Xeljanz rebate form 2025

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The document provides instructions for submitting a co-pay rebate form for XELJANZ (tofacitinib citrate) to request reimbursement for out-of-pocket costs. It outlines the steps to complete the form, including circling relevant information on the pharmacy receipt and emailing it along with the receipt. The document also details eligibility criteria, terms and conditions of the rebate program, important safety information regarding XELJANZ, potential side effects, and contact information for further assistance.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is XELJANZ a specialty medication?

Retail vs. Specialty PharmacyWhats the difference? XELJANZ can be filled by both retail and specialty pharmacies.

What is the generic name for XELJANZ?

XELJANZ (tofacitinib) was the first FDA-approved pill of its kind (JAK inhibitor) that treats adults with moderate to severe rheumatoid arthritis, active psoriatic arthritis, active ankylosing spondylitis, and moderate to severe ulcerative colitis.

What happened to XELJANZ?

The U.S. Food and Drug Administration (FDA) is alerting the public that preliminary results from a safety clinical trial show an increased risk of serious heart-related problems and cancer with the arthritis and ulcerative colitis medicine Xeljanz, Xeljanz XR (tofacitinib) compared to another type of medicine called

How do I get help paying for Xeljanz?

Sign up for the XELJANZ Co-Pay Savings Program, if Eligible If you are unable to confirm your eligibility or have additional questions, call XELSOURCE at 1-844-935-5269. For eligible underinsured or uninsured patients, XELSOURCE may offer financial assistance through the Pfizer Patient Assistance Program.

What is the maximum benefit of the Xeljanz copay card?

A Xeljanz copay card, when used in conjunction with commercial health insurance, can lower your copay to as little as $0 on each monthly refill, with a maximum benefit of $6,000 to $15,000 per calendar year.

What are the benefits of XELJANZ?

In another study, Xeljanz taken alone was more effective than placebo (a treatment) at reducing symptoms, such as pain and swelling. Xeljanz, in combination with methotrexate, was shown to be effective at improving symptoms of psoriatic arthritis in two main studies.

Xeljanz rebate form 2025

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