Please see full Prescribing Information including Medication Guide, or visit Velsipity.com.
Please see full Prescribing Information for Xeljanz, including BOXED WARNING and Medication Guide, or visit Xeljanz.com.
Please see full Prescribing Information, including BOXED WARNING, Medication Guide, and instructions for use, available at AbriladaHCP.com.
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.