Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis. | |||
Program 1 of 2. Scroll down to see them all. |
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Bristol Myers Squibb (BMS) Patient Support Program (Expanded: COVID-19)This program provides brand name medications at no or low cost @if> |
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Provided by: Bristol-Myers Squibb Company |
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TEL: 800-721-8909 |
Languages Spoken:
English, Others By Translation Service |
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Program Applications and Forms |
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Bristol Myers Squibb (BMS) Patient Support Program (Expanded: COVID-19): Contact program |
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Medications |
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Eligibility Requirements |
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Insurance Status | Determined case by case | ||
Those with Part D Eligible? | Determined case by case | ||
Income | Not disclosed | ||
Diagnosis/Medical Criteria | FDA-approved diagnosis | ||
US Residency Required? | Must reside in the US | ||
Application |
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Obtaining | Call | ||
Receiving | Not specified | ||
Returning | Not specified | ||
Doctor's Action | Not specified | ||
Applicant's Action | Call for information or inform doctor that he/she is in need | ||
Decision Communicated | Call for decision | ||
Decision Timeframe | Varies | ||
Medication |
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Amount/Supply | Varies | ||
Sent To | Varies | ||
Delivery Time | Varies | ||
Refill Process | Contact program for details. | ||
Limit | Contact the program for details | ||
Re-application | Determined case by case | ||
Additional Information |
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Eligibility determined on a case-by-case basis. Contact program for details: 1-800-721-8909 |
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Updated August 01, 2022 |
Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis. | |||
Program 2 of 2. | |||
Eliquis |
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Bristol-Myers Squibb Patient Assistance Foundation (BMSPAF)This program provides brand name medications at no or low cost @if> |
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Provided by: Bristol-Myers Squibb Company |
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PO Box 220769 TEL: 800-736-0003FAX: 800-736-1611 |
Languages Spoken:
English, Spanish, Others By Translation Service |
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Program Applications and Forms |
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Bristol-Myers Squibb Patient Assistance Foundation Application |
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Bristol-Myers Squibb Patient Assistance Foundation Application (Zeposia) |
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Medications |
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Eligibility Requirements |
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Insurance Status | Must have no prescription coverage for needed medication | ||
Those with Part D Eligible? | Determined case by case | ||
Income | Varies | ||
Diagnosis/Medical Criteria | Medication must be for outpatient use only | ||
US Residency Required? | Must reside in the US, Puerto Rico or the USVI | ||
Application |
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Obtaining | Call or download | ||
Receiving | Faxed | ||
Returning | Fax or mail | ||
Doctor's Action | Complete section and sign | ||
Applicant's Action | Complete section, sign, attach required documents | ||
Decision Communicated | Patient and Doctor are notified | ||
Decision Timeframe | Within a week | ||
Medication |
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Amount/Supply | Varies | ||
Sent To | Doctor's office | ||
Delivery Time | Within 5-7 business days | ||
Refill Process | Doctor/Doctor's office must contact company | ||
Limit | Contact the program for details | ||
Re-application | New application yearly | ||
Additional Information |
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Updated August 02, 2022 |