About XELSOURCE SM
To speak to someone at XELSOURCE about your insurance coverage and medication costs for
After you have been prescribed XELJANZ/XELJANZ XR, our support program may help you by:
- Contacting your insurance company on your behalf
- Helping investigate and assess your eligibility for coverage when needed
- Confirming what your out-of-pocket costs will be
- Assisting you with obtaining
Prior Authorization (PA)when needed.
Our Co-Pay Card Savings program may reduce out-of-pocket costs for eligible, commercially insured patients prescribed XELJANZ/XELJANZ XR. Eligibility requirements apply. To speak to someone about your insurance coverage and medication costs, call
Learn About Savings Options
If you have been prescribed XELJANZ and you are running into financial challenges, Pfizer has programs in place that may be able to help. See below for details.
If you have private insurance, you may qualify for a Co-Pay Savings Card and may pay as little as $0 per month. See limits, terms, and conditions. If your pharmacy does not accept the Co-Pay Savings Card a rebate form is available. Eligibility is not based on income.
If you have government insurance, such as Medicare Part D and Medicaid, or if you need financial assistance, we can also evaluate your eligibility for the Pfiizer Patient Assistance Program.* If you are eligible, we will provide XELJANZ or once-daily XELJANZ XR at no cost to you.
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. See terms and conditions/eligibility requirements.
To speak with someone at XELSOURCE about your insurance coverage and medication costs for XELJANZ, call 1-844-935-5269.
*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.
Financial Support Questions
If you qualify for a Co-Pay Savings Card, it can be used for either XELJANZ or XELJANZ XR depending on your prescription.
When switching from XELJANZ to once-daily XELJANZ XR additional approvals may not be required. For more information, check with your insurance provider.
Health plans can change—so can your health insurance and prescription benefits. Once your new plan begins, XELSOURCE can help review your plan information, verify your coverage if needed, and assist with the Prior Authorization (PA) process.
If your request is denied, you may able to appeal the decision. Call XELSOURCE to learn more about the support programs that may be available to you.
To speak with a XELSOURCE specialist, call 1-844-935-5269, Monday through Friday,