Nurtec ODT
Generic: rimegepant
Manufacturer: Pfizer / Biohaven · Program: Pfizer Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Must be uninsured or underinsured (e.g., insurance does not cover the drug). Medicare Part D patients may qualify if they meet specific low-income and coverage gap criteria.
Residency
Must be a resident of the U.S. or a U.S. territory and be under the care of a U.S. licensed prescriber.
Income Threshold
Up to 400% FPL
Individual Income Limit
$60,240/year
Calculated based on 400% of the 2025 FPL. Pfizer applies a 400% threshold for most branded specialty medications like Nurtec ODT.
Program Information
Processing Time
2-5 business days
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.
- Completed patient and prescriber application sections
- Proof of income (e.g., most recent tax return, W-2, or pay stubs)
- Valid prescription
Indicated For
Acute treatment of migraine, Preventive treatment of episodic migraine
About This Medication
# How to Get Nurtec ODT (rimegepant) Free Through the Pfizer Patient Assistance Program ## Who Qualifies for the Pfizer Patient Assistance Program? If you need Nurtec ODT and cannot afford it, the **Pfizer Patient Assistance Program** may be able to provide it to you at no cost. This program is designed for patients who are uninsured or whose insurance does not adequately cover the medication. To qualify, you generally need to meet income guidelines — for a single-person household, the maximum annual income is **$60,240**. Your insurance status also matters: you must either have no insurance or have coverage that does not cover Nurtec ODT. Medicare Part D patients may qualify under specific low-income circumstances. If you meet these basic criteria, you may be able to receive Nurtec ODT free of charge through this program. --- ## About Nurtec ODT (rimegepant) Nurtec ODT (rimegepant) is an FDA-approved prescription medication used for two purposes: the acute treatment of migraine in adults and the preventive treatment of episodic migraine in adults. It belongs to a drug class called calcitonin gene-related peptide (CGRP) receptor antagonists. Nurtec ODT is an orally dissolving tablet, meaning it dissolves on the tongue without water. As a newer branded specialty medication, it carries a high list price — often over $1,000 per month — making it unaffordable for many patients without insurance coverage or financial assistance. There are currently no FDA-approved generic or biosimilar versions available. --- ## Income Eligibility: Full Breakdown Pfizer uses an income threshold of 400% of the Federal Poverty Level (FPL) to determine eligibility for Nurtec ODT through the Pfizer Patient Assistance Program. The table below shows the maximum annual income allowed based on your household size: | Household Size | Max Annual Income | |---|---| | 1 person | $60,240 | | 2 persons | $81,760 | | 3 persons | $103,280 | | 4 persons | $124,800 | Income is typically verified using your most recent federal tax return, a W-2, or three months of recent pay stubs. Pfizer will generally look at your total household income, not just your individual earnings, so be prepared to account for all adults in your home. If your income is above these limits, you may not qualify for free medication through this program. However, you may still have options — see the "Alternatives If You Don't Qualify" section below for savings cards and other resources. Household size can work in your favor: if you have dependents, your income limit increases, so it is worth calculating your eligibility based on everyone living in your home. --- ## Insurance Requirements Explained Your insurance situation plays a key role in whether you qualify: - **If you are uninsured:** You are a strong candidate for this program. Patients with no insurance coverage at all are typically the most straightforward cases for approval. - **If you have Medicare Part D:** Most patient assistance programs exclude Medicare Part D enrollees, but the Pfizer Patient Assistance Program may have exceptions for patients who meet specific low-income criteria or who are in a coverage gap. You will need to discuss your situation directly with the program at **(844) 989-7284**. - **If you have private insurance that covers less than 50%:** You may still qualify as "underinsured." If your plan requires high cost-sharing, does not include Nurtec ODT on its formulary, or requires a prior authorization that has been denied, you may be considered underinsured and eligible for assistance. - **If you have Medicaid:** Patients with full Medicaid coverage are generally not eligible for manufacturer patient assistance programs, as Medicaid is intended to cover prescription costs for low-income individuals. --- ## Step-by-Step: How to Apply Follow these steps to apply for the Pfizer Patient Assistance Program for Nurtec ODT: 1. **Gather your documents.** You will need: a valid prescription for Nurtec ODT from your prescriber, proof of income (your most recent tax return, W-2, or three months of pay stubs), and basic personal identification information. 2. **Choose your application method.** You can apply in multiple ways: - **Online:** Visit [https://www.pfizerrxpathways.com/](https://www.pfizerrxpathways.com/) to start your application digitally. - **Phone:** Call **(844) 989-7284** to speak with a program representative who can walk you through the process. - **Fax:** Submit completed forms by fax to **(844) 329-7340**. 3. **Complete both sections of the application.** The application has a patient section (your personal and income information) and a prescriber section (your doctor's information and prescription details). Both must be filled out before submission. 4. **Submit your proof of income** along with the application. Make sure documents are legible and complete. 5. **Confirm your prescriber is aware.** Your doctor's office will need to participate in the process, so let them know you are applying. 6. **Wait for a decision.** Processing typically takes 2 to 5 business days after a complete application is received. For additional program details, you can also visit [https://www.nurtec.com/support](https://www.nurtec.com/support). --- ## What to Expect: Timeline and Delivery Once you submit a complete application, expect a decision within **2 to 5 business days**. Pfizer or a program representative will typically contact you or your prescriber's office to confirm approval. If approved, Nurtec ODT will be **shipped directly to your home address** — you do not need to pick it up at a pharmacy. Make sure your mailing address on the application is current and accurate. There is nothing you need to do at a pharmacy counter for this benefit. Your enrollment is not permanent. The program requires **annual reauthorization**, meaning you will need to reapply each year and submit updated proof of income to continue receiving the medication at no cost. --- ## Alternatives If You Don't Qualify If you do not meet the income or insurance requirements for the Pfizer Patient Assistance Program, here are other options to consider: 1. **Biosimilars:** There are currently no FDA-approved generic or biosimilar versions of Nurtec ODT. This option is not yet available. 2. **Manufacturer savings card:** If you have commercial (private) insurance, Pfizer offers a savings card that may reduce your out-of-pocket costs significantly. You can enroll at [https://www.nurtec.com/savings](https://www.nurtec.com/savings). This option is for insured patients and cannot be used with Medicare or Medicaid. 3. **State Pharmaceutical Assistance Programs (SPAPs):** Many states run their own programs to help residents pay for prescription drugs, particularly for older adults or people with disabilities. Contact your state health department or visit your state's official website to learn what may be available to you. 4. **NeedyMeds.org:** This free, nonprofit database lists hundreds of patient assistance programs, discount drug cards, and state resources. Visit [https://www.needymeds.org](https://www.needymeds.org) to search by medication name or condition. --- > *This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Pfizer / Biohaven. Program terms may change — verify current requirements at [https://www.nurtec.com/support](https://www.nurtec.com/support) before applying.* ---
Program information last verified: February 27, 2026
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