Prevnar 13

Indicated For

Prevention of invasive pneumococcal disease, pneumonia, otitis media

About This Medication

# Pfizer Patient Assistance Program Patient Guide: How to Get Prevnar 13 at Low or No Cost ## About This Program The **Pfizer Patient Assistance Program (PAP)**, also known as **Pfizer RxPathways**, is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation that helps uninsured and government-insured patients access Pfizer medications, including Prevnar 13 (pneumococcal 13-valent conjugate vaccine), at no cost or reduced cost. In 2024 alone, the program provided over 351,000 Pfizer prescriptions for free to more than 44,000 patients. ## About Prevnar 13 Prevnar 13 is a pneumococcal conjugate vaccine that protects against 13 strains of pneumococcal bacteria. It is administered as a series of injections based on age: - **Infants and toddlers (6 weeks through 5 years)**: Four-dose series at 2, 4, 6, and 12-15 months of age - **Children (6 through 17 years)**: Single dose - **Adults (18 years and older)**: Single dose Each dose is a 0.5 mL intramuscular injection, typically given in the deltoid muscle (upper arm) for children and adults. ## Who Qualifies for the Program? To be eligible for the Pfizer Patient Assistance Program, you must meet the following requirements: - Have a **valid prescription** for Prevnar 13 from your healthcare provider for an FDA-approved indication - Be **uninsured or government insured** (Medicare, Medicaid, Veterans Administration, etc.) - Be **unable to afford** your medication ### Important Insurance Requirements **Commercially insured patients are NOT eligible** for the Pfizer PAP. This includes patients who receive insurance through their employer or through a Federal Employer Plan. **Medicare Part D and Medicare Advantage patients** have special requirements: - You must enroll in the voluntary **Medicare Prescription Payment Plan (MPPP)** prior to requesting assistance - You must provide documentation of your MPPP enrollment - If you are re-enrolling and have already provided this documentation and have not changed your Medicare plan, you do not need to resubmit it - You may receive a "Notice of Acceptance of Election" form from your Medicare plan confirming your MPPP enrollment **New requirement (effective immediately)**: Before being considered for the PAP, you will be required to apply to all open, applicable, and relevant diagnosis-specific Independent Charitable Patient Assistance Programs (ICPAPs) provided by Pfizer. If declined support from these programs, you must submit written proof of denial for each fund. ## Income Eligibility While specific income thresholds are not publicly detailed in standard program materials, the program uses a sliding scale based on household income and family size. Generally, patients with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify, though eligibility can extend higher depending on circumstances. Your healthcare provider or the program staff can help determine your specific eligibility during the application process. ## How to Apply: Step-by-Step ### Step 1: Gather Your Information Before starting your application, have the following ready: - Your prescription for Prevnar 13 - Proof of income (recent tax return, pay stubs, or benefit statements) - Proof of insurance status (or proof of being uninsured) - If applicable, proof of Medicare Prescription Payment Plan enrollment - Identification documents ### Step 2: Begin Your Application You have two options: **Option A: Online Application (Recommended)** - Visit **www.PfizerPAPConnect.com** to complete your application online - Enter the name of your prescribed medicine (Prevnar 13) - Follow the onscreen instructions - Upload your eligibility documents directly - Check your application progress anytime **Option B: Traditional Application** - Visit **www.PfizerRxPathways.com** and use the Program Finder - Enter the name of your prescribed medicine - Follow the onscreen instructions - Complete the application with your healthcare provider - Your doctor must complete and sign the Statement of Medical Necessity Form - You must complete and sign the application and Patient Authorization Form **Option C: Manual Process** - If you are unable to participate online, a fully manual process is available - Contact the program at **(800) 505-4426** for assistance ### Step 3: Submit Your Application If applying online through Pfizer PAP Connect, submit your completed application with all required documents. If using the traditional method, work with your healthcare provider's office to submit your application. ### Step 4: Wait for Approval Within **2 to 3 weeks** of applying, you will be notified of your enrollment status by mail or email. ## What You'll Receive If approved, you will receive: - **Up to a 30-day supply** of Prevnar 13 per authorization period - Medication delivered either to your physician's office or shipped directly to you - Continued coverage as long as you remain eligible and reauthorize as needed ## Timeline and Delivery **Application Processing**: 2-3 weeks from submission to notification **Delivery Method**: Your medication will be sent either to your healthcare provider's office for administration or shipped directly to you, depending on the program's determination and your healthcare provider's preference. ## What If Your Application Is Denied? If your application is denied, you have several options: 1. **Request clarification** from the program about the reason for denial 2. **Reapply** if your circumstances have changed (income, insurance status, etc.) 3. **Contact your healthcare provider** to discuss alternative vaccines or payment options 4. **Call the program** at (800) 505-4426 to speak with a representative about your specific situation 5. **Explore other resources** such as community health centers, state pharmaceutical assistance programs, or vaccine manufacturer programs ## Reauthorization and Refills Your assistance from the Pfizer PAP is not permanent. You will need to reauthorize your enrollment periodically to continue receiving assistance. The program will notify you when reauthorization is needed. When reauthorizing: - You may need to provide updated income documentation - If you have already provided Medicare Prescription Payment Plan documentation and have not changed your plan, you typically do not need to resubmit it - You must continue to meet all eligibility requirements ## Important Disclaimer This guide provides general information about the Pfizer Patient Assistance Program. Program requirements, eligibility criteria, and benefits may change. For the most current and complete information, visit www.PfizerRxPathways.com or call (800) 505-4426. Always consult with your healthcare provider about your vaccination needs and the best way to access your medications. This program is subject to all applicable federal, state, and local laws and regulations.

Program information last verified: March 30, 2026