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

Bristol-Myers Squibb

Contact Information
Bristol-Myers Squibb Patient Assistance Foundation, Inc.
1-(800) 736-0003 (phone)
1-(866) 598-5561 (fax)
Physician requests should be directed to:
1-(800) 736-0003 (phone)
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.
This program is designed to provide temporary assistance to patients with a financial hardship who are not eligible for prescription drug coverage through Medicaid or any other public or private health program. Patients who meet the program's eligibility criteria are provided BMS products free of charge.
Product(s) covered by program:
  • ABILIFY® Tablets and Oral Solution