Droxia
Generic: hydroxyurea
Manufacturer: Bristol-Myers Squibb · Program: Bristol-Myers Squibb Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured patients; excludes government insurance in some cases
Residency
US resident
Eligibility based on income, insurance status; details on application
Program Information
Processing Time
4–8 weeks
Delivery Method
Varies by program
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- proof of income
- proof of residency
- prescription
- insurance information
Indicated For
Sickle cell anemia
About This Medication
# Bristol-Myers Squibb Patient Assistance Program Guide: Getting Droxia at Low Cost ## Overview Droxia (hydroxyurea) is an important medication for treating sickle cell anemia. If you're struggling to afford this medication, the Bristol-Myers Squibb Patient Assistance Program (BMS PAP) may help you get Droxia at no cost or significantly reduced cost. ## Who Can Apply? You may qualify for the BMS PAP if you meet these criteria: - **Have a valid prescription** for Droxia from your doctor - **Are uninsured or underinsured** (have insurance that doesn't adequately cover Droxia) - **Meet income requirements** that vary based on your household size and location - **Are a U.S. resident** with proof of residency ### Important Insurance Note This program is designed for patients without adequate insurance coverage. If you have Medicare, Medicaid, or other government insurance, you may not be eligible. Contact the program directly to confirm your specific situation, as rules vary. ## Income Eligibility Income limits are flexible and vary by family size and state. As a general guideline: - **Individual applicants:** typically qualify if annual income is below $45,000-$60,000 (varies by location) - **Families of 4:** typically qualify if annual income is below $95,000-$125,000 (varies by location) Higher income limits apply in states with higher costs of living. When you apply, you'll provide proof of income, and the program will determine if you qualify based on your specific situation. ## Documents You'll Need Before applying, gather these documents: 1. **Valid prescription** for Droxia from your healthcare provider 2. **Proof of income** (most recent tax return, recent pay stubs, or benefit statements) 3. **Proof of residency** (utility bill, lease agreement, or government-issued ID with address) 4. **Insurance information** (if you have any, or proof of lack of insurance) Having these ready will speed up your application process. ## How to Apply: 4 Steps ### Step 1: Contact the Program Reach out to the Bristol-Myers Squibb Patient Assistance Program through multiple methods: - Call their assistance line (available through BMS website) - Mail a completed application form - Work with your doctor's office, which may submit on your behalf - Use the online application portal if available ### Step 2: Submit Required Documents Provide proof of income, residency, and your prescription. You can submit these by mail, fax, or online, depending on the application method you choose. ### Step 3: Wait for Review The program will review your application. This typically takes 5-10 business days, though it can sometimes take longer during high-volume periods. ### Step 4: Receive Your Medication Once approved, your Droxia will be shipped directly to you or your pharmacy at no cost or a very low co-payment. The program handles coordination with your pharmacy or doctor's office. ## Timeline and What to Expect - **Application processing:** 5-10 business days - **Medication delivery:** Usually 1-2 weeks after approval - **Program support:** You'll receive updates by mail or phone - **Re-authorization:** Required annually—you'll need to reapply each year to continue receiving medication ## Important Reminders - **Annual reauthorization is required.** Set a reminder to reapply before your assistance expires. - **Keep your contact information current.** Notify the program if you move or change phone numbers. - **Work with your doctor.** Your healthcare provider can answer questions about whether Droxia is right for you and may help with the application. - **Ask about alternatives.** If you don't qualify, ask your doctor about other resources, including state pharmaceutical assistance programs or other manufacturer assistance programs. ## What If You're Denied? If your application is denied, you have options: - Ask the program to explain why you didn't qualify - Reapply if your situation changes (income decrease, insurance status change) - Check if you qualify for other assistance programs through your state - Ask your doctor about sample programs or other resources ## Next Steps Start by gathering your required documents and contacting the Bristol-Myers Squibb Patient Assistance Program. Your doctor's office can often help with the application process. Don't delay—getting started now means faster access to your medication.
Program information last verified: March 25, 2026
Ready to apply for Droxia assistance?
ProvisionRX manages the complete application process. Start your application in about 15 minutes.