EUCRISA-4-You Savings and Support logo 1
EUCRISA® (crisaborole) Eligibility Required Copay Savings Card 2

Save on EUCRISA*

Download your Copay Savings Card to start saving on prescriptions, for eligible patients.

Download your Copay Savings Card to start saving on prescriptions, for eligible patients.

First, let’s see if you may be eligible for the Copay Savings Card.

All fields required unless otherwise noted.

Can you verify:

  • My partner and I are not over 65 years of age and retired.
  • I am a legal resident of the U.S. or Puerto Rico.

We also just need you to confirm:

  • I do not have insurance from any Federal Healthcare Program (including Medicare, Medicaid, Tricare, or any other state or federal medical pharmaceutical benefit program or pharmaceutical assistance program).
  • I do not receive Social Security Disability (SSDI) or any other Social Security Administration (SSA) benefit.
  • I do not receive health insurance through the military.

Good news! You’re eligible for the card.

We’ll just need some information to get you started.

Tell us more about you

Privacy Statement

Pfizer understands that your personal and health information is private and will only use your information in accordance with our Privacy Policy. The information you provide will only be used by Pfizer and parties acting on its behalf to send you the materials you requested as well as other helpful product and/or related product information, disease state information, offers, and services.

CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
*Terms and conditions apply

corona msg