To have a Pfizer Patient Access Coordinator get in touch with you, fill out the form below.

You’ll receive a call from Pfizer Migraine Patient Access (1-866-222-4183) confirming your enrollment, so be sure to answer.

If you have already signed up for a Pfizer migraine copay savings program, you do not need to complete this form.
If you have questions or need help enrolling, call us at
1-866-222-4183, Monday-Friday, 8 AM-8 PM ET.
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Thank you for enrolling in Pfizer Migraine Patient Access!
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