Bristol myers squibb copay assistance. See Safety Info and Boxed WARNINGS.

Bristol myers squibb copay assistance Bristol Myers Squibb and its agents ma Welcome to the Speciality Pharmacy Portal by Bristol Myers Squibb. BMS supports access to prescribed BMS medications through the BMS Access Support Co-Pay Assistance Program. today announced the launch of My SPRYCEL ® (dasatinib) Support, a Welcome to the BMS Access Support Co‑Pay Assistance Activation Site for SPRYCEL ® (dasatinib) Activate or Request Co-Pay Card BMS Access Support®, the Bristol Myers Squibb reimbursement services program, offers benefits investigation, prior authorization support, and appeals assistance. Some Bristol Myers Squibb medications are available free of charge. com to download a form. Please contact BMS Access Support if you have any questions 1-800-861-0048. Bristol Myers Squibb (BMS) offers the Access Support and Cell Therapy 360 programs for patients prescribed a BMS medication. Cell Therapy 360® offers assistance programs to help support patients and care partners throughout the CAR T cell therapy treatment journey. If you have commercial coverage, you may qualify for the BMS Access Support Co-Pay Assistance Program. Reach out directly to the foundations Jul 17, 2025 · Bristol-Myers Squibb and Pfizer announce a 43% discount on Eliquis for uninsured U. Find information regarding co-pay and other financial support for eligible patients through BMS Access Support®. If you are struggling to make ends meet financially, do not have insurance that pays for your Bristol Myers Squibb medication, and meet other requirements, we may be able to help. In addition, we can share information on sources of financial support, including co-pay assistance for eligible commercially insured patients. For more information, ask your Through the Copay Assistance Program, Cell Therapy 360 can cover out-of-pocket expenses for commercially insured patients for the Bristol Myers Squibb CAR T cell therapy product. , Ltd. Patients can pay as little as $10 per 30-day supply by leveraging the Camzyos Co-Pay Assistance Program, designed to supplement commercial insurance that doesn't fully cover the prescription cost. Jul 23, 2024 · The Bristol Myers Squibb Patient Assistance Foundation offers Eliquis at no cost for eligible patients. Your out-of-pocket cost for medicines is determined by your insurance provider. Apr 25, 2025 · A copay card or copay assistance program is not available for Revlimid. BMS Access Support®, the Bristol Myers Squibb reimbursement services program, offers benefits investigation, prior authorization support, and appeals assistance. The support offered varies based on the patient’s prescribed medication and insurance status. BMS Access Support Co-Pay Assistance Check Request Form Fax or mail this form along with a detailed explanation of benefits* (EOB) to the fax number or email above to request payment from the program. If you already have an account, click below to sign in. BMS also screens for patient assistance from the Bristol Myers Squibb Patient Assistance Foundation, Inc. May 9, 2023 · BMS Access Support Co-Pay Assistance Program The BMS Access Support Assistance Program helps eligible, commercially insured patients who have been prescribed select BMS medications with out-of-pocket deductibles, co-pays, or co-insurance requirements. See what options may be available to you. In the event patients experience a change in insurance coverage or Bristol Myers Squibb makes changes • Program offer is not conditioned on any past, present, or future purchase, including to the copay assistance program, patients may be required to re-enroll into the program additional doses or refills. Feb 1, 2025 · Patient Assistance Programs If you're struggling to pay for your Sprycel medication, there are several patient assistance programs available to help. Patient resources may be available for eligible patients who have been prescribed a BMS medication and who need help managing the cost of treatment. It's essential to read the terms and conditions for the program to understand the eligibility and requirements. The Bristol Myers Squibb Patient Assistance Foundation, Inc. Program counselors are available Monday through Friday, from 8 AM to 8 PM ET at 1-800-861-0048. The Bristol Myers Squibb Patient Assistance Foundation provides support to patients in need of financial assistance for their prescription medicines. com. If you have private or commercial insurance, you may be eligible for a co-pay offer for your ZEPOSIA® (ozanimod) prescription. The Co-pay Card may not be sold, purchased, traded, or counterfeited. Welcome to the Activation Site for the BMS Access Support Co‑Pay Assistance Program. Filter information by insurance and medications. I The patient support program for SOTYKTU (deucravacitinib) (the “Program”) is designed to help patients understand their insurance coverage and financial support options as well as provide free medication for those who qualify. Manufacturer’s Copay & Free Trial Cards One of the manufacturers of Eliquis – Bristol-Myers Squibb – offers a copay card that can help to reduce your out-of-pocket payment for the medication. The BMS Access Support Co-pay Assistance Program assists with out-of-pocket co-payment or co-insurance requirements for eligible, commercially insured patients who have been prescribed certain Bristol-Myers Squibb products, including ABRAXANE. Keep this document in a safe place, so you can refer to it before and during your treatment. For more information, ask your In the event patients experience a change in insurance coverage or Bristol Myers Squibb makes changes to the copay assistance program, patients may be required to re-enroll into the program and provide updated insurance information to determine eligibility. COBENFY Cares Champions are provided as a service by Bristol Myers Squibb. View patient support options for your CAMZYOS® patients with MyCAMZYOS Access Support. The Co-pay Card will be accepted only at participating pharmacies. The program will cover Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service. This program helps commercially insured patients who have been prescribed select BMS medications with out-of-pocket deductibles, co-pays, or co-insurance requirements. . Look out for the following icons as you read: Through the Copay Assistance Program, Cell Therapy 360 can cover out-of-pocket expenses for commercially insured patients who have been prescribed a Bristol Myers Squibb CAR T cell therapy product. You must have commercial insurance and not Medicare or Medicaid to be able to qualify for a card. *† †The program is not available for patients who are enrolled in Medicare, Medicaid, TRICARE, the Veterans Affairs (VA), or any other federal or state healthcare program. BMS Access Support® We know being a patient can be difficult, but we may be able to help you get your BMS medication. These programs are particularly valuable for patients facing high co-payments that could hinder medication adherence. Try Now! Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service. For more information, ask your This information may be provided to other parties that Bristol-Myers Squibb is working with, including but not limited to its subsidiaries and affiliates, in order to help develop programs and provide services that may be of interest to you, provide educational information, or for processing, mailing, and/or Internet-based delivery purposes. Fill Bristol Myers Squibb Patient Assistance Foundation instantly, Edit online. Jul 18, 2025 · Eliquis, the popular blood thinner made by Bristol Myers Squibb and Pfizer, will soon be sold directly to patients at a discounted rate. Bristol-Myers Squibb ensures that this support maximizes patient benefits, making Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service. You must complete the application with the help of your primary care provider. Jul 17, 2025 · Following in the footsteps of other pharmaceutical companies, Bristol Myers Squibb and Pfizer are offering Eliquis for cash-paying patients at a discount of 40% off the list price. The BMS Co-Pay Assistance Program is designed to assist eligible commercially insured patients who have been prescribed select BMS medications with out-of-pocket deductibles, co-pays, or co-insurance requirements. Please select the Patient Authorization and Agreement Form that applies to your disease area, then read the form, and if you are in agreement, you may sign it electronically. Additional eligibility criteria and terms may apply. Tell your healthcare provider or get medical help right away if you have back pain, tingling, numbness, or muscle weakness, especially in your legs and feet, or loss of control of the bowels or bladder (incontinence). View the Bristol-Myers Squibb Patient Assistance Application in our collection of PDFs. Applicable coverage restrictions may apply; check for patient-specific coverage. See BOXED WARNINGS. Bristol Myers Squibb and Pfizer have announced a new direct-to-patient option for purchasing Eliquis (apixaban), which The Oncology Co-Pay Assistance Program assists with out-of-pocket co-payment or co-insurance requirements for eligible, commercially insured patients who have been prescribed certain Bristol Myers Squibb oncology products, including Opdualag™ (nivolumab and relatlimab-rmbw). Co-pay assistance is not valid where the entire cost of the medication is reimbursed by insurance. Through this authorization and agreement, I choose to participate in MyCAMZYOS Access Assistance, which helps patients understand their insurance coverage and fnancial support options for CAMZYOSTM (mavacamten) as well as provides echocardiogram co-pay assistance and/or free medication to those who qualify. Sign up for ORENCIA On Call™ Patient Support Program to request resources for you and your patients. Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item. Please see Indication and Important Safety Information. Patients and providers can also call 1-800-861-0048 between 8:00 AM and 8:00 PM ET, Monday through Friday, to speak to a counselor about the full range of assistance options. See full Prescribing Info for BOXED WARNING and REMS. Sign, print, and download this PDF at PrintFriendly. For additional information please click here to review the MFA resource guide. See indication and Important Safety Information. †Representative sampling of plans with no branded step requirement in 2025. The accurate completion of billing or reimbursement-related documentation is the responsibility of the healthcare provider and their office staff. How does the program work? Request a Co-pay Card Important facts about ELIQUIS® (apixaban) tablets and ELIQUIS® SPRINKLE (apixaban) This is a summary of important safety information that you need to know about ELIQUIS. That is why we offer the BMS Access Support program, which helps patients and their doctors’ offices with the healthcare coverage process. com or complete the online enrollment at www. The companies' new effort would bypass Bristol Myers Squibb (BMS) Oncology Reimbursement Support & Co-Pay Assistance Program BMS Access Support® is committed to helping appropriate patients get access to our medications by providing access and reimbursement support services Bristol Myers Squibb is committed to helping appropriate patients get access to our medications by providing access reimbursement support services. The Oncology Co-Pay Assistance Program assists with out-of-pocket co-payment or co-insurance requirements for eligible, commercially insured patients who have been prescribed certain Bristol Myers Squibb oncology products, including OPDIVO Qvantig, OPDIVO, and OPDIVO + YERVOY® (ipilimumab). This site provides help with navigating the challenges of reimbursement, co-pay assistance, and questions about obtaining Bristol-Myers Squibb (BMS) products such as EMPLICITI® (elotuzumab), REVLIMID® (lenalidomide), POMALYST® (pomalidomide), and THALOMID® (thalidomide). A secure, web-based process for you to help eligible patients activate a Co-Pay Card. If you are a first-time user, please call 800-488-1056 to set up your account. BMS Access Support provides resources to help patients understand their insurance coverage, offers educational materials to support patients throughout their treatment journey, and provides information on financial support options, including co-pay assistance for eligible commercially-insured patients. That’s why we offer the BMS Access Support ® program, which provides resources to help patients understand their insurance coverage and find information on sources of financial support For insured patients, Bristol Myers Squibb offers co-pay assistance programs that help reduce the out-of-pocket costs for their medications. An easy-to-initiate co-pay assistance process and information on financial support: The BMS Access Support Co-pay Assistance Program assists with out-of-pocket co-payment or co-insurance requirements for eligible, commercially insured patients who have been prescribed certain Bristol Myers Squibb products, including SPRYCEL ® (dasatinib). Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service Conduct a benefits review, initiate assistance with prior authorizations and appeals, and request financial support program enrollment for eligible patients with BMS Access Support®. No Patient Assistance InformationPatient Assistance Information Get, Create, Make and Sign bristol myers squibb patient assistance form Edit your bristol myers squibb patient assistance form pdf form online Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more. Contact us to get the answers to questions related to Bristol Myers Squibb products through our contact form, customer relations line or live chat. Through this authorization and agreement, I choose to participate in MyCAMZYOS Access Assistance, which helps patients understand their insurance coverage and financial support options for CAMZYOSTM (mavacamten) as well as provides echocardiogram co-pay assistance and/or Fill out this form to receive more information about COBENFY™, apply for co-pay assistance, or sign up for our patient support program, COBENFY Cares™. For more information, ask your Feb 17, 2016 · Drug Company Assistance Bristol-Myers Squibb’s BMS Access Support website offers patient assistance support for patients requiring dasatinib. Co-Pay & Financial Support Options Explore programs and services that may help with the cost of treatment, including co-pay programs for eligible patients. Patient Authorization and Agreement Form MyCAMZYOS is a support program for patients by Bristol-Myers Squibb Company (BMS). Bristol Myers Squibb does not endorse any individual health plans. To participate in the Program we will need to receive, use, and disclose your personal information. But a program called Bristol Myers Squibb Access Support can help you to understand your cost for Revlimid. is a non-profit organization. The Bristol Myers Squibb Access Support® program is a free service that helps patients and healthcare professionals navigate the challenges of reimbursement, providing information about co-pay assistance, and answering questions about obtaining BMS products. For more information, visit BMS Access Support, or Find information on insurance coverage, co-pay support, and financial assistance for ORENCIA® (abatacept). Feb 19, 2025 · 2. Check your eligibility for the SOTYKTU 360 SUPPORT Co-Pay Assistance Program if you've been prescribed SOTYKTU® (deucravacitinib). Get Started: Simply click on the appropriate brand or program. Account and login is not required to access the form. Echocardiogram Co-Pay Assistance Program PO Box 2355 Morristown, NJ 07962 s” tab. Bristol-Myers Squibb and Pfizer reserve the right to rescind, revoke, or amend this offer at any time without notice. The Foundation assists patients who need temporary help paying for their medications. Feb 16, 2025 · Copay assistance is available for Revlimid, but not everyone is eligible. Oct 24, 2025 · A resource to help physicians, advocates, and patients access free medications through pharmaceutical company patient assistance programs. The BMS Access Support® program is a support program by Bristol-Myers Squibb Company (“BMS”) that helps patients understand their insurance coverage and financial support options for BMS medications, such as co-pay and free medication assistance. Please select the appropriate treatment that applies to your disease area to sign up for copay support. , (BMSPAF) is a non-profit organization that seeks to help eligible patients get the following medicines for free: Explore savings and support programs designed to help ORENCIA® patients access treatment affordably. For product side-effect inquiries call (800) 721-5072. Co-payment assistance, patient support, and patient assistance programs are available for eligible patients. Patient Assistance Information2 Programs for Lysodren (mitotane) Bristol Myers Squibb is committed to helping patients gain access to their prescribed BMS medications. A resource to help physicians, advocates, and patients access free medications through pharmaceutical company patient assistance programs. Eligible patients may pay as little as $0 co-pay per prescription fill, up to a maximum benefit of $15,000 per calendar year. See safety info and full Prescribing Information. Charitable foundation resources and contact information The charitable foundation organizations listed below are intended for informational purposes only. The Camzyos Co-Pay Assistance Program provides eligible patients with significant savings on Camzyos prescriptions. Access & financial resources Patient Access, Reimbursement, and Co-Pay Support Available Through Bristol Myers Squibb is committed to helping patients gain access to their prescribed BMS medications. 4 For your convenience, specialized Bristol Myers Squibb representatives are available by phone or email to help you with your medical, technical, or general inquiries. That’s why we offer BMS Access Support. In the event patients experience a change in insurance coverage or Bristol Myers Squibb (BMS) makes changes to the co-pay assistance program, patients may be required to re-enroll into the program and provide updated insurance information to determine eligibility. The Bristol-Myers Squibb Patient Assistance Foundation (BMSPAF) offers an invaluable program providing eligible patients with free access to medications such as Pomalyst, Reblozyl, and Opdivo. The appropriate program will depend on the patient’s health insurance coverage. MyCAMZYOS is a support program for patients by Bristol-Myers Squibb Company (BMS). EVOTAZ is a medicine combining atazanavir and cobicistat to help treat HIV-1 infections with other antiretroviral medications. Financial Support Through the Copay Assistance Program, Cell Therapy 360 can cover out-of-pocket expenses for commercially insured patients for the Bristol Myers Squibb CAR T cell therapy product. BMS Access Support provides resources to help patients understand their insurance coverage. Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service. We can help you find out what your costs may be and whether you are eligible for the ELIQUIS $10 Co-pay Card. Bristol Myers Squibb is committed to helping patients gain access to their prescribed BMS medications. BMS Access Support Co-Pay Assistance Program The BMS Access Support Assistance Program helps eligible, commercially insured patients who have been prescribed select BMS medications with out-of-pocket deductibles, co-pays, or co-insurance requirements. That's why we offer the BMS Access Support ® program, which provides resources to help patients understand their insurance coverage and find information on sources of financial support, including co-pay assistance for eligible commercially insured patients. BMS Access Support Co-Pay Assistance Program Healthcare Professionals Sign In FAQs Resources Patient Eligibility: Patients must have commercial insurance, but their coverage does not cover the full cost of their prescribed Bristol Myers Squibb (BMS) medication. 11. † †The program is not available for patients who are enrolled in Medicare, Medicaid, TRICARE, the Veterans Affairs (VA), or any other federal or state healthcare program. Sen n is the responsibility of the healthcare provider and patient. The BMS Access Support Co-Pay Assistance Program helps eligible, commercially insured patients who have been prescribed select BMS medications with out-of-pocket deductibles, co-pays, or co-insurance requirements. Reproductions of this Co-pay Card are void. Your Find savings options and FTO for eligible patients with AFib not caused by a heart valve problem or with DVT/PE, such as the Rx ELIQUIS® copay card. Please read full terms and conditions here. Sign, fax and printable from PC, iPad, tablet or mobile. Additional Info for Coupon *This program provides the screening for the Bristol-Myers Squibb Patient Assistance Foundation (BMSPAF) Oncology Patient Assistance Program. No membership fees. Inclusion of an organization does not represent an endorsement, referral, or recommendation by Bristol-Myers Squibb Company or an organization’s endorsement of Bristol-Myers Squibb Company products. It provides essential instructions for patients seeking free medication from the foundation. These programs help provide eligible patients access to BMS oncology medications and patient support services. The offering provides an opportunity for uninsured The Oncology Co-pay Assistance Program assists with out-of-pocket co-payment or co-insurance requirements for eligible, commercially insured patients who have been prescribed certain Bristol Myers Squibb oncology products. The manufacturer, Bristol Myers Squibb, has a financial support program called Bristol Myers Squibb Access Support. The Bristol Myers Squibb Patient Assistance Foundation (BMSPAF) is an independent, charitable organization that helps eligible patients who need temporary help obtaining the medicines listed on this website. Bristol-Myers Squibb Patient Assistance Foundation This file contains detailed information about the Bristol-Myers Squibb Patient Assistance Foundation, including eligibility requirements, application process, and patient agreement. Not a Bristol Myers Squibb is committed to helping patients gain access to their prescribed BMS medications. Apr 16, 2009 · Bristol-Myers Squibb is launching a co-pay assistance program in April for eligible new and existing REYATAZ® (atazanavir) and SUSTIVA® (efavirenz) patients who are commercially insured and have high co-pays or co-insurance. Please see Indications and Important Safety Information. How can I enroll my patient in the BMS Access Support Co-Pay Assistance Program? The enrollment process has not changed. Bristol Myers Squibb (BMS) is committed to helping patients like you gain access to the BMS medications your doctor prescribed. Discover the ORENCIA Co-Pay Assistance Program to support eligible patients in managing their treatment costs. (“the Foundation”), an independent Thank you for your interest in the Bristol-Myers Squibb Patient Assistance Foundation (BMSPAF) ORENCIA® (abatacept) Patient Assistance Program. SOTYKTU 360 SUPPORT offers a support team, financial assistance, co-pay assistance, and more to help you along your moderate to severe plaque psoriasis treatment journey. This program is for patients who are uninsured or on Medicare Part D (who meet specific criteria). patients, challenging traditional drug pricing models. The program will cover COBENFY Cares™ offers support to patients who have been prescribed COBENFY (xanomeline and trospium chloride). In the event patients experience a change in insurance coverage or Bristol Myers Squibb makes changes to the co-pay assistance program, patients may be required to re-enroll into the program and provide updated insurance information to determine eligibility. Depending on your insurance coverage, you may be eligible for different savings options through Bristol Myers Squibb Access Support. If you have commercial coverage, you may qualify for the BMS Access Support Oncology Co-Pay Assistance Program. That’s why we offer the BMS Access Support ® program, which provides resources to help patients understand their insurance coverage and find information on sources of financial support, including co-pay assistance for eligible commercially insured patients. You can enroll in the BMS Access Support Co-Pay Assistance Program if you have commercial insurance and are prescribed select BMS medications. See Safety Info and Boxed WARNINGS. Patients should discuss any questions about their medical conditions and treatment options with their healthcare providers. Look out for the following icons as you read: Jul 17, 2025 · Eliquis 360 Support Program Now Offers Eliquis to Cash-Paying Patients at More than 40% Discount to Current List Price The Bristol Myers Squibb-Pfizer (BMS NYSE: BMY) – (Pfizer NYSE: PFE) Alliance today announced a new direct-to-patient option for purchasing Eliquis® (apixaban) via our Alliance’s patient resource Eliquis 360 Support . Enclosed you will find the application form you had requested. Learn more about Rx ELIQUIS® and the conditions it is used to help treat. 10. We would like to show you a description here but the site won’t allow us. Eligible patients with an activated co-pay card and a valid prescription may pay as little as $0 per 30-day supply; monthly, annual, and/or per-claim maximum program benefits may apply and vary from patient to patient, depending on the terms of a patient’s prescription drug plan and to ensure that the funds are used for the benefit of the patient, based on factors determined solely by Jan 30, 2025 · You can activate the Eliquis Co-pay Card by going to the Bristol Myers Squibb website or by calling 1-855-354-7847. For more information, visit BMS Access Support, or call BMS Access Support at 1-800-861-0048, 8 AM to 8 PM ET, Monday-Friday The Bristol-Myers Squibb Patient Assistance Foundation, Inc. patientrebateonline. Request a Co-pay Card Important facts about ELIQUIS® (apixaban) tablets and ELIQUIS® SPRINKLE (apixaban) This is a summary of important safety information that you need to know about ELIQUIS. This offer is not conditioned on any past, present, or future purchase, including refills. Oct 14, 2010 · Program provides a patient call center 24 hours a day, 7 days a week to answer questions about SPRYCEL and the My SPRYCEL Support Program Participants offered access to a SPRYCEL Care Counselor Co-pay assistance also available for eligible patients Bristol-Myers Squibb Company (NYSE: BMY) and Otsuka Pharmaceutical Co . Patient Authorization and Agreement Form The patient support program for ELIQUIS® (apixaban) (the “Program”) is designed to provide you with reimbursement support services. 3 Call 1-855-ELIQUIS (354-7847) to request an insurance benefit review and Co-pay Card information, or request an activated Co-pay Card. Read full Prescribing Information. Please see Indications, Important Safety Info, and Prescribing Info. Jul 17, 2025 · Bristol Myers Squibb and Pfizer said they will start selling their blockbuster blood thinner, Eliquis, directly to some patients at a more than 40% discount. Cash-paying patients are not eligible for co-pay assistance. It will now prompt you to verify your identity by text or email upon login. We'll need some information from both you and your doctor to process your application. BMS Oncology Drugs Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service. 12. Find out if the medicine your doctor prescribed is available through the Bristol Myers Squibb Patient Assistance Foundation. To enroll your patient in BMS Access Support, you can download the enrollment form by visiting BMSAccessSupport. Please understand the information you provide, along with activity pertaining to your use of the Bristol-Myers Squibb Access Support Co-pay Card, may be used by Bristol-Myers Squibb or parties acting on its behalf. PATIENT AUTHORIZATION AND AGREEMENT Bristol-Myers Squibb Company ZEPOSIA 360 SupportTM is a support program by Bristol-Myers Squibb Company (BMS) that helps patients understand their insurance coverage and financial support options for ZEPOSIA® (ozanimod), as well as provides educational, nurse, lab, and diagnostic support services and free medication to qualified patients (the “Program By checking box you consent to be contacted by a member of the agency to discuss your patient assistance, prescription assistance, medicare and health insurance needs. To participate in the Program, Bristol Myers Squibb will need to receive, use, and disclose your personal information. S. Review important safety information, benefits and risks, including BOXED WARNINGS. Complete a brief assessment to see if you might be eligible for assistance. BMSAccessSupportEsign. Visit Access Site Eliquis Prescription Discount Coupon/Offer from Manufacturer Co-Pay Card Program, patients can pay as little as $5 for prescriptions. Discover SPRYCEL® financial support from BMS Access Support®, a program that helps patients understand SPRYCEL® (dasatinib) cost, insurance coverage, and co-pay assistance. Please read this form carefully and contact Bristol Myers Squibb (“BMS”) and Pfizer at 1-855-ELIQUIS if you have Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service. For those customers using mail order or any non-participating retail pharmacy, please call 866-279-4730 to request a patient rebate form, or go to www. † The program is not available for patients who are enrolled in Medicare, Medicaid, TRICARE, the Veterans Affairs (VA), or any other federal or state healthcare program. Fill out the form to enroll. What is Medicare Low-Income Subsidy?1,3 Low-Income Subsidy, also referred to as Extra Help, is a federal program that helps people with Medicare pay for prescription drugs. nwruw icidbyic xugwga ljsgb qwzw eeeanl gqo bkx xujes ibbm wsdpgs nmqvmhgxc uzejr lufvfnv ujtymh