Nulojix

Indicated For

kidney transplant rejection prophylaxis

About This Medication

# Bristol Myers Squibb Access Support Patient Guide: How to Get Nulojix (belatacept) at Low or No Cost Nulojix (belatacept) is an infusion medication used to prevent organ rejection in kidney transplant patients. Bristol Myers Squibb (BMS) offers support through the **BMS Access Support** programs, including a co-pay assistance program for commercially insured patients and the independent **Bristol Myers Squibb Patient Assistance Foundation (BMSPAF)** for uninsured or underinsured patients facing financial hardship. ## About Nulojix (belatacept) **Nulojix** is given as an intravenous (IV) infusion in a medical setting, typically starting with higher doses shortly after a kidney transplant, then maintenance doses every 4 weeks. It works by helping your immune system accept the new kidney without attacking it. Common side effects include infections, low blood cell counts, and infusion reactions—always discuss risks with your doctor. This guide focuses on financial help, not medical advice. ## Who Qualifies for Assistance? BMS provides **two main paths** for Nulojix support, depending on your insurance: 1. **BMS Access Support Co-Pay Program** (for **commercially insured** patients): - Private/commercial insurance covering Nulojix, but with out-of-pocket costs (deductibles, co-pays, co-insurance). - U.S. residents (including Puerto Rico). - Not for government insurance like Medicare, Medicaid, or TRICARE. - Benefit: Pay as little as **$50 per infusion**, with BMS covering up to **$7,000 per calendar year**. 2. **Bristol Myers Squibb Patient Assistance Foundation (BMSPAF)** (for uninsured/underinsured): - No prescription coverage or financial hardship. - Income typically at or below **300% of Federal Poverty Level (FPL)** (specific guidelines per medication; call to confirm). - Not enrolled in Medicare, Medicaid, or other public/private drug assistance. - Provides **Nulojix free of charge** for up to 12 months. **Note:** BMSPAF is an independent charity; BMS does not guarantee approval. ## Income Eligibility Breakdown Income limits apply mainly to BMSPAF. Co-pay program has no strict income test but focuses on commercial insurance. Here's a sample table for **300% FPL** (2026 guidelines; verify current via phone as they adjust yearly): | Household Size | Annual Income Limit (300% FPL) | |----------------|-------------------------------| | 1 (Individual) | $45,180 | | 2 (Couple) | $61,320 | | 3 | $77,460 | | 4 | $93,600 | *Add ~$16,140 per additional person. These are estimates—contact (800) 736-0003 for exact Nulojix thresholds.* ## Insurance Requirements - **Co-Pay Program:** Must have **commercial/private insurance** covering Nulojix. Government-insured patients (Medicare/Medicaid) are **ineligible** but may get foundation referrals. - **BMSPAF:** **No insurance** or underinsured without drug coverage. Medicare patients may qualify but reapply yearly in January. ## Step-by-Step Application Process ### For Co-Pay Program (Easiest for Insured Patients): 1. **Call BMS Access Support**: Dial **1-800-861-0048** (Mon-Fri, 8 AM-8 PM ET). Counselors help with benefits investigation, prior authorizations, and enrollment. 2. **Enroll Online or by Phone**: Visit BMSAccessSupport.com or let the counselor guide you. Provide insurance details, prescription info. 3. **Doctor's Involvement**: Your provider may need to submit a form or confirm prescription. 4. **Get Card/Details**: Receive co-pay card or instructions; use at infusion center. ### For BMSPAF (Uninsured/Underinsured): 1. **Contact or Download Form**: Call **1-800-736-0003 ext. 5** or visit bmspaf.org/rxassistance. Download Nulojix-specific application. 2. **Complete Application**: Include patient info, income proof, prescription, doctor's details. 3. **Mail It**: Send to PO Box 991, Somerville, NJ 08876 (or fax 866-694-2545). 4. **Wait for Approval**: Medication ships to doctor's office or home in 90-day supply. **Tip**: Start with a call—counselors speak multiple languages and clarify your best option. ## Timeline and Delivery - **Co-Pay Program**: Instant enrollment possible; benefits apply immediately at pharmacy/infusion (up to $7,000/year cap). - **BMSPAF**: Processing takes **2-4 weeks** typically; up to 12 months coverage, then reapply. Ships directly to provider or home. - Refills: Co-pay valid calendar year; BMSPAF requires annual renewal. ## Alternatives if Denied or Ineligible - **Appeal Insurance Denial**: BMS helps with prior auth/appeals (call 1-800-861-0048). - **Other Foundations**: Ask BMS for independent charities (e.g., via PAN Foundation or NeedyMeds). - **State Programs**: Check state pharmaceutical assistance. - **Generic/Biosimilars**: No biosimilars for Nulojix currently. - **Hospital Charity**: Many transplant centers offer aid. ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Programs change; **always verify details by calling**. Not medical/financial advice. BMS/BMSPAF eligibility is not guaranteed. Consult your doctor for treatment options. Terms apply; see full conditions at BMSAccessSupport.com or bmspaf.org.

Program information last verified: March 30, 2026