Lyrica

Indicated For

neuropathic pain, fibromyalgia, epilepsy, diabetic neuropathy, postherpetic neuralgia

About This Medication

# Pfizer Patient Assistance Program Guide: How to Get Lyrica at Low or No Cost ## About This Program If you've been prescribed Lyrica (pregabalin) to treat neuropathic pain, fibromyalgia, diabetic peripheral neuropathy, postherpetic neuralgia, or partial onset seizures, but worry about the cost, the Pfizer Patient Assistance Program may be able to help. This program provides free or low-cost Lyrica to eligible patients who cannot afford their medication. ## What is Lyrica? Lyrica is a prescription medication that belongs to a class of drugs called anticonvulsants and anxiolytics. It works by reducing pain signals in the nervous system and is commonly used to treat various types of chronic pain conditions and seizure disorders. While Lyrica can be very effective, it can also be expensive—especially for uninsured or underinsured patients. ## Who Can Apply? You may be eligible for the Pfizer Patient Assistance Program if you meet ALL of the following criteria: **Insurance Status:** - You are uninsured, OR - You have government insurance (such as Medicare or Medicaid) but still cannot afford your medication - **Important:** If you have commercial health insurance, you are NOT eligible for this program. (However, you may qualify for the Lyrica Co-Pay Savings Card—see alternatives below.) **Income Requirements:** Your household income must not exceed 500% of the Federal Poverty Level (FPL). Use the table below to check if you qualify: | Household Size | Maximum Annual Income | |---|---| | 1 person | $30,180 | | 2 people | $40,740 | | 3 people | $51,300 | | 4 people | $61,860 | | 5 people | $72,420 | | 6 people | $82,980 | | 7 people | $93,540 | | 8 people | $104,100 | *Note: For households larger than 8 people, add $10,560 for each additional person.* **Other Requirements:** - You must have a valid prescription for Lyrica from a licensed healthcare provider - You must be a U.S. resident ## What You'll Need to Apply Before you start, gather these documents: 1. **Completed Enrollment Form (Patient Section)** — You'll fill this out with your personal information 2. **Prescriber-Signed Enrollment Form (Prescriber Section)** — Your doctor must complete and sign this part 3. **Original Lyrica Prescription** — Must have your doctor's original signature 4. **Proof of Income** — Recent pay stubs, tax returns, or benefit statements showing your household income 5. **HIPAA Authorization Form** — Allows Pfizer to discuss your health information with your doctor ## Step-by-Step Application Instructions ### Step 1: Get Your Documents Ready Start by asking your doctor's office for the prescriber portion of the enrollment form. They may have it on file or can download it from the Pfizer website. Get a copy of your original prescription with your doctor's signature. Gather your proof of income (last 2 pay stubs, most recent tax return, or benefits statement) and make copies. ### Step 2: Complete Your Section Visit **https://www.pfizerrxpathways.com** and select "Apply Now" for the Lyrica assistance program. Fill out the patient enrollment form with: - Your full name, date of birth, and contact information - Your household size and annual income - Your insurance status (uninsured or government insured) - Your diagnosis and current Lyrica prescription information ### Step 3: Have Your Doctor Complete Their Section Give the prescriber enrollment form to your doctor or their office staff. They'll verify your diagnosis, confirm the prescription details, and sign the form. This usually takes 2-3 business days. ### Step 4: Submit Your Application Online Return to **https://www.pfizerrxpathways.com** and submit: - Your completed patient enrollment form - The signed prescriber form - Scans or clear photos of your proof of income - The signed HIPAA Authorization Form - A copy of your original prescription You can also call the Pfizer Patient Assistance Program at **(866) 706-2400** if you have questions or need to submit by phone. ### Step 5: Wait for Approval Pfizer will review your application and contact you within **2-3 weeks**. If approved, they'll begin shipping your free medication. ## What Happens After Approval? **Medication Delivery:** Once approved, Lyrica will be shipped either directly to your home or to your doctor's office, depending on what you request. You won't pay anything for the medication provided through this program. **Refills and Reauthorization:** You'll need to reauthorize your eligibility **once per year**. Pfizer will contact you when it's time to renew. You may need to resubmit proof of income and updated enrollment forms. ## Timeline Summary - **Application submission:** Same day (online) - **Doctor approval:** 2-3 business days - **Pfizer review:** 2-3 weeks - **Medication delivery:** Usually within 1 week of approval - **Total time from start to receiving medication:** Approximately 3-4 weeks ## What If You're Denied? If your application is denied, ask Pfizer why. Common reasons include: - Income exceeds the 500% FPL threshold - You have commercial insurance (not eligible) - Missing or incomplete documents If denied due to income, explore these alternatives: - **Lyrica Co-Pay Savings Card** (see below) - Ask your doctor about generic pregabalin, which is significantly cheaper - Contact your state pharmaceutical assistance program - Visit **NeedyMeds.org** for additional resources ## Other Ways to Save on Lyrica **Lyrica Co-Pay Savings Card:** If you have commercial insurance or don't qualify for the patient assistance program, you may be eligible for the Lyrica Co-Pay Savings Card. This can reduce your out-of-pocket costs significantly. Learn more at **https://www.lyrica.com/Co-Pay-Savings-Card** **Generic Pregabalin:** Lyrica is now available as a generic medication (pregabalin), which costs much less. Ask your doctor if switching to generic is appropriate for your condition. ## Questions? **Call the Pfizer Patient Assistance Program:** **(866) 706-2400** **Visit online:** **https://www.pfizerrxpathways.com** Pfizer representatives can answer questions about eligibility, help you complete your application, and provide updates on your status. ## Important Legal Notice This guide is provided for informational purposes only and is not a guarantee of program eligibility or approval. Program terms, eligibility requirements, and availability are subject to change. Pfizer reserves the right to modify or discontinue this program at any time. Always verify current eligibility requirements and program details by visiting the official Pfizer Rx Pathways website or calling the program directly. This guide does not constitute medical advice. Please consult with your healthcare provider regarding your medication and treatment.

Program information last verified: March 25, 2026