Q: What is the Bristol-Myers Squibb Patient Assistance Foundation, Inc.?
Q: Who may be eligible for assistance?
Q: How do patients apply?
Q: What information is needed to apply?
Q: What medications are included in the program?
Q: How can I get assistance if my medication is not included in the program?
Q: How do I contact the Bristol-Myers Squibb Patient Assistance Foundation?
Q: Are Medicare beneficiaries who are enrolled in a Part D plan eligible for participation in a Bristol-Myers Squibb Patient Assistance Foundation Program?
Q: What is the Bristol-Myers Squibb Patient Assistance Foundation, Inc.?
A: The Bristol-Myers Squibb Patient Assistance Foundation, Inc. is a non-profit organization that may be able to help you get assistance with your medicines when you have a financial hardship.
Q: Who may be eligible for assistance?
A: The Bristol-Myers Squibb Patient Assistance Foundation programs provide assistance to qualifying patients with an established financial hardship who generally lack public or private prescription drug coverage and live in the United States, Puerto Rico or the U.S. Virgin Islands. Eligibility varies by program.
A: All patients and their healthcare providers must complete a program application to be considered for assistance. A printable version of the application is available on this web site by clicking on the Programs tab, located at the top of this page, then selecting the appropriate program name. You may also obtain an application by contacting us at 1 (800) 736-0003. Completed applications may be submitted by either fax or mail.
Q: What information is needed to apply?
A: Applicants are required to provide information regarding household income and prescription drug insurance coverage, along with both patient and healthcare provider signatures.
Q: What medications are included in the program?
A: To access a complete list of medications included in the program, please select the Programs tab on this web site, then select the appropriate program name. You may also contact us at 1 (800) 736-0003 to find out if your medicine is included in the program.
Q: How can I get assistance if my medication is not included in the program?
A: For assistance with medications that are not included in a Bristol-Myers Squibb Patient Assistance Foundation program, please contact The Partnership for Prescription Assistance at: 1 (888) 4PPA-NOW
(1 888-477-2669) or access their web site: www.pparx.org
Q: How do I contact the Bristol-Myers Squibb Patient Assistance Foundation?
A: Patients and healthcare providers who would like additional information for a Bristol-Myers Squibb Patient Assistance Foundation program may call us at 1 (800) 736-0003, Monday-Friday, 9:00 AM -
6:00 PM EST.
Q: Are Medicare beneficiaries who are enrolled in a Part D plan eligible for participation in a Bristol-Myers Squibb Patient Assistance Foundation program?
A: Generally, patients receiving benefits under a Medicare Part D plan are not eligible for assistance through the Bristol-Myers Squibb Patient Assistance Foundation. However, in 2010, Medicare Part D enrollees may apply for assistance through a case by case appeals process based on significant financial and medical need. Additionally, new applicants cannot qualify for the program if they are eligible for and receiving the Medicare Part D Low Income Subsidy (LIS).
