Eligibility Criteria

Monday through Friday,
8:00 AM - 8:00 PM ET (excluding holidays)

You are living in the United States or a U.S. territory* during your eligibility period, and
You are being treated by a U.S. licensed prescriber, and
You are being treated with the medicine as an outpatient, and
You do not have insurance coverage for a medicine listed on this site, and
You were prescribed Eliquis or Orencia, and your annual household income is at or below $45,180 for a single person or $61,320 for a family of two. (Income limits are adjusted for larger families), or
You were prescribed a BMS medicine for cancer, ulcerative colitis, multiple sclerosis, plaque psoriasis, obstructive hypertrophic cardiomyopathy, or kidney transplant (even if your income is higher than the limits listed above), and
You are age 65 and over and you do not qualify for the Medicare Part D Low-Income Subsidy (LIS) program (also called “Extra Help”). Proof of denial will be required.
You do not qualify for Medicaid. Medicaid-eligible patients will be required to submit proof of Medicaid denial.

Call for the other criteria