Bristol Myers Squibb is committed to helping appropriate patients get access to our medications by providing access and reimbursement support services.

This information is intended for U.S. healthcare professionals and/or healthcare professionals involved in healthcare reimbursement.

BMS Oncology Co-Pay Assistance Program

BMS Rheumatology IV Co-Pay Assistance Program

BMS Kidney Transplant Co-Pay Assistance Program

BMS Oncology Co-Pay Assistance Program

BMS Rheumatology IV Co-Pay Assistance Program

BMS Kidney Transplant Co-Pay Assistance Program

Find Access for Eligible, Commercially Insured Patients

Bristol Myers Squibb (BMS) supports access to certain BMS oncology products through the BMS Oncology Co-Pay Assistance Program. The program provides financial assistance with the out-of-pocket deductibles, co-pay, or co-insurance costs for eligible patients who have been prescribed certain BMS oncology products.

Program at a Glance:

Enrolled patients only pay
$25 per product. The patient must
pay the first $25 of the co-pay for
each dose of a BMS medication covered by this Program.

Bristol Myers Squibb will cover the remaining amount up to a maximum of $25,000 per year, per patient,
per product.

Restrictions apply. Final determination of Program eligibility is based upon review of completed application. Please click here for full Terms and Conditions, including complete eligibility requirements.

Please note: The Program will cover the out-of-pocket expenses of the BMS product only. It does not cover the costs of any other healthcare provider charges or any other treatment costs. Patients may be responsible for non-drug-related out-of-pocket costs, depending on their specific healthcare benefits.

How Does It Work? It's Simple.

Step 1: Obtain form

Obtain the Enrollment Form in one of the following ways:

Step 2: Fill out and fax

You and your patient complete the applicable Enrollment Form. The patient’s name, address, insurance carrier, and member identification number are required.

Please fax the completed Enrollment Form to 1-888-776-2370.

Step 3: Notification of services

BMS Access Support determines patient eligibility, including verifying commercial insurance coverage. BMS Access Support then notifies the provider and patient of the result and the appropriate next steps.

For questions or to confirm receipt of the application, call the Support Center at 1-800-861-0048, 8 am to 8 pm ET, Monday-Friday.

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.

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Support Center: 1-800-861-0048
am to 8 pm ET, Mon - Fri
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NO-US-2300198 05/23

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Use of the information on this site is subject to the terms of our Legal Notice and Privacy Statement. The coding, coverage, and payment information contained within this website is current as of 04/22.

NO-US-2103027 04/22