Copay savings card
Source confirmed May 2026XELJANZ Co-Pay Savings Program (XELSOURCE)
Pfizer Inc. · Xeljanz
Patient pays: as little as $0 per month
commercial insurance
How to apply: online or phone
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Free help paying for Xeljanz.
Every Xeljanz assistance program you may qualify for - manufacturer and foundation programs, not a discount card. About a minute, no login.
Xeljanz help that still works on Medicare or Medicaid - the programs copay cards leave out.
Tell us five things. We’ll do the rest.
Xeljanz (tofacitinib) is a jak inhibitor (oral) made by Pfizer. It is commonly prescribed for: Rheumatoid arthritis, Psoriatic arthritis, Ulcerative colitis, Polyarticular course juvenile idiopathic arthritis, Ankylosing spondylitis. Without financial assistance, Xeljanz typically costs around $5,800 per month.
Not sure which kind of help you qualify for?
Xeljanz offers more than one kind of program, and they have opposite rules:
- Have private insurance? The copay card can cut your monthly cost - but it can’t be used with Medicare, Medicaid, the VA, or Tricare.
- Uninsured or low-income? The patient assistance program may give you Xeljanz free or nearly free, if your income is under its limit.
- On Medicare? The copay card won’t work, but Xeljanz’s patient assistance program still does - plus federal Extra Help.
We show both programs, and the real income limits, below. Or read the full copay card vs patient assistance guide
All Xeljanz programs we know about
This is the full list before we filter by your situation. Use the calculator above to see only the ones you may qualify for.
Manufacturer assistance
Source confirmed July 2026Pfizer Patient Assistance Program - Xeljanz
Pfizer Patient Assistance Foundation · Xeljanz
uninsured · underinsured · Medicare Part D
How to apply: online or phone
Your prescriber signs part of the form.
Xeljanz assistance, answered plainly
Is there a Xeljanz patient assistance program?
Yes. Pfizer Patient Assistance Foundation runs the Pfizer Patient Assistance Program - Xeljanz, which provides Xeljanz free of charge to eligible patients. The full rules and the official application link are in the program list above.
Does Medicare cover Xeljanz?
Medicare coverage for Xeljanz depends on your own plan: depending on how it is given, a drug can fall under Part B (administered in a clinic) or Part D (filled at a pharmacy), and each plan decides what it covers. Your plan's documents or Medicare's plan finder are the only reliable check. Separate from coverage, Pfizer Patient Assistance Program - Xeljanz is open to some Medicare patients when out-of-pocket costs stay high - details above.
Is there a Xeljanz copay card or coupon, and who can use it?
Yes - the XELJANZ Co-Pay Savings Program (XELSOURCE) from Pfizer Inc. Eligible patients pay as little as $0 per month. It works for patients with commercial (private) insurance. Patients on Medicare or Medicaid cannot use the card itself, but other Xeljanz programs above do work with government insurance. If you searched for a Xeljanz coupon, this manufacturer card is the official version of it.
How much does Xeljanz cost without insurance?
Without insurance or assistance, Xeljanz typically costs around $5,800 per month in the US. The Pfizer Patient Assistance Program - Xeljanz above can bring that down substantially for eligible patients - use the calculator to check your situation.
Where do I find the Xeljanz patient assistance application form?
The official application form for the Pfizer Patient Assistance Program - Xeljanz is on pfizerrxpathways.com - the application links on this page go straight to the program's own form. Some programs call it an enrollment form; it is the same document. Applying is always free; never pay a third-party service to file a patient assistance form for you.
Does Xeljanz assistance work if I am on Medicare or Medicaid?
Yes. Pfizer Patient Assistance Program - Xeljanz is open to some patients on Medicare - each program's exact rules are listed above, and the calculator checks the income limits against your household.
Is the Xeljanz patient support program the same thing as patient assistance?
Manufacturers like Pfizer use "patient support program" as an umbrella term for nurse lines, insurance navigation, and financial help. The financial help is what we track here - for Xeljanz that is the Pfizer Patient Assistance Program - Xeljanz. The support phone line is listed on the official program site linked above.