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Pfizer Inc. (Pfizer Patient Assistance Program) fax number

(866) 515-0970

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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

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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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