BMSPAF: Bristol-Myers Squibb Patient Assistance Foundation
U.S. Residents Only. Questions? Call Us at 1-800-736-0003. Apply now by downloading our online application form General Application
Am I eligible for free prescription medications from the Bristol-Myers Squibb Patient Assistance Foundation?

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 ~300% of the Federal Poverty Level:
    • $35,640 or less for a single person
    • $48,060 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:
    • DAKLINZA™ (daclatasvir)
    • ELIQUIS® (apixaban)
    • EMPLICITI™ (elotuzumab)
    • NULOJIX® (belatacept)
    • ORENCIA® (abatacept)
    • OPDIVO® (nivolumab)
    • 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. Monday – Friday 8am-8pm EST.

DAKLINZA™, ELIQUIS®, EMPLICITI™, NULOJIX®, OPDIVO®, ORENCIA®, SPRYCEL® and YERVOY® are trademarks of Bristol-Myers Squibb Company.
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