Access & Support

** This is an optional area where footnotes can live.

Making your patients' support needs a priority. Together.

At Pfizer Oncology Together, patient support is at the core of everything we do. From helping to identify financial support options for eligible patients, to connecting patients to resources for emotional support, your patients' needs are our priority.

FOR LIVE, PERSONALIZED SUPPORT

Call 1-877-744-5675 
​​​​​​​(Monday-Friday 8 AM-8 PM ET)

Visit Pfizer Oncology Together


​​​​​​​
​​​​​​​Finding financial support options. Together.

Commercially Insured

Resources for eligible commercial, private, employer, and state health insurance marketplace patients:
The Pfizer Oncology Together Co-Pay Savings Program for Injectables provides eligible, commercially insured patients prescribed NIVESTYM with support for out-of-pocket drug costs, including co-pays and coinsurance. Limits, terms, and conditions apply.*

For eligible, commercially insured patients
Eligible patients may pay as little as $0 for each NIVESTYM treatment.

Up to $10,000 per calendar year
The program covers up to $10,000 per calendar year.

No income requirements
There are no income requirements for patients to qualify.


Medicare/Government Insured

Help identifying resources for eligible patients with Medicare, Medicaid, and other government insurance plans:

  • Assistance for patients with searching for financial support that may be available from independent charitable foundations. These foundations exist independently of Pfizer and have their own eligibility criteria and application processes. Availability of support from the foundations is determined solely by the foundations
  • Free medication​​​​​​​

Uninsured

Help identifying resources for eligible patients without any form of healthcare coverage:

  • Help finding coverage
  • Free medication through the Pfizer Patient Assistance Program

Tailoring support to patients’ daily needs. Together.

When your patients need support for their day-to-day challenges, we want to be a place they can turn to for help. At Pfizer Oncology Together, our Care Champions, who have social work experience, can connect patients prescribed our medications to resources that may help with some of their daily needs.

  • Connections to emotional support resources
  • Connections to an independent organization that helps eligible patients find rides and lodging for treatment-related appointments
  • Educational information on topics such as nutrition
  • Information to help you prepare for leaving or returning to work
  • Help identifying financial assistance resources 

Navigating access and reimbursement. Together.

If patients need access or reimbursement support, Pfizer Oncology Together is here to help.

Benefits Verification
We can help determine a patient's coverage and out-of-pocket costs.

Prior Authorizations (PA)
We can coordinate with a patient's insurer to determine the PA requirements. After a PA request is submitted, we can follow up with the payer until a final outcome is determined.

Appeals Assistance
We can review the reasons for a denied claim and provide information on payer requirements. After an appeal is submitted, we can follow up with the payer until a final outcome is determined.
​​​​​​​
Billing and Coding Assistance for Injectable Products
For your patient claim submissions, we provide easy access to sample forms and template letters, along with billing and coding information for physician's office and hospital outpatient settings of care.
​​​​​​​


​​​​​​​​​​​​​​​​
​​​​​​​
*Terms and Conditions: 

​​​​​​​​​​​​​​
By using this program, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions below:
  • The Pfizer Oncology Together Co-Pay Savings Program for Injectables for NIVESTYM® is not valid for patients who 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 (formerly known as “La Reforma de Salud”).

  • Program offer is not valid for cash-paying patients.

  • With this program, eligible patients may pay as little as $0 co-pay per NIVESTYM treatment, subject to a maximum benefit of $10,000 per calendar year for out-of-pocket expenses for NIVESTYM including co-pays or coinsurances.

  • The amount of any benefit is the difference between your co-pay and $0.

  • After the maximum of $10,000 you will be responsible for the remaining monthly out-of-pocket costs.

  • Patient must have private insurance with coverage of NIVESTYM.

  • This offer is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plans or other private health or pharmacy benefit programs.

  • You must deduct the value of this assistance from any reimbursement request submitted to your private insurance plan, either directly by you or on your behalf.

  • You are responsible for reporting use of the program to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the program, as may be required.

  • You should not use the program if your insurer or health plan prohibits use of manufacturer co-pay assistance programs.

  • This program is not valid where prohibited by law.

  • This program cannot be combined with any other savings, free trial, or similar offer for the specified prescription.
  • Co-pay card will be accepted only at participating pharmacies.​​​​​​​
  • This program is not health insurance.

  • This program is good only in the U.S. and Puerto Rico.

  • This program is limited to 1 per person during this offering period and is not transferable.

  • No other purchase is necessary.

  • Data related to your redemption of the program assistance may be collected, analyzed, and shared with Pfizer, for market research and other purposes related to assessing Pfizer’s programs. Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other assistance redemptions and will not identify you.

  • Pfizer reserves the right to rescind, revoke, or amend this program without notice.

  • This program may not be available to patients in all states.

  • For more information about Pfizer, visit www.pfizer.com.

  • For more information about the Pfizer Oncology Together Co-Pay Savings Program for Injectables, visit pfizeroncologytogether.com, call 1-877-744-5675, or write to:

    Pfizer Oncology Together Co-Pay Savings Program for Injectables

    ​​​
    ​​​​​P.O. Box 220366

    Charlotte, NC 28222

  • Program terms and offer will expire at the end of each calendar year. Before the calendar year ends, you will receive information and eligibility requirements for continued participation.

 ​​​​​​​  ​​​​​​​If support from independent charitable foundations is not available, Pfizer Oncology Together will provide eligible patients with medication for free through the Pfizer Patient Assistance Program. The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions.

    ‡Some services are provided through third-party organizations that operate independently and are not controlled by Pfizer. Availability of services and eligibility requirements are determined solely by these organizations.

Savings & Support

  • Access & Support
  • Downloadable Resources

CONTRAINDICATIONS

NIVESTYM® is contraindicated in patients with a history of serious allergic reactions to human granulocyte-colony stimulating factors (G-CSF), such as filgrastim products or pegfilgrastim products.

WARNINGS AND PRECAUTIONS

Splenic Rupture

Splenic rupture, including fatal cases, has been reported following the administration of filgrastim products. Evaluate patients who report left upper abdominal or shoulder pain for an enlarged spleen or splenic rupture.

Acute Respiratory Distress Syndrome

Acute respiratory distress syndrome (ARDS) has been reported in patients receiving filgrastim products. Evaluate patients who develop fever and lung infiltrates or respiratory distress for ARDS. Discontinue NIVESTYM® in patients with ARDS.

Serious Allergic Reactions

Serious allergic reactions, including anaphylaxis, have been reported in patients receiving filgrastim products. The majority of reported events occurred upon initial exposure. Provide symptomatic treatment for allergic reactions. Allergic reactions, including anaphylaxis, in patients receiving filgrastim products can recur within days after the discontinuation of initial anti-allergic treatment. Permanently discontinue NIVESTYM® in patients with serious allergic reactions. NIVESTYM® is contraindicated in patients with a history of serious allergic reactions to human G-CSF such as filgrastim or pegfilgrastim.

Sickle Cell Disorders

Severe and sometimes fatal sickle cell crises can occur in patients with sickle cell disorders receiving filgrastim products. Discontinue NIVESTYM® if sickle cell crisis occurs.

Glomerulonephritis

Glomerulonephritis has occurred in patients receiving filgrastim products. The diagnoses were based upon azotemia, hematuria (microscopic and macroscopic), proteinuria, and renal biopsy. Generally, events of glomerulonephritis resolved after dose reduction or discontinuation of filgrastim products. If glomerulonephritis is suspected, evaluate for cause. If causality is likely, consider dose-reduction or interruption of NIVESTYM®.

Alveolar Hemorrhage and Hemoptysis

Alveolar hemorrhage manifesting as pulmonary infiltrates and hemoptysis requiring hospitalization has been reported in healthy donors treated with filgrastim products for peripheral blood progenitor cell (PBPC) mobilization. Hemoptysis resolved with discontinuation of filgrastim products. The use of NIVESTYM® for PBPC mobilization in healthy donors is not an approved indication.

Capillary Leak Syndrome

Capillary leak syndrome (CLS) has been reported after G-CSF administration, including filgrastim products, and is characterized by hypotension, hypoalbuminemia, edema, and hemoconcentration. Episodes vary in frequency and severity and may be life-threatening if treatment is delayed. Patients who develop symptoms of CLS should be closely monitored and receive standard symptomatic treatment, which may include the need for intensive care.

Myelodysplastic Syndrome (MDS) and Acute Myeloid Leukemia (AML)

Patients With Severe Chronic Neutropenia (SCN)

Confirm the diagnosis of SCN before initiating NIVESTYM® therapy. MDS and AML have been reported to occur in the natural history of congenital neutropenia without cytokine therapy. Cytogenetic abnormalities, transformation to MDS, and AML have also been observed in patients treated with filgrastim products for SCN. Based on available data including a post-marketing surveillance study, the risk of developing MDS and AML appears to be confined to the subset of patients with congenital neutropenia. Abnormal cytogenetics and MDS have been associated with the eventual development of myeloid leukemia. The effect of filgrastim products on the development of abnormal cytogenetics and the effect of continued filgrastim product administration in patients with abnormal cytogenetics or MDS are unknown. Monitor patients for signs and symptoms of MDS/AML in these settings. If a patient with SCN develops abnormal cytogenetics or myelodysplasia‚ the risks and benefits of continuing NIVESTYM® should be carefully considered.

Patients with Breast and Lung Cancer

MDS and AML have been associated with the use of filgrastim products in conjunction with chemotherapy and/or radiotherapy in patients with breast and lung cancer. Monitor patients for signs and symptoms of MDS/AML in these settings.

Thrombocytopenia

Thrombocytopenia has been reported in patients receiving filgrastim products. Monitor platelet counts.

Leukocytosis

Patients With Cancer Receiving Myelosuppressive Chemotherapy:

White blood cell counts of 100,000/mm3 or greater were observed in approximately 2% of patients who received filgrastim at dosages above 5 mcg/kg/day. In patients with cancer receiving NIVESTYM® as an adjunct to myelosuppressive chemotherapy, to avoid the potential risks of excessive leukocytosis, it is recommended that NIVESTYM® therapy be discontinued if the absolute neutrophil count (ANC) surpasses 10,000/mm3 after the chemotherapy-induced ANC nadir has occurred. Monitor CBCs at least twice weekly during therapy. Dosages of NIVESTYM® that increase the ANC beyond 10,000/mm3 may not result in any additional clinical benefit. In patients with cancer receiving myelosuppressive chemotherapy, discontinuation of filgrastim therapy usually resulted in a 50% decrease in circulating neutrophils within 1 to 2 days, with a return to pretreatment levels in 1 to 7 days.

Peripheral Blood Progenitor Cell Collection and Therapy:

During the period of administration of NIVESTYM® for PBPC mobilization in patients with cancer, discontinue NIVESTYM® if the leukocyte count rises to >100,000/mm3.

Cutaneous Vasculitis

Cutaneous vasculitis has been reported in patients treated with filgrastim products. In most cases, the severity of cutaneous vasculitis was moderate or severe. Most of the reports involved patients with SCN receiving long-term filgrastim therapy. Hold NIVESTYM® therapy in patients with cutaneous vasculitis. NIVESTYM® may be started at a reduced dose when the symptoms resolve and the ANC has decreased.

Potential Effect on Malignant Cells

NIVESTYM® is a leukocyte growth factor that primarily stimulates neutrophils. The G-CSF receptor through which NIVESTYM® acts has also been found on tumor cell lines. The possibility that NIVESTYM® acts as a growth factor for any tumor type cannot be excluded. The safety of filgrastim products in chronic myeloid leukemia (CML) and myelodysplasia has not been established.

When NIVESTYM® is used to mobilize PBPC, tumor cells may be released from the marrow and subsequently collected in the leukapheresis product. The effect of reinfusion of tumor cells has not been well studied, and the limited data available are inconclusive.

Simultaneous Use With Chemotherapy and Radiation Not Recommended

The safety and efficacy of NIVESTYM® given simultaneously with cytotoxic chemotherapy have not been established. Because of the potential sensitivity of rapidly dividing myeloid cells to cytotoxic chemotherapy, do not use NIVESTYM® in the period of 24 hours before through 24 hours after the administration of cytotoxic chemotherapy.

The safety and efficacy of NIVESTYM® have not been evaluated in patients receiving concurrent radiation therapy. Avoid the simultaneous use of NIVESTYM® with chemotherapy and radiation therapy.

Nuclear Imaging

Increased hematopoietic activity of the bone marrow in response to growth factor therapy has been associated with transient positive bone-imaging changes. This should be considered when interpreting bone-imaging results.

Aortitis

Aortitis has been reported in patients receiving filgrastim products. It may occur as early as the first week after start of therapy. Manifestations may include generalized signs and symptoms such as fever, abdominal pain, malaise, back pain, and increased inflammatory markers (eg, c‑reactive protein and white blood cell count). Consider aortitis in patients who develop these signs and symptoms without known etiology. Discontinue NIVESTYM® if aortitis is suspected.

ADVERSE REACTIONS

The most common adverse reactions in patients:

  • with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs (≥5% difference in incidence compared to placebo) are anemia, constipation, diarrhea, oral pain, vomiting, asthenia, malaise, peripheral edema, decreased hemoglobin, decreased appetite, oropharyngeal pain, and alopecia
  • with AML (≥2% difference in incidence) are epistaxis, back pain, pain in extremity, erythema, maculopapular rash, diarrhea, constipation, and transfusion reaction
  • with nonmyeloid malignancies undergoing myeloablative chemotherapy followed by bone marrow transplantation (BMT) (≥5% difference in incidence) are rash, hypersensitivity, thrombocytopenia, anemia, hypertension, sepsis, bronchitis, and insomnia
  • undergoing peripheral blood progenitor cell mobilization and collection (≥5% incidence) are bone pain, pyrexia, increased blood alkaline phosphatase, and headache
  • with severe chronic neutropenia (≥5% difference in incidence) are arthralgia, bone pain, back pain, muscle spasms, musculoskeletal pain, pain in extremity, splenomegaly, anemia, upper respiratory tract infection, urinary tract infection, epistaxis, chest pain, diarrhea, hypoesthesia, and alopecia

Patients With Cancer Receiving Myelosuppressive Chemotherapy

  • NIVESTYM® is indicated to decrease the incidence of infection‚ as manifested by febrile neutropenia‚ in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever​​​​​​​​​​​​​​

Patients With Acute Myeloid Leukemia Receiving Induction or Consolidation Chemotherapy

  • NIVESTYM® is indicated for reducing the time to neutrophil recovery and the duration of fever, following induction or consolidation chemotherapy treatment of patients with acute myeloid leukemia (AML)

Patients With Cancer Undergoing Bone Marrow Transplantation

  • NIVESTYM® is indicated to reduce the duration of neutropenia and neutropenia-related clinical sequelae‚ eg, febrile neutropenia, in patients with nonmyeloid malignancies undergoing myeloablative chemotherapy followed by BMT

Patients Undergoing Autologous Peripheral Blood Progenitor Cell Collection and Therapy

  • NIVESTYM® is indicated for the mobilization of autologous hematopoietic progenitor cells into the peripheral blood for collection by leukapheresis

Patients With Severe Chronic Neutropenia

  • NIVESTYM® is indicated for chronic administration to reduce the incidence and duration of sequelae of neutropenia (eg‚ fever‚ infections‚ oropharyngeal ulcers) in symptomatic patients with congenital neutropenia‚ cyclic neutropenia‚ or idiopathic neutropenia​​​​​​​

Please see full Prescribing Information and Patient Information for NIVESTYM.

INDICATIONS

Patients With Cancer Receiving Myelosuppressive Chemotherapy

  • NIVESTYM® is indicated to decrease the incidence of infection‚ as manifested by febrile neutropenia‚ in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever

Patients With Acute Myeloid Leukemia Receiving Induction or Consolidation Chemotherapy

  • NIVESTYM® is indicated for reducing the time to neutrophil recovery and the duration of fever, following induction or consolidation chemotherapy treatment of patients with acute myeloid leukemia (AML)

Patients With Cancer Undergoing Bone Marrow Transplantation

  • NIVESTYM® is indicated to reduce the duration of neutropenia and neutropenia-related clinical sequelae‚ eg, febrile neutropenia, in patients with nonmyeloid malignancies undergoing myeloablative chemotherapy followed by BMT

Patients Undergoing Autologous Peripheral Blood Progenitor Cell Collection and Therapy

  • NIVESTYM® is indicated for the mobilization of autologous hematopoietic progenitor cells into the peripheral blood for collection by leukapheresis

Patients With Severe Chronic Neutropenia

  • NIVESTYM® is indicated for chronic administration to reduce the incidence and duration of sequelae of neutropenia (eg‚ fever‚ infections‚ oropharyngeal ulcers) in symptomatic patients with congenital neutropenia‚ cyclic neutropenia‚ or idiopathic neutropenia