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It can be difficult to ask for help. Sometimes, your problems feel so personal you don’t even know how to ask for help.

Luckily, doctors have seen and heard it all and they are happy to help you with anything that will improve your quality of life.

So if you are experiencing a problem like erectile dysfunction, all you need to do is tell your doctor. If, after an examination, they determine that you are healthy enough, they can prescribe you a medication like Viagra.

Viagra is one of the most popular free medications on the Pflzer patient assistance program, RX Pathways, but it’s not the only one. Their medication list is far too long to list here but you can check it out alphabetically on the RX Pathways website.

 

DO YOU QUALIFY?

Let’s start by establishing whether or not you meet the qualifications of the patient assistance program. To qualify, you must live in the U.S. RX Pathways will still assist you if you live in the U.S. Virgin Islands or Puerto Rico.

Your gross household income should be at or below 400% of the Federal Poverty Level. Click on the link and scroll down. Look for your household size. Whatever the website lists for income limit, multiply that number by 4. Your gross household income will have to be below that number.

In order to prove your household’s income, you and every adult in the household will be required to send in proof of income.

 

PROOF OF INCOME

 

RX Pathways will allow you to send in your tax documents for the most recent year such as a 1040 or 1040EZ. Your household size on the tax form must match the household size you claim on the RX Pathways application.

If you don’t have your most recent tax forms, you can send in current proof of income. Current proof of income might include:

  • 1 check stub from your job or Social Security that shows the pay period

  • 1099s

  • W-2 forms

  • bank statements that identify the source of your income (Unemployment, Workers Comp, Alimony, Railroad Retirement, Social Security, wages, pension, or retirement)

  • award letters from Social Security, Unemployment, Workers Comp, or Disability

Whatever the source, your name and the gross amount of money (plus any deductions) should be listed.

 

UNIQUE INCOME SOURCES

Income that can’t really be proven, like cash from odd jobs, can be described in a letter. Your doctor, your employer, or a friend or family member can write the letter. The letter must be the original notarized document and the income amounts have to be exact. If the income letter is written by your doctor, the letter must be presented on their office letterhead as well.

If you have a negative income or an income of zero, you can prove that scenario by sending in your 1040. You can also obtain a notarized letter from your doctor, on their office letterhead, that explains your financial situation with actual dollar amounts.

If you are self-employed, you can get a notarized letter from an accountant. Like the other letters, it has to have exact dollar amounts. RX Pathways will not accept a letter from you to prove self-employment.

If you have any questions about what proof of income you should send, call RX Pathways at 866-706-2400 or carefully read the instructions on their application, found here: https://www.pfizerrxpathways.com/sites/default/files/attachment/GroupAEngSept2017.pdf.

It’s so much easier and smarter to talk to someone now and not after your application has been denied for having the wrong information.

 

INSURANCE

If you have prescription coverage of any kind - even Medicare Part D - you might still qualify. Be sure to fill out section 2 of the patient part of the application if you have prescription coverage. RX Pathways will use that information to do a benefits investigation.

If your Viagra (or other Pfizer medication) is covered by your insurance but your copay is too high, RX Pathways will mail you a copay card. You will take that card and a prescription for your medication and use it at the pharmacy. The copay card allows you to get the medication for free!

 

THE PRESCRIPTION

After you’ve filled out your portion of the application, you will need your physician to sign their parts. RX Pathways requires actual signatures, no stamped signatures will be accepted. Your physician will be required to include their DEA number on the application.

The application has a prescription built into it for the first 90 day supply, so your doctor shouldn’t have to include a separate one.

The Viagra is available in 3 strengths: 25mg, 50mg, and 100mg. Regardless of what strength your doctor prescribes, you will only be able to receive 10 pills a month. Since the medication on the RX Pathways is sent out in 90 day supplies, you will get 30 pills - that is meant to last you for 3 months. You cannot get more until it’s time for your refill.

 Once you and your doctor have completely filled out the application and you have gathered the necessary financial documents to prove your household income, you should look over all the paperwork. Make sure it’s all easily readable and that it’s all accurate.

You will also need to include a copy of your driver’s license and the front and back of your prescription coverage card (if you have one) with the rest of the paperwork. Make copies of the paperwork for your own records; the documents you send in won’t be returned to you. Then you can either mail or fax the whole packet to:

Pfizer Rx Pathways

PO BOX 66585

ST LOUIS, MO 63166-6585

Fax: 866-470-1748

Faxed applications must be sent from the doctor’s office with an office cover page.

If you are accepted into the program, RX Pathways will let you know within 2-3 weeks. You will get a letter that explains how long you will be in the program and how to get refills. If you have Medicare Part D, your enrollment will only last until the end of the calendar year (December 31) but all other applicants will have an enrollment that lasts a full 12 months.

Every 75 days or so, your prescribing doctor can call in to the RX Pathways automated system and refill your medication for another 90 days. Remember, for Viagra that will be 30 pills total for 90 days.

RX Pathways will send the medication directly to your doctor’s office. They can’t send it to your home or to a PO Box.

Pfizer’s RX Pathways program may be some work but you can still get free Viagra if you qualify and you follow all the directions. Don’t hesitate to call their customer service line (866-706-2400), a little time on the phone now will save you so much grief in the long term.

If you are looking at all these instructions and feeling overwhelmed by the process for enrolling in the Pfizer RX Pathways patient assistance program, you might be relieved to hear that you don’t have to go it alone! There are prescription and Medicare advocates at Prescription Lifeline just waiting to help you.

Prescription Lifeline has 15 years of experience dealing with patient assistance programs and Medicare. They have an army of advocates and special software created to make helping people faster, easier, and more accurate than ever.

If you need help getting enrolled in the RX Pathways patient assistance program, Prescription Lifeline can assist you! Contact Prescription Lifeline at www.PrescriptionLifeline.org or call and speak to a patient advocate at 1-888-331-1002. Whether you need help with prescriptions or you’re just curious about getting the best price for your Medicare coverage, Prescription Lifeline is here to help.

 

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