This program provides certain Bristol-Myers Squibb medications at no cost to you. This is a temporary assistance program that looks at your financial and medical needs. You will not need to pay any co-pays or enrollment fees to get help from this program. Once enrolled, you will receive a supply of the medication in the amount needed for your treatment or as determined by the program. In addition, the program will work with you and/or your physician to determine where your medication will be shipped.
How do I apply?
To apply for this program, print and fill out the application form. Please return the completed application to the program as instructed on the form.
Frequently Asked Questions