Milrinone milrinone heart failure

Indicated For

acute decompensated heart failure

About This Medication

# Pfizer Patient Assistance Program Patient Guide: How to Get **Milrinone** at Low or No Cost This guide explains how uninsured or publicly insured patients can access **milrinone**—a medication used to treat heart failure—for free through the **Pfizer Patient Assistance Program** (PAP), offered by Hospira Inc. (a Pfizer company). It covers eligibility, the drug, application steps, and more to help you get the support you need.[1][2] ## About Milrinone **Milrinone** is an intravenous medication known as a phosphodiesterase inhibitor. It works by relaxing blood vessels and improving the heart's pumping ability, making it a key treatment for short-term management of acute heart failure or decompensated chronic heart failure when other therapies aren't enough. Administered in a hospital or outpatient setting under medical supervision, it's not for long-term home use. Always consult your doctor for personalized advice on its use, risks (like low blood pressure or irregular heartbeat), and monitoring.[2] ## Who Qualifies for the Program? The Pfizer PAP helps patients who can't afford their medications. Key requirements include: - A valid prescription from a U.S.-licensed healthcare provider for outpatient treatment. - U.S. residency (including Puerto Rico and U.S. Virgin Islands). - Age 18 or older. - Uninsured or publicly insured (e.g., Medicare, Medicaid, CHAMPUS/TRICARE, VA) but unable to pay copays or costs. - **Commercially insured patients are not eligible**, even if the drug isn't covered or copays are high.[1][2][9] ## Income Eligibility Income limits are based on household size and Federal Poverty Level (FPL). For primary care products like milrinone, eligibility is typically at or below **300% of FPL**. Exact thresholds vary; call 1-866-706-2400 to confirm your situation. No specific individual/couple/family limits were listed, but here's a general 2026 FPL example at 300% (adjust for current year via HHS guidelines): | Household Size | Annual Income Limit (300% FPL) | |----------------|-------------------------------| | 1 (Individual) | ~$45,180 | | 2 (Couple) | ~$61,320 | | 3 | ~$77,460 | | 4 | ~$93,600 | *Add ~$16,140 per additional person. Provide proof like tax returns, W-2s, or pay stubs. Guidelines can change.[2][3][4][9]* ## Insurance Requirements - **Eligible**: Uninsured or government-insured (Medicare, Medicaid, etc.) unable to afford costs. Medicare Part D patients may need to enroll in the Medicare Prescription Payment Plan first.[2][7][9] - **Not Eligible**: Commercial insurance (job-based, employer plans), even with high copays or denials.[1][2][4] Include copies of insurance cards (front/back) if applicable. Your doctor may need to confirm you've explored all coverage options.[3][10] ## Step-by-Step Application Process 1. **Check Eligibility**: Call **1-866-706-2400** or visit www.PfizerRxPathways.com to use the Program Finder. Enter "milrinone" and follow prompts.[1][9] 2. **Gather Documents**: - Completed enrollment form (patient and doctor sections). - Proof of income (e.g., prior year's tax return pages 1-2, W-2, two recent pay stubs, SSA-1099). - Insurance cards (if publicly insured). - Valid prescription.[2][3] 3. **Complete Application**: Use **Pfizer PAP Connect** online if available for milrinone (upload docs, track status). Or call for manual process. Doctor must sign.[1][5][8] 4. **Submit**: Mail to Pfizer Patient Assistance Program, P.O. Box 66585, St. Louis, MO 63166-6585, or fax 866-470-1748 (with cover page). No medical records needed.[3] 5. **Wait for Approval**: Notified in **2-3 weeks**.[1] ## Timeline and Delivery - Processing: 2-3 weeks for enrollment decision.[1] - Once approved, medication ships free to your **doctor's office or home**.[2] - Refills: May require reapplication or online request via PAP Connect. Check specific duration (often 1-12 months).[4][5][8] ## Alternatives if Denied or Ineligible - **Copay Assistance**: If commercially insured, explore Pfizer Savings Cards or other copay programs via PfizerRxPathways.com (not PAP).[1] - **State Programs**: Check Medicaid, state pharmaceutical aid, or 340B clinics. - **Other Foundations**: Patient Access Network (PAN), HealthWell Foundation, or NeedyMeds.org for heart meds. - **Generic Options**: Discuss milrinone alternatives like dobutamine with your doctor. - **Reapply**: Fix issues (e.g., income proof) and resubmit. Call for guidance.[9] ## Biosimilar Alternatives No biosimilars listed for milrinone.[provided] ## Important Disclaimer This guide is for informational purposes only and based on available program details as of general knowledge. Eligibility rules change; always verify with Pfizer at 1-866-706-2400 or www.PfizerRxPathways.com. Not medical advice—consult your healthcare provider. Pfizer PAP doesn't guarantee approval. Free meds are limited by availability. HIPAA protections apply to submitted info.

Program information last verified: March 30, 2026