Nurtec ODT

Indicated For

acute treatment of migraine, preventive treatment of episodic migraine

About This Medication

# Pfizer Patient Assistance Program for Nurtec® ODT Patient Guide: How to Get Nurtec® ODT at Low or No Cost ## About This Program The Pfizer Patient Assistance Program helps eligible patients access Nurtec® ODT (rimegepant) at no cost or reduced cost. Nurtec® ODT is a prescription medication used to treat migraine in adults—both for acute treatment when a migraine occurs and for preventive treatment to reduce how often migraines happen. ## What Is Nurtec® ODT? Nurtec® ODT is an orally disintegrating tablet containing rimegepant, a calcitonin gene-related peptide (CGRP) receptor antagonist. It comes in a 75 mg strength and can be used in two ways: - **Acute treatment**: Take one 75 mg tablet as needed when a migraine starts - **Preventive treatment**: Take one 75 mg tablet every other day to help prevent migraines from occurring Your healthcare provider will determine which use is right for you based on your migraine pattern and medical history. ## Who Qualifies for Assistance? There are two main Pfizer assistance pathways for Nurtec® ODT: ### Pathway 1: Commercially Insured Patients (Copay Savings Program) If you have commercial health insurance, you may qualify for a **one-time copay savings benefit**. This allows you to receive your first prescription fill of Nurtec® ODT at no cost (up to 16 tablets maximum) while your insurance benefits are being verified. After insurance approval, you may pay as little as $0 for ongoing prescriptions, with a maximum annual benefit of $7,000. **Requirements:** - Must have active commercial health insurance - Must have a valid prescription from a licensed healthcare provider - No membership fees - Maximum of 16 tablets for the initial no-cost fill ### Pathway 2: Uninsured or Government Insurance Patients (Pfizer Patient Assistance Program) If you are uninsured or have government insurance (Medicare, Medicaid), you may qualify for **free Nurtec® ODT** through the Pfizer Patient Assistance Program. **Income Eligibility:** You must have a household income at or below **300% of the Federal Poverty Level (FPL)**, adjusted for family size. The following table shows approximate 2026 income limits: | Family Size | Annual Income Limit (300% FPL) | |---|---| | 1 person | ~$41,580 | | 2 people | ~$55,860 | | 3 people | ~$70,140 | | 4 people | ~$84,420 | | Each additional person | ~$14,280 | *Note: These are approximate figures based on 2026 federal poverty guidelines. Exact limits may vary. Contact the program for current thresholds.* **Other Requirements:** - Must be uninsured or have government insurance - Must have a valid prescription from a licensed U.S. healthcare provider - Must be treated in an outpatient setting - Must provide proof of income (W2 form, recent paycheck stub, or prior year tax return) - Must be a U.S. resident (including migrant and homeless patients) - Medicare Part D/Medicare Advantage patients must first enroll in the voluntary Medicare Prescription Payment Plan ## Insurance Requirements **For Commercially Insured Patients:** Your insurance must approve coverage for Nurtec® ODT. Your healthcare provider may need to request prior authorization from your insurance company before they agree to cover the medication. Pfizer's Migraine Patient Access Coordinators can help you understand your insurance requirements and work with your healthcare provider on this process. **For Medicare Patients:** If you have Medicare Part D or Medicare Advantage coverage, you must first enroll in the voluntary Medicare Prescription Payment Plan before you can be considered for the Pfizer Patient Assistance Program. You can enroll during Medicare Open Enrollment (beginning October 15 each year) or at any time during the plan year. Contact your prescription health insurance plan or visit www.medicare.gov/prescription-payment-plan for enrollment information. ## How to Apply ### Step 1: Gather Required Documents Before applying, collect the following: - Valid prescription for Nurtec® ODT from your healthcare provider - Proof of income (choose one): - W2 form - Recent paycheck stub - Prior year tax return - Proof of citizenship or residency - Insurance information (if applicable) ### Step 2: Contact the Program **Phone:** 1-866-706-2400 You can also have your healthcare provider initiate the application on your behalf by: - **Phone:** 1-866-473-0088 - **Fax:** 1-866-515-0970 Your healthcare provider can submit a completed enrollment form with your information. ### Step 3: Submit Your Application You or your healthcare provider will complete the Nurtec® Patient Assistance Program enrollment form and submit it along with your proof of income. The form requires: - Your personal information - Healthcare provider information (name, practice, NPI number) - Income documentation - Insurance details (if applicable) ### Step 4: Await Approval Pfizer will review your application and determine your eligibility. Once approved, you will receive notification about how to access your medication. ## Timeline and Delivery The search results do not specify exact processing times for applications. However, for commercially insured patients, the one-time copay savings benefit is typically available immediately upon enrollment, allowing you to pick up your first prescription at no cost while benefits are being verified. For uninsured patients, processing times may vary. Contact the program at 1-866-706-2400 for specific information about how long approval typically takes. Once approved, Nurtec® ODT can be delivered through your doctor's office or to your home, depending on the program pathway. ## What If Your Application Is Denied? If you are denied assistance, ask the program why you were not approved. Common reasons include: - Income exceeds the 300% FPL threshold - Missing or incomplete documentation - Not meeting other eligibility requirements If denied, ask about: - Whether you can reapply if your circumstances change - Other Pfizer assistance programs you might qualify for - Whether your healthcare provider can help appeal the decision - State or local programs that might help with medication costs ## Refills and Reauthorization For commercially insured patients using the copay savings program, once your insurance approves coverage, you can continue receiving Nurtec® ODT with copay support up to the $7,000 annual maximum benefit. For uninsured patients receiving free medication, the search results do not specify whether reauthorization is required annually or if approval is ongoing. Contact the program at 1-866-706-2400 to ask about renewal requirements. ## Important Reminders - The copay savings program is available **one time only** for the initial prescription fill - This is not health insurance - You must have a valid prescription from a licensed healthcare provider - Income limits and eligibility rules are subject to change - Pfizer Migraine Patient Access Coordinators are available to answer questions about insurance coverage and the application process ## Need Help? **Pfizer RxPathways:** 1-866-706-2400 **Nurtec® Copay Savings Program:** Visit nurtec.com/copay-savings or nurtec.com/savings **Pfizer Migraine Patient Access Coordinators:** Available to help you understand your insurance and next steps ## Disclaimer This guide provides general information about Pfizer's patient assistance programs for Nurtec® ODT as of March 2026. Program details, income limits, and eligibility requirements are subject to change at any time. Always verify current eligibility requirements and application procedures by contacting Pfizer directly at 1-866-706-2400 or visiting the official Pfizer RxPathways website. This guide is not a guarantee of eligibility or approval. Your healthcare provider can provide additional information about whether Nurtec® ODT is appropriate for your medical condition.

Program information last verified: March 30, 2026