You must not have any private or public insurance coverage for prescriptions. Medicare Part D
patients are eligible in certain situations.
You must live in the United States, Puerto Rico, or the US Virgin Islands.
Your physician must be licensed in the US
You must be an outpatient
Have a yearly income of less than ~250% of the Federal Poverty Level:
$28,725 or less for a single person
$38,775 or less for a family size of two
Larger family sizes are adjusted accordingly
Medications that are injected may be subject to higher limits
Medications available through the Bristol-Myers Squibb Patient Assistance Foundation are: