Jun 16 2008
Free or Low Cost Lyrica for Fibro
Connection to Care (Lyrica)
Company
Pfizer
Contact Information
PO Box 66585
St. Louis, MO 63166-6585
1-(800) 707-8990 (phone)
Resources:
Connection to Care Lyrica Application
http://www.pfizerfriends.net/Lyrica/C2C.pdf
Click here to visit the program’s web site.
Eligibility:
An annual gross income of less than $19,000 for individuals and less than $31,000 for families. Applicants must not have prescription drug coverage through any public or private programs such as Medicaid, state sponsored drug assistance programs, employee, military, retirement or pension programs. Patients who have reached their caps or belong to “generics only” plans are ineligible to participate in Connection to Care.
Other Information:
THIS APPLICATION IS FOR LYRICA ONLY - For other drugs covered by Connection to Care, see the main program.
To enroll in the program, patients must submit a completed application, a copy of their most recent tax return with supporting financial information and an original prescription from their doctor.
Product(s) covered by program:
Lyrica®
