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Please see full Prescribing Information including Medication Guide, or visit

Please see full Prescribing Information for Xeljanz, including BOXED WARNING and Medication Guide, or visit

To submit a rebate claim you will need:

  • A Pfizer I&I Co-Pay Patient Portal account (create account)
  • Your insurance information
  • Information to verify your drug purchase
  • Your co-pay card information

Please note: You may only submit a claim if you have commercial insurance or are self-insured, and you are not a participant of any Federal Healthcare Program (including Medicare, Medicaid, Tricare, or any other state or federal medical pharmaceutical benefit program or pharmaceutical assistance program).

When submitting a rebate claim using this portal, a completed rebate form does not need to be uploaded.

Instructions for submitting your claim through mail or fax can be found on the Contact Us page.

Please see the User Guide for portal instructions.