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Pfizer Oncology Together Contact Information

Phone Number 1-877-744-5675
   
Fax Number 1-877-736-6505

   Monday - Friday
   8 AM to 8 PM ET
Address

Pfizer Oncology Together 
P.O. Box 220366,
Charlotte, NC  28222-0366


Injectable Tools


Sample Forms - Besponsa (inotuzumab ozogamicin), Mylotarg (gemtuzumab ozogamicin), Nivestym (filgrastim-aafi), Retacrit (epoetin alfa-epbx), Ruxience (rituximab-pvvr), Trazimera (trastuzumab-qyyp), Zirabev (bevacizumab-bvzr)

BESPONSA Sample UB-04/CMS-1450 Form for Hospital Outpatient Use
BESPONSA Sample CMS-1500 Form for Physician Office Use
MYLOTARG Sample UB-04/CMS-1450 Form for Hospital Outpatient Use
MYLOTARG Sample CMS-1500 Form for Physician Office Use
NIVESTYM Co-Pay Program Claim Form
RUXIENCE Co-Pay Savings Program Specialty Pharmacy Form
RUXIENCE Co-Pay Program Claim Form
TRAZIMERA Co-Pay Savings Program Specialty Pharmacy Form
TRAZIMERA Co-Pay Savings Program Claim Form
ZIRABEV Co-Pay Savings Program Specialty Pharmacy Form
ZIRABEV Co-Pay Program Claim Form

Product Resources - Besponsa, Mylotarg, Nivestym, Retacrit, Ruxience, Trazimera, Zirabev

Specialty Distribution Partners for BESPONSA and MYLOTARG
NIVESTYM Billing and Coding Guide
NIVESTYM Co-Pay Savings Program Brochure
RETACRIT Billing and Coding Guide
RUXIENCE Billing and Coding Guide
RUXIENCE Co-Pay Savings Program Brochure
TRAZIMERA Billing and Coding Guide
TRAZIMERA Co-Pay Savings Program Brochure
ZIRABEV Billing and Coding Guide
ZIRABEV Co-Pay Savings Program Brochure
Claims Submission and Payment for Injectable Biosimilar Products