Bristol-Myers Squibb Access Support® is committed to helping appropriate patients get access to our medications by providing reimbursement support services for healthcare offices.

Enroll, track, and manage your reimbursement cases.

VISIT OUR Patient Site

Enrollment Forms

 
  • Use our Form Wizard or Download the enrollment form on your computer and fax to 1-888-776-2370.
  • Use our Form Wizard (available on desktop) or download the enrollment form on your computer and fax to 1-888-776-2370.
  • Use our Form Wizard (available on desktop) or download the enrollment form on your computer and fax to 1-888-776-2370.

Claim Documents

 

The accurate completion of reimbursement- or coverage-related documentation is the responsibility of the healthcare provider and patient. Bristol-Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item.

SUPPORT CENTER: 1-800-861-0048 , 8 A.M. to 8 P.M. EST, M-F    |    REQUEST SUPPORT:

 

 

 
Request a Visit From a BMS Area Reimbursement Manager
Schedule a Call From a Reimbursement Support Care Coordinator