The Bristol-Myers Squibb Patient Assistance Foundation, Inc. is a non-profit organization. The Foundation assists patients who need temporary help paying for the medications listed on this website. To receive temporary help, a patient must be having trouble making ends meet financially and meet the Foundation's eligibility criteria.

You may be eligible if you:

• Do not have public or private insurance that helps to pay for your prescription medications. If you are enrolled in Medicare Part D, call the Bristol-Myers Squibb Patient Assistance Foundation, Inc. for more information. The number is 1-800-736-0003.
• Have a yearly income of less than ~250% of the Federal Povertly Level:
  • $28,725 or less for a single person
  • $38,775 or less for a family size of two
  • Larger family sizes are adjusted accordingly
  • Medications that are injected may be subject to higher limits.
• Are being treated with one of these medications:
  • ABILIFY® (aripiprazole)
  • BYDUREON® (exenatide extended-release for injectable suspension)
  • BYETTA® (exenatide) injection
  • ERBITUX® (cetuximab)
  • ELIQUIS® (apixaban)
  • IXEMPRA® (ixabepilone)
  • KOMBIGLYZE™ XR (saxagliptin and metformin HCl extended-release)
  • NULOJIX® (belatacept)
  • ONGLYZA® (saxagliptin)
  • ORENCIA® (abatacept)
  • SYMLIN® (pramlintide acetate) injection
  • SPRYCEL® (dasatinib)
  • YERVOY® (ipilimumab)
• Live in the United States, Puerto Rico, or the US Virgin Islands
• Are being treated by doctor or other healthcare provider who is licensed in the US.
• Are being treated as an outpatient.

These are just some of the eligibility requirements. Other eligibility criteria may apply. For more information about eligibility, call the Bristol-Myers Squibb Patient Assistance Foundation, Inc. at 1-800-736-0003.