Can't upload documents? No problem! You can also submit your claim in the following ways:


IQVIA, Inc.
430 Mountain Avenue
Suite 105
New Providence, NJ 07974

(888) 668-8137

Co-Pay Assistance Claim Forms for Mail or Fax

Co-Pay Assistance Claim Form for Pfizer Oncology Together Co-Pay Rebate Form

Use the Co-Pay Assistance Claim Form if you paid out of pocket at your pharmacy.



Please feel free to contact us with any questions or issues regarding your account.

:
(877) 744-5675
8:00 AM-8:00 PM ET Mon-Fri