Litfulo Enrollment Form
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Web pfizer prescription and patient enrollment form. Web sign up to receive savings and support info for litfulo™, including possible savings options, the copay savings card, email. Web learn about litfulo™, a prescription pill for treating severe alopecia areata for both adults and adolescents as young as 12. Complete, print, and fax to enroll patients in the pfizer dermatology patient accesstm program.
Web A Pfizer Patient Access Coordinator (Pac) Can Help You Understand Your Insurance Benefits And Navigate Key Aspects Of Your Medication Access.
Web talk to your healthcare provider to start your enrollment process today. Web download, complete, and return the enrollment form to get your patients started on their medication.