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 Speciality 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.

Augtyro
camzyos

Please see U.S. Full Prescribing Information, including Boxed WARNING for CAMZYOS™.

eliquis

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

IDHIFA

Please see U.S.Full Prescribing Information, including Boxed WARNING, for IDHIFA.

INREBIC

Please see U.S.Full Prescribing Information, including Boxed WARNING, for INREBIC.

Onureg
orencia
Pomalyst

Please see U.S.Full Prescribing Information, including Boxed WARNING, for Pomalyst.

Revlimid

Please see U.S.Full Prescribing Information, including Boxed WARNING, for Revlimid.

sprycel
Thalomid

Please see U.S.Full Prescribing Information, including Boxed WARNING, for Thalomid.

zeposia