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 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 and a resident of the U.S. or Puerto Rico. Are you 18 years or older and a U.S. or Puerto Rico resident?

Yes

No

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

Yes

No

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

^*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.

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

Website URL

^*Required fields.

^†Terms and conditions apply.

Important Safety Information & Indication

IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION AND INDICATION

Do not use EUCRISA if you are allergic to crisaborole or any of the ingredients in EUCRISA.

EUCRISA may cause side effects including allergic reactions at or near the application site. These can be serious and may include hives, itching, swelling, and redness. If you have any of these symptoms, stop using EUCRISA and get medical help right away.

The most common side effect of EUCRISA is application site pain, such as burning or stinging.

EUCRISA is for use on skin (topical use) only. Do not use EUCRISA in your eyes, mouth, or vagina.

INDICATIONEUCRISA is a prescription ointment used on the skin (topical) to treat mild-to-moderate eczema (atopic dermatitis) in adults and children 2 years of age and older.

See Full Prescribing Information and Patient Information.

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

Important Safety Information & Indication

IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION AND INDICATION

Do not use EUCRISA if you are allergic to crisaborole or any of the ingredients in EUCRISA.

EUCRISA may cause side effects including allergic reactions at or near the application site. These can be serious and may include hives, itching, swelling, and redness. If you have any of these symptoms, stop using EUCRISA and get medical help right away.

The most common side effect of EUCRISA is application site pain, such as burning or stinging.

EUCRISA is for use on skin (topical use) only. Do not use EUCRISA in your eyes, mouth, or vagina.

INDICATIONEUCRISA is a prescription ointment used on the skin (topical) to treat mild-to-moderate eczema (atopic dermatitis) in adults and children 2 years of age and older.

See Full Prescribing Information and Patient Information.

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

How To Get Pfizer Rx Savings 3

How To Get Pfizer Rx Savings 2

How To Get Pfizer Rx Savings 1

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

The product information provided in this site is intended only for residents of the United States. The products discussed herein may have different product labeling in different countries.

The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient.

Important Safety Information & Indication

IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION AND INDICATION

Do not use EUCRISA if you are allergic to crisaborole or any of the ingredients in EUCRISA.

EUCRISA may cause side effects including allergic reactions at or near the application site. These can be serious and may include hives, itching, swelling, and redness. If you have any of these symptoms, stop using EUCRISA and get medical help right away.

The most common side effect of EUCRISA is application site pain, such as burning or stinging.

EUCRISA is for use on skin (topical use) only. Do not use EUCRISA in your eyes, mouth, or vagina.

INDICATIONEUCRISA is a prescription ointment used on the skin (topical) to treat mild-to-moderate eczema (atopic dermatitis) in adults and children 2 years of age and older.

See Full Prescribing Information and Patient Information.

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