Save on EUCRISA^†

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

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

^*EUCRISA can be used for people with eczema as young as 2 years old; however, to activate this copay card you must be at least 18 years old. Are you 18 or older?

Yes

^*Do you purchase your prescription medicine through a federal or state prescription drug program, such as Medicare or Medicaid?

Yes

Good news! You’re eligible for the card.

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

*Who was EUCRISA prescribed for?

For me

For my child

For another adult in my household

*Your First Name

*Your Last Name

*Email Address

*Confirm Email Address

Address 1

Address 2

City

State

ZIP Code

^*Required fields.

Privacy Statement

Pfizer understands that your personal and health information is private. The information you provide will only be used by Pfizer and parties acting on its behalf to send you the materials you requested and other helpful information and updates on EUCRISA and/or eczema, as well as related treatments, products, offers, and services from eucrisa•4•you Savings and Support.

By checking this box, I also agree that Pfizer or companies acting on its behalf may send me materials about other health conditions, use my information to develop or improve products and services, or contact me in the future about health-related topics.

CAPTCHA

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

Website URL

^*Required fields.

Save on EUCRISA^†

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

Good news! You’re eligible for the card.

Privacy Statement

For more information call 1-866-EUCRISA (1-866-382-7472)

Important Safety Information & Indication

Save on EUCRISA†

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

Good news! You’re eligible for the card.

Privacy Statement

Important Safety Information & Indication

Save on EUCRISA^†