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Pfizer Inc. (Pfizer Patient Assistance Program) fax number
(866) 515-0970
Pfizer Patient Assistance Program
Used for: Enrollment for Pfizer Patient Assistance Program (Nurtec and other Pfizer medicines)
Fax destination details
- Department
- Pfizer Patient Assistance Program
- Purpose
- Enrollment for Pfizer Patient Assistance Program (Nurtec and other Pfizer medicines)
- Form
- PP-UNP-USA-5121 — Pfizer Patient Assistance Program Enrollment Form
- Address
- 290 West Mount Pleasant Ave, Building 2, 4th Floor, Suite 4210, Livingston, NJ 07039, United States
- Voice phone
- (866) 473-0088
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fax a completed and signed Prescription Enrollment Form or prescription along with the required documentation to 866-515-0970; Mail to 290 West Mount Pleasant Ave Building 2, 4th Floor, Suite 4210, Livingston, NJ 07039 United States.
Official form instructions are published as a downloadable file on the organization's website.
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