SOMAVERT

Pfizer Patient Assistance Program Patient Guide: How to Get SOMAVERT (pegvisomant for injection) at Low or No Cost

SOMAVERT (pegvisomant for injection) is a prescription medication used to treat acromegaly in adults, a rare condition caused by too much growth hormone from a pituitary tumor. The Pfizer Patient Assistance Program provides SOMAVERT at no cost to eligible uninsured or government-insured patients who meet strict income and insurance criteria.[1][5]

About SOMAVERT

SOMAVERT is a daily subcutaneous injection that blocks growth hormone activity at its receptor sites, helping normalize IGF-1 levels and control symptoms like enlarged hands and feet, joint pain, excessive sweating, and fatigue. It's typically used after surgery or radiation fails to control acromegaly. Always follow your doctor's instructions for preparation and injection—training may be available through Pfizer support programs.[2][3][6]

Who Qualifies?

This program is for U.S. patients (including territories) with a valid prescription for outpatient use. Key requirements include:

• Income at or below 500% of the Federal Poverty Level (FPL), adjusted for family size.
• Uninsured or specific government insurance (details below); no commercial insurance.
• Treated in an outpatient setting by a U.S.-licensed healthcare provider.

Eligibility can change; contact the program for your situation.[1][4][5]

Income Eligibility Breakdown

Qualifying household income must not exceed 500% of the FPL. Use the table below for 2026 guidelines (FPL updates annually; verify current levels via HHS.gov or program staff). These are approximate monthly figures for the contiguous U.S.—Alaska and Hawaii have higher thresholds.

Notes: Include all household income. Provide proof like W-2, tax return, or pay stubs. Program adjusts for family size.[1][4][5]

Insurance Requirements

• Eligible: Uninsured or government-insured (e.g., certain cases, but exclusions apply).
• Not eligible: Enrolled in Medicare, Medicaid, TRICARE, VA benefits, state prescription drug programs, or Puerto Rico Government Health Insurance Plan. Commercially insured patients (job-based or employer plans) do not qualify for free medicine but may access copay assistance separately.[1][4][9]

Pfizer Bridge Program complements this: For insured patients, it helps with coverage verification, prior authorizations, appeals, and copay cards (as low as $5/month, up to $20,000/year savings; commercial insurance only).[2][3][6][9]

Step-by-Step Application Process

1. Confirm Eligibility: Visit www.PfizerRxPathways.com, use the Program Finder, enter "SOMAVERT", and follow prompts. Or call (800) 645-1280.[1][4]
2. Gather Documents: Valid prescription, proof of income (W-2, pay stub, tax return), insurance details (if any).[4]
3. Submit Application: By phone at (800) 645-1280 or online via Pfizer PAP Connect (for some medicines). Your doctor may need to complete an enrollment form. Manual options available if no internet.[1][4]
4. Program Review: Pfizer verifies income, insurance, and prescription. May require applying to other funding first.[4][8]
5. Notification: Expect status update in 2-3 weeks.[1]

Call 1-844-989-PATH (7284) for guidance from a Pfizer Medicine Access Counselor.[4]

Timeline and Delivery

• Processing: 2-3 weeks for decision.[1]
• If Approved: Medicine shipped directly to your home via specialty pharmacy. No cost for eligible patients.[1][5]
• Ongoing: Refill process not detailed; reapply or contact program for renewals. Bridge Program offers continuous support.[2][6]

Alternatives if Denied

• Appeal: Provide additional income proof or clarify insurance.[4]
• Pfizer Bridge Program: For insured patients—helps with prior auth, appeals, copay ($5/month).[2][3][6][9]
• Other Resources: State programs (if eligible), NeedyMeds.org, RxAssist.org, or acromegaly support groups. Explore biosimilars (none currently listed).[9]
• Copay Card: Commercial insurance only; call 1-800-645-1280.[3]

Disclaimer

This guide is for informational purposes only and based on publicly available data as of 2026. Program rules change frequently—eligibility not guaranteed. Consult healthcare provider and program directly at (800) 645-1280 for personalized advice. Not medical advice. Pfizer may update terms; visit PfizerRxPathways.com. Adverse events: 1-800-438-1985.[1][3][4]