Savings & support

To help you get started on your prescribed medication

Meet your Dedicated Care Coordinator

Once enrolled in VelsipityForMe, your Dedicated Care Coordinator will be your main point of contact and
help guide you through getting started.

A person holding a phone at a desk. A person holding a phone at a desk.

Your Dedicated Care Coordinator will:

Welcome

you to VelsipityForMe and go over next steps.

Explain

insurance coverage and identify potential financial assistance.

Communicate

with you throughout the process and share important updates with your doctor.

Screening support for eligible,
commercially insured patients

Before you start treatment with VELSIPITY, you will need to complete a few screening tests. You and your doctor will decide if these tests will happen in the doctor’s office or at your home. For at-home screenings, your Dedicated Care Coordinator may be able to help schedule tests as needed.

At-Home Screening*

VelsipityForMe can either arrange for a healthcare provider to visit your home or we can send a self-administered device to you with step-by-step instructions. Tests will be interpreted by a specialist and shared back with your doctor.

*Eligibility required. At-home prescreening test services are not available for patients enrolled in a state or federally funded prescription health insurance program, or patients who reside in MA, MI, MN, or RI.

Reimbursement for in-office screening

If you and your doctor decide that all or some of the screenings will be completed in the office, there may be associated out-of-pocket costs.

Eligible patients may be reimbursed up to $2,500 for qualified out-of-pocket expenses. Terms and Conditions apply.

To submit for out-of-pocket expense reimbursement visit

velsipity.com/reimbursement

Eligibility required. Commercially insured patients only. The value of the offer is a one-time reimbursement amount of up to $2,500 where the full cost is not covered by patient’s insurance. Patients enrolled in a state or federally funded prescription health insurance program or who are residents of MN or RI are not eligible for the medical benefit. Available only to patients who have been diagnosed with an FDA-approved indication for VELSIPITY. No membership fees. This is not health insurance.

See full Terms & Conditions.

Pay as little as $0 per month
for your VELSIPITY
prescription

A Pfizer Velsipity co-pay savings program membership card

As part of our Copay Savings Program eligible, commercially insured patients may pay as little as $0 in out-of-pocket costs, with a maximum benefit of $16,000 per calendar year. See Terms and Conditions.

Save Now

Eligibility required. Commercially insured patients only. The maximum prescription benefit offer per patient is $16,000 per calendar year. Patients enrolled in a state or federally funded prescription health insurance program are not eligible. No membership fees. This is not health insurance. Available only to patients who have been diagnosed with an FDA-approved indication for VELSIPITY. Terms and Conditions apply.

A Pfizer Velsipity co-pay savings program membership card

For eligible patients actively experiencing a coverage delay, additional support is available to get started

Receive up to 2 years of medication at no cost, shipped through Interim Care Rx

If a delay or coverage denial occurs during the prior authorization or appeals process, eligible, commercially insured patients may receive free VELSIPITY for up to 2 years, shipped to you through Interim Care Rx. Eligibility required. Not available for residents of MA, MI, MN, or RI. See Terms and Conditions.

No Insurance or Underinsured?

If you have no insurance and need financial assistance, we will refer you to Medicaid if you appear to be eligible. If turned down, we will evaluate you for the Pfizer Patient Assistance Program. If you are eligible, we will provide you VELSIPITY at no cost to you. See Terms and Conditions.