Bristol-Myers Squibb Patient Assistance Foundation Application Form 2018 free printable template

APPLICATION From The Bristol Myers Squibb Patient Assistance Foundation, Inc. (BMS PAF) is a nonprofit organization that seeks to help eligible patients get the medicines listed below for free. ()DARLING

How to fill out Bristol-Myers Squibb Patient Assistance Foundation Application

How to fill out Bristol-Myers Squibb Patient Assistance Foundation Application Form

1. Obtain the Bristol-Myers Squibb Patient Assistance Foundation Application Form from the official website or request a physical copy.
2. Carefully read the instructions provided with the application to understand the requirements.
3. Fill out the personal information section, including your full name, address, phone number, and date of birth.
4. Provide details about your medical condition and the specific Bristol-Myers Squibb medication you require.
5. Include information about your insurance status, including any current coverage or lack thereof.
6. Attach any required documentation, such as proof of income or financial hardship, and a copy of your prescriptions.
7. Review the completed application for accuracy and ensure all required fields are filled out.
8. Submit the application by mail or electronically as instructed in the application form.

Who needs Bristol-Myers Squibb Patient Assistance Foundation Application Form?

1. Individuals who are uninsured or underinsured and cannot afford their Bristol-Myers Squibb medications.
2. Patients diagnosed with specific medical conditions treated by Bristol-Myers Squibb products.
3. Those who demonstrate financial need and are seeking assistance with medication costs.

People Also Ask about

What is the motto of Bristol-Myers Squibb?

We work every day to transform patients' lives through science. Each day, our employees around the world work together for patients – they are at the center of everything we do.

What are the benefits of Bristol-Myers Squibb?

Health Care & Employee Health Services: We provide competitive medical and dental plans as well as our Living Life Better wellness program and, at our larger campuses, onsite employee health services that offer annual health screenings, flu shots, travel advice, job-related medical surveillance.

What drugs does BMS make?

Our medicines ABECMA® (idecabtagene vicleucel) ABRAXANE® (paclitaxel protein-bound particles for injectable suspension) (albumin-bound) AZACTAM® (aztreonam for injection, USP) BREYANZI® (lisocabtagene maraleucel) BARACLUDE® (entecavir) CAMZYOSTM (mavacamten) ELIQUIS® (apixaban) EMPLICITI® (elotuzumab)

What is the bonus for Bristol-Myers Squibb?

Your annual bonus target is 120% of base salary. During your initial year of employment, your bonus opportunity will be prorated based on your start date.

What is Bristol-Myers Squibb best known for?

The company is known for biological and pharmaceutical research, producing the antipsychotic Abilify (which it helps market) and its blood thinners Plavix and Eliquis, as well as cancer drug Opdivo.

What does Bristol-Myers Squibb company do?

Bristol Myers Squibb is a global biopharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients prevail over serious diseases.

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What is Bristol-Myers Squibb Patient Assistance Foundation Application Form?

The Bristol-Myers Squibb Patient Assistance Foundation Application Form is a document that allows eligible patients to apply for financial assistance in obtaining select medications from Bristol-Myers Squibb.

Who is required to file Bristol-Myers Squibb Patient Assistance Foundation Application Form?

Patients who are facing financial hardships and need assistance to afford medications provided by Bristol-Myers Squibb are required to file the application form.

How to fill out Bristol-Myers Squibb Patient Assistance Foundation Application Form?

To fill out the application form, patients should provide personal information, income details, insurance coverage information, and any required medical documentation to verify their eligibility.

What is the purpose of Bristol-Myers Squibb Patient Assistance Foundation Application Form?

The purpose of the form is to determine a patient's eligibility for financial assistance programs that help them acquire necessary medications at little or no cost.

What information must be reported on Bristol-Myers Squibb Patient Assistance Foundation Application Form?

The form must report personal identification details, income details, insurance status, and any relevant medical information pertaining to the patient’s condition and prescribed medications.