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Pfizer IGuide Co-Pay Program fax number

(844) 868-6329

Enrollment

Used for: Enrollment submission for Pfizer IGuide Co-Pay Program (CUTAQUIG, OCTAGAM, PANZYGA)

Fax destination details

Department
Enrollment
Purpose
Enrollment submission for Pfizer IGuide Co-Pay Program (CUTAQUIG, OCTAGAM, PANZYGA)
Form
Enrollment Form — Pfizer IGuide Enrollment Form
Address
Pfizer IGuide, PO Box 220692, Charlotte, NC 28222
Voice phone
1-844-448-4337

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Fax the completed enrollment form to 1-844-868-6329 or mail to Pfizer IGuide, PO Box 220692, Charlotte, NC 28222. Enrollment may also be completed by your healthcare provider or specialty pharmacy.

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