SAVINGS FOR BRAND-NAME ELIQUIS

Payment Assistance card

With the ELIQUIS Payment Assistance Card, get your brand-name ELIQUIS at little to no extra cost over the generic. When you pick up your prescription, just show your ELIQUIS Payment Assistance Card and start saving!

All fields are required.

Please enter a first name
Please enter a last name
Please select a province/territory
Please enter a valid email address
ELIQUIS Payment Assistance Card not available in the province of Quebec.
You must agree to the Personal Information Consent

Personal information such as your email address, name, date of birth, address, phone number, and province of residence collected from you will be used by Pfizer Canada ULC (“Pfizer Canada”) to send you your ELIQUIS payment assistance card, to send you information and updates from ELIQUIS or information that might be of interest to you. Your personal information may be shared with service providers in order to provide you with the products/services/information that you have requested, but will not be otherwise disclosed without your consent, except as permitted or required by law. Your personal information may also be disclosed and/or transferred to a third party in the event of a proposed or actual purchase, sale (including a liquidation, realization, foreclosure or repossession), lease, merger, amalgamation or any other type of acquisition, disposal, transfer, conveyance or financing of all or any portion of Pfizer Canada or of any of the business or assets or shares of Pfizer Canada or a division thereof. Please note that sharing of personal information with service providers or disclosures to third parties may involve the storage or processing of personal information outside of Canada (including in the United States) where local privacy laws may require the disclosure of personal information to governmental authorities under circumstances that are different than those that apply in Canada.

By submitting your personal information, you consent to the manner of collection, use and disclosure of personal information as described above. If you later change your mind about such collection, use and disclosure for any reason, you may withdraw your consent, by contacting Pfizer Canada as set forth below. You have a right to access and correct your information, where required. If you have any inquiry concerning your personal information, please contact Pfizer Canada ULC at P.O. Box 800, Pointe-Claire – Dorval, Quebec H9R 4V2 or by phone at 1-888-637-5464. Further information about Pfizer Canada's privacy practices is available here.