Atripla Patient Assistance Program

Bristol-Myers Squibb

Contact Information
Atripla Patient Assistance Program
P.O. Box 13185
La Jolla, CA 92039-3185
1-(866) 290-4767 (phone)
1-(866) 290-4487 (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.
Temporary assistance may be available while applying for/enrolling in coverage.
Product(s) covered by program:
  • Atripla™