copay-enrollment | VynAssist

Please verify the following information to receive a Co-Pay Savings Card:

I (the patient) do not have insurance from any federal healthcare program (including Medicare, Medicaid, TRICARE^®, or any other state or federal medical pharmaceutical benefit program or pharmaceutical assistance program).
I am 18 years of age or older. If caregiver: The patient is 18 years of age or older.
I (the patient) am requesting to obtain and activate the VYNDAMAX Co-Pay Card.
I (the patient) have read and agree to the full terms and conditions of the VYNDAMAX Co-Pay Program, here.

*Limits, terms, and conditions apply. Patients are not eligible to use this card if they are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE®, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico. $10,000-$60,000 maximum program benefit per calendar year. The offer will be accepted only at participating pharmacies. This offer is not health insurance. No membership fees apply. Pfizer reserves the right to rescind, revoke, or amend this offer without notice. For any questions, please call 1-888-222-8475 or write: Pfizer, ATTN: Claims Processing Department, IQVIA, Inc. 77 Corporate Drive, Bridgewater, NJ 08807. Click here for full terms and conditions.

VynAssist services are available to residents of the United States only. The product information provided in this site is intended only for U.S. residents. The products discussed in this site may have different product labeling in different countries.

The health information in this site is for patients prescribed VYNDAMAX and is provided for educational purposes only. It is not intended to replace discussions with a healthcare provider. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient.