This site is intended for US customers only.
First time visiting the Patient Online Application Portal?
Click the appropriate link below to begin the application process.

Welcome to the Specialty Pharmacy Portal by Bristol Myers Squibb.

A secure, web-based process for you to help eligible patients activate a Co-Pay Card.


Get Started:

Simply click on the appropriate brand or program.




Please see U.S.Full Prescribing Information, including Boxed WARNINGS, for ELIQUIS.