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What is XELJANZ/XELJANZ XR?

XELJANZ/XELJANZ XR (tofacitinib) is a prescription medicine called a Janus kinase (JAK) inhibitor used to treat:

  • Adults with moderately to severely active rheumatoid arthritis in whom methotrexate did not work well.
  • Adults with active psoriatic arthritis in whom methotrexate or other similar medicines called nonbiologic disease-modifying antirheumatic drugs (DMARDs) did not work well.

XELJANZ is also used to treat:

  • Adults with moderately to severely active ulcerative colitis.

It is not known if XELJANZ/XELJANZ XR is safe and effective in children or in people with hepatitis B or C.

XELJANZ/XELJANZ XR is not recommended for people with severe liver problems.

SAVINGS OPTIONS

If you are running into financial challenges Pfizer has programs in place that may be able to help. See below for more details.

If you have private insurance, you may qualify for a Co-Pay Savings Card and pay out-of-pocket costs as little as $0 per month. If your pharmacy does not accept the Co-Pay Savings Card, or you forgot your card, a rebate form is available. Terms and conditions/eligibility requirements apply. Eligibility is not based on income.

If you have government insurance, such as Medicare Part D and you need financial assistance, we can also evaluate your eligibility for the Pfizer Patient Assistance Program.* If you are eligible, we will provide XELJANZ at no cost to you. Terms and conditions/eligibility requirements apply.

If you have no insurance and need financial assistance, we will evaluate your eligibility for the Pfizer Patient Assistance Program. If you are eligible, we will provide you XELJANZ at no cost to you. Terms and conditions/eligibility requirements apply.

*The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation. The Pfizer Patient Assistance Foundation is a separate legal entity from
Pfizer Inc. with distinct legal restrictions.

FREQUENTLY ASKED QUESTIONS

If you are new to XELJANZ, your healthcare provider can request, or provide to you during your appointment, a 30-day trial prescription. Terms and conditions/eligibility requirements apply.

If you are eligible for the Co-Pay Savings Card, but your pharmacy does not accept it, a rebate form is available to reimburse you for the co-pay amount. Instructions on how to redeem are included on the form. Terms and conditions/eligibility requirements apply.

Health plans can change—so can your health insurance and prescription benefits. Once your new plan begins, XELSOURCE may help by contacting your insurance company on your behalf to understand your insurance benefits for XELJANZ, including what your out-of-pocket costs will be.

If your request is denied, you may be able to appeal the decision. Call XELSOURCE for help navigating the approval process and to learn more about the support programs that may be available to you.

To speak with a XELSOURCE specialist, call 1-844-XELJANZ (1-844-935-5269), Monday through Friday, 8:00 am–8:00 pm ET, and say “Representative.”

CO-PAY SAVINGS CARD

Our Co-Pay Savings Card may make XELJANZ more affordable for eligible patients with private insurance. Terms and conditions/eligibility requirements apply.

To activate your card, call 1-844-XELJANZ
(1-844-935-5269) and say “Activate.”

CO-PAY SAVINGS CARDCO-PAY SAVINGS CARD

Do not take XELJANZ XR for ulcerative colitis.

For patients who do not have private insurance, XELSOURCE may offer financial assistance for government-funded and uninsured patients through the Pfizer Patient Assistance Program. Call XELSOURCE to learn more about these programs. Terms and conditions/eligibility requirements apply.