Drug:

 
Program Contact Info / Application Submission
Program Connection to Care (Lyrica)
Company PfizLyr
Form Download PDF
Address PO Box 66585, St. Louis, MO 63166-6585
Phone 866-706-2400
Fax 866-470-1748
Website http://www.pfizerhelpfulanswers.com/pages/Programs/programdetails.aspx?p=2
 
Program Requirements
Details Drivers license required
Form 4506T (If taxes were not filed) required as proof of income
Other Requirements Copy of SS card and Drivers License
 
Delivery of Medication
Ship Time 2 - 3 weeks
Delivery Options Can be delivered directly to the patient
Can NOT be delivered directly to the doctor

 
Application Process
New Applications New applications accepted
Patients can apply directly to the program
Doctors can apply directly to the program
Advocates can apply directly to the program

Can NOT apply for a new application via phone
Can NOT apply for a new application via fax
Can apply for a new application via mail
Refills Refills accepted
Patients can NOT apply for refills
Doctors can apply for refills
Advocates can NOT apply for refills
Can apply for refills via phone
Applying for refills via fax will be considered on a case by case basis
Applying for refills via mail will be considered on a case by case basis
 
Other Medications
Other
 Medications
 available in
 this program
Lyrica Capsule 25mg - anticonvulsant Neuro/Mental Health (Generic: pregabalin)
Lyrica Capsule 50mg - (Generic: )
Lyrica Capsule 75mg - (Generic: )
Lyrica Capsule 100mg - (Generic: )
Lyrica Capsule 150mg - (Generic: )
Lyrica Capsule 200mg - (Generic: )
Lyrica Capsule 225mg - (Generic: )
Lyrica Capsule 300mg - (Generic: )