process 1. **Visit PfizerRxPathways.com**: Use the Program Finder, enter "Lyrica CR", and follow instructions.[1][6] 2. **Complete Enrollment**: Use **Pfizer PAP Connect** online (preferred for speed) or download/mail the form. Patient fills personal/financial sections; doctor completes prescription/medical info.[2][5][9] 3. **Gather Documents**: - Completed, signed enrollment form. - **Original Lyrica CR prescription**. - **List of current medications**. - **Income proof** (tax return pages 1-2, W-2s, 3 pay stubs, etc.).[3][7] 4. **Doctor's Role**: Provider signs, provides NPI/license, office contact, and confirms diagnosis/insurance details.[2] 5. **Submit**: Mail/fax (e.g., 1-877-548-1734) or upload online. Call 1-833-956-3376 for help (M-F, 8am-8pm ET).[2] **Tip:** Start online at Pfizer PAP Connect for status tracking.[5][9] ## Timeline and Delivery - **Processing**: 2-3 weeks after submission; you'll get approval/denial notice.[1] - **Delivery**: Free medication shipped to **doctor's office** or **your home** (choose preference).[1] - **Supply**: Typically 90-day supply; track refills online.[9] ## Alternatives if Denied or Ineligible - **Pfizer RxPathways**: Check other Pfizer programs like copay assistance for commercially insured.[6] - **NeedyMeds.org** or **RxAssist.org**: Search generic pregabalin or biosimilars (none currently listed for Lyrica CR). - **State programs**, **manufacturer copay cards**, or **patient access foundations**. - **Generic immediate-release pregabalin**: Cheaper alternative; ask your doctor. - **Contact Pfizer**: 1-833-956-3376 for guidance. ## Reauthorization and Refills **Reauthorization is required** (usually yearly or per supply end). Use PAP Connect for easy refills; resubmit updated income/docs if needed.[1][2][9] ## Disclaimer This guide is for informational purposes based on program details as of 2026. Eligibility/rules can change; always verify at www.PfizerRxPathways.com or by calling Pfizer. Not medical/financial advice—consult your doctor and financial advisor. Pfizer makes no guarantee of approval. Income estimates approximate; use official FPL charts.

Program information last verified: March 25, 2026