NORVASC
Generic: amlodipine besylate
Manufacturer: Pfizer · Program: Pfizer Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or publicly insured (Medicare, Medicaid, CHAMPUS/TRICARE, VA). Commercially insured patients not eligible. Medicare Part D/Advantage patients must enroll in Medicare Prescription Payment Plan first.
Residency
US resident
Income Threshold
Up to 300% FPL
Individual Income Limit
$43,740/year
Must be uninsured or publicly insured; commercial insurance ineligible
Program Information
Processing Time
2–4 weeks after complete application received
Delivery Method
shipped to patient
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income
- Insurance documentation
- Physician prescription
Indicated For
Hypertension, Angina
About This Medication
# Pfizer Patient Assistance Program Patient Guide: How to Get NORVASC (amlodipine besylate) at Low or No Cost NORVASC (amlodipine besylate) is a prescription medication used to treat high blood pressure (hypertension) and chest pain (angina). The **Pfizer Patient Assistance Program** helps eligible uninsured or publicly insured patients get NORVASC for free if they cannot afford it.[1][5] ## About NORVASC (amlodipine besylate) **NORVASC** is a calcium channel blocker that relaxes blood vessels, making it easier for blood to flow and reducing the heart's workload. It's commonly prescribed for: - **High blood pressure**: Helps lower blood pressure to reduce risks of stroke, heart attack, and kidney problems. - **Chest pain (angina)**: Improves blood flow to the heart, easing chest pain during activity. Take it once daily, with or without food. Common side effects include swelling in ankles or feet, dizziness, flushing, and fatigue. Always follow your doctor's instructions and report side effects. This program provides the medication at no cost to qualified patients, easing financial burdens for managing these conditions.[1][5] ## Who Qualifies for the Program? The Pfizer Patient Assistance Program is for U.S. residents (or U.S. territories) aged 18+ with a valid prescription from a U.S.-licensed healthcare provider for outpatient use. Key requirements: - **Uninsured** or **publicly insured** (Medicare, Medicaid, CHAMPUS/TRICARE, VA) and unable to afford copays or medication costs. - **Commercially insured patients are not eligible**—this includes employer or marketplace plans.[3][5][7] - **Medicare Part D/Advantage patients** must first enroll in the Medicare Prescription Payment Plan.[7] - Proof of income is required, though specific Federal Poverty Level (FPL) thresholds are not listed; eligibility focuses on inability to afford meds after exhausting other options.[1][4][9] - No proof of U.S. citizenship needed, but a U.S. address is required.[5] ## Income Eligibility Breakdown Income limits are not explicitly stated as a fixed FPL percentage in the provided details, but patients must submit proof of income to demonstrate inability to afford the medication. Common documents include last year's tax return, W-2s, or pay stubs. One source mentions up to 500% FPL for certain programs, but confirm via application.[4][9] | Household Size | Estimated Max Income (if 500% FPL guideline applies)* | Notes | |---------------|-----------------------------------------------------|-------| | Individual | ~$75,300 | Submit proof; exact threshold verified during application | | Couple | ~$101,000 | *2026 FPL estimates; program uses pre-tax household income | | Family of 3 | ~$126,900 | No fixed % listed; focus on affordability | | Family of 4 | ~$152,600 | Consult program for current limits | *Guidelines may vary; always apply to confirm. Electronic income verification is optional.[3][9] ## Insurance Requirements - **Eligible**: Uninsured or government-insured (Medicare, Medicaid, etc.) unable to pay copays. - **Not eligible**: Commercial insurance holders. - **Medicare specifics**: Enroll in Medicare Prescription Payment Plan first; provide documentation.[7] - Submit insurance cards (front/back) if applicable. Exhaust prior authorizations or appeals if denied coverage.[5][7][9] ## Step-by-Step Application Process 1. **Check eligibility**: Visit [Pfizer RxPathways](https://www.pfizerrxpathways.com) and use the Program Finder. Enter "NORVASC".[1][5] 2. **Gather documents**: - Proof of income (tax return pages 1-2, W-2, pay stubs, SSA-1099). - Insurance info (cards or denial letters). - Physician prescription.[1][4] 3. **Apply online (preferred)**: Use Pfizer PAP Connect for new or enrolled patients. Upload docs, track status.[2][8] - Or call (866) 706-2400 for help.[program details] 4. **Physician completes section**: Prescriber signs enrollment form, confirms diagnosis.[4][10] 5. **Submit**: Online, mail to P.O. Box 66585, St. Louis, MO 63166-6585, or fax 866-470-1748.[4] 6. **Sign consents**: Patient attests to affordability issues.[3][10] Reauthorization is required after initial term (typically 1 year).[program details] ## Timeline and Delivery Expect notification within **2-3 weeks** of submission. If approved, receive a letter with enrollment details. Medication ships free to your home or doctor's office.[1][4][program details] ## Alternatives if Denied - **Appeal**: Contact program at (866) 706-2400. - **Other programs**: Check NeedyMeds, RxAssist, or state pharmaceutical aid. - **Medicare Extra Help**: For low-income seniors. - **Generic amlodipine**: Cheaper option; discuss with doctor. - **Patient discount cards**: GoodRx for uninsured. - Reapply if circumstances change.[5] ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility rules can change; always verify at pfizerrxpathways.com. Not medical advice—consult your doctor. Pfizer may verify income electronically. Program provided by Pfizer Inc. and Pfizer Patient Assistance Foundation. Free meds subject to availability.
Program information last verified: March 30, 2026
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