Bristol-Myers Squibb Patient Assistance Foundation, Inc. (Nulojix)

Bristol-Myers Squibb

Contact Information
PO Box 991
Somerville, NJ 08876
1-(800) 736-0003 Option 5 (phone)
1-(866) 694-2545 (fax)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Eligibility:
This program is designed to provide assistance to patients with a financial hardship who do not have prescription drug assistance through Medicare, Medicaid, or any other public or private health program. Patients who meet the program's eligibility criteria are provided NULOJIX free of charge.
Other Information:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.