This site is intended only for residents of the United States and Puerto Rico.
For support, call 1-833-956-DERM (1-833-956-3376)
Monday-Friday, 8 AM-8 PM ET
What to Expect Flashcard
Outlines what you can expect when enrolling in the Pfizer Dermatology Patient Access Program.
Getting Started on Your Specialty Medication
A resource outlining what you can expect when getting started on a specialty medication.
Glossary of Insurance Terms
Defines some of the common terms related to health insurance, from types of insurance plans to cost and coverage.
Medical Letter of Necessity Template
When working with your insurance plan for access to your prescribed medication, you may need to share additional information about your experience with alopecia areata. This downloadable template provides examples of information to consider that your insurer may require. Once complete, your personalized letter can be submitted to your insurer along with an appeal from your provider’s office.
Pfizer Patient Assistance Program Application
The Pfizer Patient Assistance Program may offer free medicine to eligible patients.
Patient Access Coordinator (PAC) Flashcard
A resource outlining the support a PAC can provide.
Copay Rebate Form
Copay rebate form to request reimbursement for out-of-pocket copay costs if your pharmacy does not accept or cannot process your CIBINQO or LITFULO Copay Savings Card.