Sprycel Prescription Assistance Programs

Sprycel: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Sprycel. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

BMS Access Support (Oncology)

(Program 1 of 1 — Scroll down to see them all )

Provided by: Bristol-Myers Squibb Company
Oncolocy Reimbursement Support PO Box 221509 Charlotte, NC 28222-1509
TEL: 800-861-0048
FAX: 888-776-2370
Languages Spoken:
English, Others By Translation Service
Program Website
Medications
  • Sprycel (dasatinib)
Eligibility Requirements
  • Insurance Status Contact program for details.
  • Those with Part D Elibible? Contact program for details.
  • Income Not disclosed
  • Diagnosis/Medical Criteria Varies
  • U.S. Residency Required? Must be residing in the US or Puerto Rico
Application
  • Obtaining Call or download
  • Receiving Downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Doctor notified
  • Decision Timeframe 2 business days, once application process is complete
Medication
  • Amount/Supply Contact the program for more details.
  • Sent To Varies
  • Delivery Time Not specified
  • Refill Proces Contact program for details.
  • Limit Varies
  • Re-application Must re-enroll at end of calendar year
Additional Information
*This program provides the screening for the Bristol-Myers Squibb Patient Assistance Foundation (BMSPAF) Oncology Patient Assistance Program. This program also provides copay assistance.
Updated May 7, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

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