Contact info
- Phone
- 1-800-861-0048
Eligibility
- Note: This program provides screening for the Bristol-Myers Squibb Patient Assistance Foundation Patient Assistance Program.
- Patients with Medicare Part D may be eligible, contact program for details.
- Co-pay assistance, patient support, and patient assistance programs are available for eligible patients.
- Income limit, single
- Not published
- Income limit, couple
- Not published
- Medical expenses can be deducted
- No
- Social Security number asked for
- Yes
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Proof of income
- Prescriber license number
- NPI number
- State license number
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Provider
Getting the medication
- Patient receives
- Medication
- Shipped to
- Provider or patient
- Supply per shipment
- Varies
- Time to first delivery
- Not published
- Refills
- Patient or physician's office must contact the program
- Staying enrolled
- Must re-enroll at end of calendar year
Medications covered
- Abraxane (albumin-bound paclitaxel)
- Augtyro (repotrectinib)
- Empliciti (elotuzumab)
- Idhifa (enasidenib)
- Inrebic (fedratinib)
- Istodax injection (romidepsin)
- Krazati (adagrasib)
- Nulojix (belatacept)
- Onureg (azacitidine tablet)
- Opdivo Injection (nivolumab)
- Opdivo Yervoy