ReFacto AF

Indicated For

hemophilia A

About This Medication

# Pfizer Patient Assistance Program (PAP) Patient Guide: How to Get ReFacto AF at Low or No Cost ReFacto AF (moroctocog alfa) is a prescription medicine used to treat and prevent bleeding episodes in patients with **hemophilia A**, a genetic disorder where the blood lacks sufficient clotting factor VIII.[2] Through Pfizer's **Patient Assistance Program (PAP)**, eligible patients in the US can receive ReFacto AF **free of charge** if they meet specific income, insurance, and other criteria.[1][8] ## About ReFacto AF **ReFacto AF** is an antihemophilic factor that replaces the missing or deficient factor VIII in your blood, helping it clot properly to control bleeding.[2] It's administered by intravenous injection and is suitable for all ages, including newborns, under a doctor's supervision.[2] Common side effects include headache, cough, joint pain, and fever; more seriously, some patients may develop inhibitors (antibodies) that reduce its effectiveness or rare allergic reactions.[2] Always discuss risks and benefits with your doctor. This guide explains how to access **ReFacto AF for free** via Pfizer PAP, designed for uninsured or underinsured patients struggling with costs.[1][3][6] ## Who Qualifies for Pfizer PAP? To qualify, you generally must: - Reside in the US. - Have a valid US prescription for an FDA-approved indication (hemophilia A qualifies).[8] - Be treated in an outpatient setting. - Provide proof of income and lack adequate insurance coverage.[8] **Key eligibility:** Patients with **commercial insurance are typically not eligible**, even if uncovered—try co-pay programs first via Pfizer RxPathways.[10][8] Medicare Part D patients may need to enroll in the Medicare Prescription Payment Plan and meet out-of-pocket cost thresholds (e.g., not exceeded $2,000 annual costs for some programs).[8][10] ## Income Eligibility Breakdown Pfizer PAP targets low-income patients, often at or below **300% of the Federal Poverty Level (FPL)**, adjusted for household size (especially via Institutional PAP).[8] Exact thresholds aren't publicly detailed for all programs but align with FPL guidelines. Use this table for 2026 estimates (FPL updates annually; verify current via HHS.gov): | Household Size | 100% FPL | 300% FPL (Approx. Threshold) | |---------------|----------|------------------------------| | 1 (Individual)| $15,060 | $45,180 | | 2 (Couple) | $20,440 | $61,320 | | 3 | $25,820 | $77,460 | | 4 | $31,200 | $93,600 | *Notes: Thresholds may vary; provide W-2, tax returns, or pay stubs. Migrant/homeless presumed eligible in Institutional PAP. Changes in income/insurance must be reported.[7][8]* ## Insurance Requirements - **Uninsured or underinsured** preferred; no prescription coverage ideal.[8] - **Commercial insurance:** Often ineligible for free drug—exhaust co-pay help first.[10] - **Medicare:** Enroll in Payment Plan; confirm <annual out-of-pocket max (e.g., $2,000).[8][10] - Obtain **prior authorization** if insurer requires, and work with pharmacy/insurer on costs **before** applying.[8] Contact Pfizer RxPathways (1-844-989-PATH) for insurance navigation.[3] ## Step-by-Step Application Process 1. **Consult your doctor:** Get a prescription marked "Dispense as Written" (no stamps). Discuss if prior auth needed.[7][8] 2. **Check eligibility:** Call 1-844-989-PATH (7284) or visit PfizerRxPathways.com. HCPs use PfizerPro (1-800-505-4426).[3][4] 3. **Gather documents:** Proof of income (W-2, paystub, tax return), income/household details, insurance status, drug allergies/current meds.[7] 4. **Complete form:** Download from PfizerRxPathways.com or PfizerPAPConnect.com (online for some meds). Patient, doctor sign; note if reapplying.[6][7] 5. **Submit:** Fax/mail per instructions (e.g., specific fax for products). Doctor's office often submits.[1][7] 6. **Await approval:** Pfizer verifies income/insurance.[7] ## Timeline and Delivery Processing takes **2-4 weeks** typically, but call for status. Approved meds shipped **free to doctor's office** or **home**.[1][8] Refills require reapplication or reauthorization; report changes promptly.[7] ## Alternatives if Denied - **Pfizer RxPathways co-pay help** for insured patients.[3][6] - **Institutional PAP** via health centers/hospitals if outpatient ineligible.[8] - **State programs**, NeedyMeds.org, or Partnership for Prescription Assistance. - Appeal denial or reapply with updated docs. - Biosimilars: None listed for moroctocog alfa currently.[2] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Eligibility/rules change; Pfizer makes final decisions. Not medical/financial advice—consult doctor, Pfizer (1-844-989-PATH), or advisor. Report insurance/income changes. Free meds can't count toward Medicare true out-of-pocket.[7] Word count: 942.

Program information last verified: March 30, 2026