2025-11-10T13:09:49-06:00 2024-12-31 135565207 KPMG LLP TWO MANHATTAN WEST 375 9TH AVENUE NEW YORK NY 10001 990PF 2024-01-01 261437283 PFIZER PATIENT ASSISTANCE FOUNDATION INC PFIZ 2127332323 66 HUDSON BLVD EAST NEW YORK NY 10001 NIESHA FOSTER EXECUTIVE DIRECTOR 2127332323 2025-11-10 1 0 DEVIN L DUNCAN P01249521 2127589700 2025-11-06 2024 2025-03-06 01:10:19Z X 9377757 X 1515910553 14462 14462 0 0 1515925015 14462 0 0 0 0 0 6205 0 0 6205 19629 0 0 19629 24245859 0 0 24245859 24271693 0 0 24271693 1480409944 1480409944 1504681637 0 0 1504681637 11243378 14462 0 983850 3589963 3589963 5787794 5787794 5787794 6771644 9377757 9377757 20684361 12047096 20684361 12047096 X 0 0 0 0 -13912717 -2669339 -13912717 -2669339 6771644 9377757 -13912717 11243378 0 -2669339 0 -2669339 201 0 201 0 201 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 0 1 1 DE NY 1 1 0 0 0 1 WWW.PFIZERRXPATHWAYS.COM NIESHA FOSTER 2127332323 66 HUDSON BLVD EAST NEW YORK NY 10001 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAROLINE ROAN 66 HUDSON BLVD EAST NEW YORK NY 10001 CHAIRPERSON 29.00 0 0 0 NIESHA FOSTER 66 HUDSON BLVD EAST NEW YORK NY 10001 EXECUTIVE DIRECTOR 32.00 0 0 0 PATRICK CAUBEL 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR 1.00 0 0 0 DEBBIE WALTERS-FRANCIQUE 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR 1.00 0 0 0 BERT BRUCE 500 ARCOLA ROAD COLLEGEVILLE PA 19426 DIRECTOR (UNTIL 12/2024) 1.00 0 0 0 DIEGO SACRISTAN 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR (UNTIL 12/2024) 1.00 0 0 0 JENNIFER WALTON 1275 PENNSYLVANIA AVE NW SUITE 600 WASHINGTON DC 20004 DIRECTOR 1.00 0 0 0 JENICA STROOCK 100 ROUTE 206N PEAPACK NJ 07977 SECRETARY 32.00 0 0 0 MICHAEL READING 66 HUDSON BLVD EAST NEW YORK NY 10001 TREASURER 1.00 0 0 0 RODRIGO PUGA 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR (UNTIL 12/2024) 1.00 0 0 0 LESLIE KOBY 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR (UNTIL 12/2024) 1.00 0 0 0 JOYL SILVA 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR (UNTIL 12/2024) 1.00 0 0 0 MARIA RIVAS 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR (UNTIL 12/2024) 1.00 0 0 0 MATTHEW LEONARD 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR (AS OF 12/2024) 1.00 0 0 0 DOMINICK OLIVERIO 66 HUDSON BLVD EAST NEW YORK NY 10001 DIRECTOR (AS OF 12/2024) 1.00 0 0 0 NONE 0 CENCORA PATIENT SERVICESLASH GROUP 1800 INNOVATION POINT FORT MILL SC 29715 PROG ADMINISTRATION 13743137 SONEXUS HEALTH LLC 2730 S EDMONDS LANE SUITE 300 LEWISVILLE TX 75067 PROG ADMINISTRATION 6793910 CONDUENT COMMERCIAL SOLUTIONS LLC 500 ATRIUM DRIVE SOMERSET NJ 08873 PROG ADMINISTRATION 3004744 ASSISTRX 2001 SUMMIT PARK DR SUITE 700 ORLANDO FL 32810 PROG ADMINISTRATION 2577165 MEDVANTX INC 2503 EAST 54TH STREET NORTH SIOUX FALLS SD 57104 PROG ADMINISTRATION 1868841 4 INDIVIDUAL PATIENT PROGRAMS 1480086930 INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 323014 0 0 2351128 0 2351128 0 0 2351128 35267 2315861 115793 X 1504681637 0 1504681637 2008-03-24 X 0 0 0 498 498 0 0 0 423 423 1504681637 2081989551 1991769970 1613631295 7192072453 323014 412482 1570263 1683398 3989157 1504358623 2081577069 1990199707 1611947897 7188083296 0 0 77195 123301 123559 109984 434039 0 0 0 0 PFIZER PATIENT ASSISTANCE PROGRAM 66 HUDSON BLVD EAST NEW YORK NY 10001 8449897284 TO BE EVALUATED FOR ASSISTANCE, PATIENTS AND THEIR HEALTHCARE PROVIDERS MUST SUBMIT A COMPLETED ENROLLMENT FORM. PATIENTS MUST ALSO PROVIDE PROOF OF INCOME, SUCH AS A W2 FORM, A PAYCHECK STUB, OR PRIOR YEAR'S TAX RETURN. IN SOME CASES, PATIENTS PRESCRIBED CERTAIN PFIZER MEDICINES MAY FIRST BE REQUIRED TO SEEK ALTERNATE FORMS OF ASSISTANCE BEFORE THEY CAN BE CONSIDERED FOR FREE MEDICINE THROUGH THE PFIZER PATIENT ASSISTANCE PROGRAM. NONE TO QUALIFY, PATIENTS MUST HAVE A VALID PRESCRIPTION FOR THE PFIZER MEDICINE, AVAILABLE IN THE PAP, FOR WHICH THEY ARE SEEKING ASSISTANCE; HAVE AN FDA-APPROVED INDICATION FOR THE REQUESTED PRODUCT(S); BE UNINSURED OR GOVERNMENT INSURED AND UNABLE TO AFFORD THEIR COPAYMENT; MEET INCOME GUIDELINES, WHICH VARY BY MEDICINE, BUT START AT 300% OF THE FEDERAL POVERTY LEVEL, ADJUSTED FOR FAMILY SIZE; RESIDE IN THE U.S. OR A U.S. TERRITORY; AND BE TREATED BY A HEALTHCARE PROVIDER LICENSED IN THE U.S. OR A U.S. TERRITORY. COMMERCIALLY INSURED PATIENTS ARE NOT ELIGIBLE. ANDERSON FREE CLINIC 414 NORTH FANT STREET ANDERSON SC 29621 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1084 ARLINGTON FREE CLINIC 2921 SOUTH 11TH STREET ARLINGTON VA 22204 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 4695 BRADLEY FREE CLINIC 1240 THIRD STREET SW ROANOKE VA 24016 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 3566 BROCK HUGHES FREE CLINIC 450 WEST MONROE STREET WYTHEVILLE VA 24382 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 178 BROWARD HEALTH SPECIALTY CARE 1111 WEST BROWARD BOULEVARD FT LAUDERDALE FL 33312 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1626 BROWARD HOSP-CORA E BRAYNON FAMILY HEALTH CENTER 200 NORTHWEST 7TH AVE FT LAUDERDALE FL 33311 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 2709 CAPE FEAR CLINIC INC 1607 DOCTORS CIRCLE WILMINGTON NC 28401 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 4037 CENLA MEDICATION ACCESS PROGRAM (CMAP) 1101 4TH ST STE 203B ALEXANDRIA LA 71301 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 2497 CHARITABLE PHARMACY OF NORTH TEXAS INC DBA ST VINCENT DEPAUL PHARMACY 5750 PINELAND DR SUITE 280 DALLAS TX 75231 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1789 COMMUNITY VOLUNTEERS IN MEDICINE 300B LAWRENCE DR WEST CHESTER PA 19380 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 18544 COMMUNITYHEALTH MEDACCESS CHICAGO 2611 WEST CHICAGO AVENUE CHICAGO IL 60622 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 18076 CROSSOVER HEALTH MINISTRY 108 COWARDIN AVE RICHMOND VA 23224 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 38342 GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DR ATLANTA GA 30303 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 13434 GREENVILLE FREE MEDICAL CLINIC 600 ARLINGTON AVE GREENVILLE SC 29601 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 15953 GUADALUPE CLINIC 940 S SAINT FRANCIS ST WICHITA KS 67211 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 5891 GUADALUPE FREE CLINIC 700 MCKINNEY BLVD COLONIAL BEACH VA 22443 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 5751 GULF COAST HEALTH CENTER INC 2548 MEMORIAL BOULEVARD PORT ARTHUR TX 77640 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1070 HEALTH AND HOPE CLINIC INC 1718 EAST OLIVE RD PENSACOLA FL 32514 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 2639 JEFFERSON ABINGTON HEALTH DBA ABINGTON OBGYN CENTER 1200 OLD YORK RD ABINGTON PA 19001 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 13092 LACKEY FREE FAMILY MEDICINE CLINIC 1620 OLD WILLIAMSBURG ROAD YORKTOWN VA 23690 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 892 LLOYD F MOSS FREE CLINIC 1301 SAM PERRY BLVD SUITE 100 FREDERICKSBURG VA 22401 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 11016 MALTA HOUSE OF CARE CLINIC 134 FARMINGTON AVE HARTFORD CT 06105 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 3572 MATTHEW 25 INC 413 EAST JEFFERSON BLVD FORT WAYNE IN 46802 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 880 MBCHC-2- BEVERLY PRESS CENTER 1221-71ST STREET MIAMI BEACH FL 33141 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1192 MERCI CLINIC INC 1315 TATUM DRIVE NEW BERN NC 28560 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 2626 MIAMI BEACH COMMUNITY HEALTH CENTER 710 ALTON ROAD MIAMI BEACH FL 33139 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1868 MIAMI BEACH COMMUNITY HEALTH CENTER 4 11645 BISCAYNE BLVD SUITE 102 NORTH MIAMI FL 33181 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 2493 MOUNTAIN CARE CENTER 8252 RIVERSIDE DRIVE OAKWOOD VA 24631 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 862 NC MEDASSIST 4428 TAGGART CREEK RD STE 101 CHARLOTTE NC 28208 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 17715 NORTHERN NECK FREE CLINIC 51 WILLIAM B GRAHAM COURT KILMARNOCK VA 22482 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1123 PHSI-8-CHAPEL HILL COMMUNITY HEALTH CENTER PHARMACY 107 CONNER DR STE 100 CHAPEL HILL NC 27514 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 498 POMPANO ADULT PRIMARY HEALTH CENTER 2011 NW 3RD AVE POMPANO BEACH FL 330604800 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1626 SILOAM HEALTH 820 GALE LANE NASHVILLE TN 37204 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 8929 SINCLAIR HEALTH CENTER 301 N CAMERON ST SUITE 100 WINCHESTER VA 22601 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 17976 ST VINCENT DE PAUL CHARITABLE PHARMACY 1125 BANK ST CINCINNATI OH 45214 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1427 ST VINCENT DE PAUL CHARITABLE PHARMACY - GLENHILLS 3015 GLENHILLS WAY CINCINNATI OH 45238 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 178 ST VINCENT DEPAUL DBA VIRGINIA B ANDES COMMUNITY PHARMACY 21297 OLEAN BLVD UNIT B PORT CHARLOTTE FL 33952 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 620 THE FREE MEDICAL CLINIC 1875 HARDEN ST COLUMBIA SC 29204 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1041 UNIVERSITY HEALTH TRUMAN MEDICAL CENTER 2301 HOLMES STREET PHARMACY DEPT KANSAS CITY MO 64108 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 2853 UNIVERSITY MEDICAL CENTER 602 INDIANA AVE LUBBOCK TX 79415 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 7510 UNIVERSITY OF NORTH CAROLINA HOSPITALS 4400 EMPEROR BLVD SUITE 200 DURHAM NC 27703 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 3497 VOLUNTEERS IN MEDICINE CLINIC OF THE CASCADES 2300 NE NEFF RD BEND OR 97701 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 4224 WELVISTA 121 GREYSTONE BOULEVARD COLUMBIA SC 29210 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 71579 WESTERN TIDEWATER FREE CLINIC 2019 MEADE PARKWAY SUFFOLK VA 23434 PC INSTITUTIONAL PATIENT ASSISTANCE PROGRAM 1844 INDIVIDUAL PATIENT PROGRAMS 66 HUDSON BLVD EAST NEW YORK NY 10001 NONE I INDIVIDUAL PATIENT PROGRAM PROVIDES FREE PFIZER MEDICINES TO ELIGIBLE PATIENTS 1480086930 1480409944 0 14 14462 0 14462 0 14462 0 0 0 0 0 0 0 0 0 0 X X 1 PFIZER INC 235 EAST 42ND STREET NEW YORK NY 10017 1515910553 X X 1 VALUE OF PRODUCT DONATIONS 1480409944 2024-12-31 TAX FEES 19629 0 0 19629 LEGAL FEES 6205 0 0 6205 PROGRAM ADMINISTRATION 24245859 0 0 24245859