Atripla patient assistance program eligibility

Once eligibility is established, you can print a pharmacy medication card immediately so your patient can take it, along with their prescription, to the pharmacy of their choice.

You can also submit the prescription electronically to the patient's pharmacy of choice. Go to the Advancing Access HCP portal and enroll your patient for immediate access to their pharmacy medication card, if approved. For more information, please see terms and conditions below. There are two ways to get more information and to see if your patient is eligible: Sign Up Your Patient Call Advancing Access at Alternative Support If your patient is not eligible or requires additional support beyond Gilead's Advancing Access co-pay coupon card, independent co-pay foundations may be able to help.

How it works If your patient is eligible, he or she can enroll. Coupon user must be at least 18 years old to use the Coupon themselves or to use on behalf of a minor.

The Coupon is limited to one per person and is not transferable. No substitutions are permitted. The Coupon is only available with a valid prescription. The offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer.

Patient may not be currently receiving free drug assistance through Gilead Sciences, Inc. The Coupon is not insurance and is not intended to substitute for insurance.

The Coupon is valid only for patients with commercial insurance and is not valid for prescriptions that are eligible to be reimbursed: in whole or in part by Medicare or a Medicare Part D plan, Medicaid, TRICARE, VA, DOD, Puerto Rico Government Health Insurance Plan, or any other state or federally funded healthcare benefit program collectively, "Government Programs" ; or by commercial plans or other health or pharmacy benefit programs that reimburse for the entire cost of prescription drugs or prohibit the Coupon's use.

Medicare Part D enrollees who are in the prescription drug coverage gap the "donut hole" are not eligible for the Coupon. Patients who begin receiving prescription benefits from Government Programs at any time will no longer be eligible to use the Coupon. Void where prohibited by law, taxed, or restricted. Patient, pharmacist, and prescriber agree not to seek reimbursement for all, or any part of the benefit received by the patient through the offer.

Squibb has taken many steps forward in the advancement of research and development through the establishment of Squibb Institute for Medical Research and the worlds largest penicillin production plant; located in Brunswick, New Jersey.

The merger of Bristol-Myers Company and Squibb has made them one of the global authorities of pharmaceutical research and development worldwide.

Atripla is taken in tablet form. Atripla Patient Assistance Program, a patient assistance program provided by Bristol-Myers Squibb Company, offers Atripla at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:. Fill out the program enrollment form located to your right. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

Helping Patients One Medication at a Time.