Nurtec ODT

Indicated For

migraine

About This Medication

# Pfizer Patient Assistance Program Guide: How to Get Nurtec ODT at Low or No Cost ## About This Guide If you've been prescribed Nurtec ODT (rimegepant) for migraine relief but are concerned about the cost, you're not alone. This guide explains how the Pfizer Patient Assistance Program can help you get Nurtec ODT at little or no cost if you qualify. ## What Is Nurtec ODT? Nurtec ODT is a prescription medication used to treat migraine headaches. It belongs to a class of drugs called CGRP receptor antagonists, which work by blocking a protein in the body that's involved in migraine pain. Nurtec ODT comes as an orally disintegrating tablet that dissolves on your tongue, making it easy to take during a migraine. ## About the Pfizer Patient Assistance Program The Pfizer Patient Assistance Program is a free program designed to help uninsured and underinsured patients access Pfizer medications, including Nurtec ODT, at reduced or no cost. This program has been helping patients for years and is completely confidential. ## Who Can Qualify? You may qualify for the Pfizer Patient Assistance Program if you meet these criteria: - **U.S. citizen or permanent resident**: You must live in the United States - **No health insurance or underinsured**: You are uninsured, underinsured, or have insurance that doesn't cover Nurtec ODT - **Income eligibility**: Your household income meets the program's requirements (generally at or below 300% of the Federal Poverty Level) - **Have a valid prescription**: A doctor has prescribed Nurtec ODT for you ## Income Eligibility Chart The program uses the Federal Poverty Level (FPL) to determine eligibility, typically up to 300% of FPL. Here's what that means for different household sizes: | Household Size | Maximum Annual Income (300% FPL) | |---|---| | 1 person | Approximately $38,640 | | 2 people | Approximately $52,260 | | 3 people | Approximately $65,880 | | 4 people | Approximately $79,500 | | 5 people | Approximately $93,120 | | 6 people | Approximately $106,740 | | 7 people | Approximately $120,360 | | 8 people | Approximately $133,980 | *Note: Income limits may vary. Contact the program for your exact eligibility threshold.* ## Insurance Requirements You must be one of the following to qualify: - **Uninsured**: You have no health insurance coverage - **Underinsured**: You have insurance but it doesn't cover Nurtec ODT, or your copays and out-of-pocket costs are too high - **Medicaid or Medicare patient unable to afford medication**: Even with government insurance, you may qualify if you can't afford the medication **Important**: Private insurance patients with affordable coverage typically won't qualify. Check the Nurtec ODT savings card first if you have insurance. ## Documents You'll Need Before you apply, gather these documents: 1. **Proof of Income** (choose one): - Recent tax return - Recent W-2 forms - Recent pay stubs (2-3 months) - Unemployment or benefit statements - Self-employment income documentation 2. **Proof of Residency** (choose one): - Utility bill - Lease or mortgage statement - Driver's license or state ID - Other government-issued document with your address 3. **Valid Prescription**: - A signed prescription from your doctor for Nurtec ODT - The prescription can be faxed by your doctor's office ## Step-by-Step Application Instructions ### Option 1: Apply Online 1. Visit https://www.pfizerrxpathways.com/node/2617 2. Click "Apply Now" or "Start Application" 3. Create an account or log in 4. Fill out the application form completely and honestly 5. Upload or attach your proof of income and residency documents 6. Provide your prescription information 7. Review all information for accuracy 8. Submit your application 9. You'll receive a confirmation email ### Option 2: Apply by Phone 1. Call the Pfizer Patient Assistance Program at **(855) 242-5115** 2. Have your documents ready 3. A representative will guide you through the application 4. They can help you understand eligibility and answer questions 5. You may be asked to mail or fax documents 6. Ask for a reference number for your application ### Option 3: Mail-In Application 1. Contact Pfizer at (855) 242-5115 to request a paper application 2. Complete the form and gather your documents 3. Mail everything to the address provided 4. Keep a copy for your records 5. You'll receive written confirmation ## What Happens After You Apply? **Processing Timeline**: The program typically processes applications within **4-8 weeks**. During this time: - Your eligibility will be reviewed - You may be contacted if additional information is needed - Your doctor may be contacted to verify the prescription - You'll receive a written decision in the mail **If You're Approved**: - Nurtec ODT will be shipped directly to your home - Shipping is typically free - You'll receive your medication without charge or at minimal cost - Instructions for refills will be included **If You're Denied**: - You'll receive a letter explaining why - You may be able to reapply if your situation changes - See alternatives below ## Annual Reauthorization Once approved, you must reauthorize your assistance **once per year**. The program will notify you when it's time to renew. You'll need to: - Provide updated proof of income - Confirm your continued eligibility - Have a current prescription This takes about 2-4 weeks to process. ## Alternative Resources ### Nurtec ODT Savings Card Even if you have insurance, you may save money with the **Nurtec Savings Card**: - Copays as low as $0-$50 per prescription - Available for insured patients - Visit https://www.nurtec.com/savings to learn more ### Other Assistance Resources - **NeedyMeds.org**: Free database of patient assistance programs - **Patient Advocate Foundation**: Helps patients find financial aid - **Migraine Research Foundation**: Resources for migraine patients - **State pharmaceutical assistance programs**: Some states offer additional help - **Clinical trials**: Ask your doctor if you qualify for research studies ## Important Legal Information This guide is for informational purposes only and does not constitute medical advice. The Pfizer Patient Assistance Program requirements and benefits may change without notice. Always verify current eligibility requirements and program details by visiting https://www.pfizerrxpathways.com/node/2617 or calling (855) 242-5115. Your prescription and medical care should always be managed by your healthcare provider. If you have questions about whether Nurtec ODT is right for you, consult your doctor. ## Questions? **Contact Pfizer Patient Assistance Program:** - **Phone**: (855) 242-5115 - **Website**: https://www.pfizerrxpathways.com/node/2617 - **Hours**: Available Monday-Friday (hours vary) Don't let cost prevent you from getting the migraine treatment you need. Apply today!

Program information last verified: March 25, 2026