This site is intended only for healthcare professionals.

Pfizer Dermatology Patient Access™ enrollment form
Pfizer Dermatology Patient Access Enrollment Form

The enrollment form may be downloaded, completed, and returned by fax or mail.

ENROLLMENT FORM

You can also enroll your patients online. Find out more.

Access and Affordability Resource Guide
Navigating the Pfizer Dermatology Patient Access Enrollment Form

A guide to help you and your office staff complete the Pfizer Dermatology Patient Access Enrollment Form.

ENROLLMENT FORM GUIDE
Billing and Coding Guide
Billing and Coding Guide

This guide provides relevant information used for billing and coding when prescribing a Pfizer dermatology product.

BILLING AND CODING GUIDE
Pfizer Dermatology Patient Access™ prior authorization checklist
Prior Authorization Checklist

Checklist helps you and your office staff assemble the information needed by insurers.

PA CHECKLIST
Pfizer Dermatology Patient Access™ appeals checklist Pfizer Dermatology Patient Access™ sample letter of medical necessity
Appeals Checklist and Sample Letters

These materials help organize additional documentation that may be required for patients to get their Pfizer dermatology medications.

APPEALS CHECKLIST SAMPLE LETTER OF MEDICAL NECESSITY SAMPLE PATIENT NARRATIVE LETTER
Pfizer Patient Assistance Program application
Pfizer Patient Assistance Program Application

The Pfizer Patient Assistance Program may provide free medication for eligible patients.

Pfizer Patient Assistance Program Application
Access and Affordability Resource Guide
HCP Access Brochure

An overview of patient access for Pfizer dermatology medications.

HCP ACCESS BROCHURE
Pfizer Dermatology Patient Access™ HCP Portal Guide
HCP Portal Guides

Reference guides help you and your office staff get familiar with the Pfizer Dermatology HCP Portal.

QUICK REFERENCE COMPREHENSIVE USER GUIDE
Pfizer Dermatology Patient Access™ HCP Portal Guide
Patient Access Coordinator Flashcard

An overview of the support your patients receive when opting in to Patient Access Coordinator support.

PATIENT ACCESS COORDINATOR FLASHCARD
Pfizer Dermatology Patient Access™ HCP Portal Guide
Getting Started on a Specialty Medication

A resource for patients outlining what they can expect when getting started on a specialty medication.

GETTING STARTED ON A SPECIALTY MEDICATION