Patient must meet established financial criteria. Application form, prescription, and patient's income documentation are required. Maximum of three months supply may be provided per request. Complete financial re-application is required annually. Renewal requests within the same year require only the application form and a prescription.
Program is subject to change without notice.
Current program specifics can be obtained by calling the toll-free number above. Patients who meet the program's eligibility criteria are provided BMS products free of charge. Physicians and other health care professionals who are interested in enrolling a patient should call the toll-free number above to request an application form.