Sign Up For More Information

Whether you’ve just started treatment or you’re considering it, we offer support and information to help you along the way. Answer the questions below to begin your registration so you can receive more information.

By filling out this form, you acknowledge you are over 18 years old.

Continue this short registration to receive resources in the mail from the XELJANZ+You Support Program, such as a welcome kit, that includes an RA-friendly water bottle and an RA Symptom & Activity Tracker.


Continue this short registration to receive tools in the mail to help you understand how RA is impacting you. Materials include a welcome kit that features a tote bag, an RA journal, a day to day symptom tracker, and a doctor discussion guide.



  • I am 18 years or older.
  • I do not purchase my prescription medication through a federal or state prescription drug program such as Medicare or Medicaid.
  • I agree with the Terms and Conditions.

Pfizer understands your personal and health information is private. The information you provide will only be used by Pfizer and parties acting on its behalf to send you the materials you requested and other helpful information and updates on XELJANZ, as well as related treatments, products, offers, and services.