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Oncology

Reblozyl

Generic: luspatercept-aamt

Manufacturer: Bristol Myers Squibb  ·  Program: BMS Access Support Co-Pay Assistance Program

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Eligibility Criteria

Insurance Requirement

Eligible for commercially insured patients only; patients with government insurance (Medicare, Medicaid, TRICARE) are not eligible for BMS co-pay assistance but may qualify for independent charitable foundations

Residency

US residency required

Income Threshold

Up to 300% FPL

Individual Income Limit

$43,740/year

Must be uninsured or have inadequate coverage

Program Information

Processing Time

2–4 weeks

Delivery Method

shipped to patient, physician office, or participating pharmacy

Application Method

Multiple

Indicated For

Myelodysplastic syndromes with ring sideroblasts, beta thalassemia, myelodysplastic/myeloproliferative neoplasm with ring sideroblasts and thrombocytosis

About This Medication

# BMS Access Support Co-Pay Assistance Program Patient Guide: How to Get Reblozyl (luspatercept-aamt) at Low or No Cost Reblozyl (luspatercept-aamt) is an injectable medication used to treat anemia in adults with **beta thalassemia** who need regular red blood cell transfusions, and in certain patients with **myelodysplastic syndromes (MDS)**, including those with ring sideroblasts who require at least two red blood cell units per 8 weeks.[1][2] The **BMS Access Support Co-Pay Assistance Program**, offered by **Bristol Myers Squibb (BMS)**, helps **commercially insured patients** reduce out-of-pocket costs for Reblozyl to **as little as $0 per 30-day supply**, up to a program maximum benefit (typically $25,000 per year for oncology products like Reblozyl).[1][2][8] This guide explains eligibility, application steps, and support options in simple terms to help you access Reblozyl affordably. Always consult your doctor for personalized advice. ## Who Qualifies for the Program? The program is designed for patients facing high **deductibles, co-pays, or co-insurance** on Reblozyl. Key qualifications include: - **Commercial insurance** only (e.g., employer plans, marketplace insurance).[1][2] - Prescription for a qualifying BMS medication like Reblozyl. - Willingness to comply with program terms, such as not seeking reimbursement elsewhere.[3] **Patients with government insurance (Medicare, Medicaid, TRICARE) do not qualify** for co-pay help but may get referrals to independent foundations.[1][2] No specific income thresholds are listed, making it accessible to a broad range of commercially insured patients, though restrictions apply (see Terms and Conditions).[2] ## About Reblozyl (luspatercept-aamt) Reblozyl is a first-in-class **erythroid maturation agent** administered by a healthcare professional every 3 weeks via subcutaneous injection. It works by enhancing late-stage red blood cell production to reduce transfusion needs in eligible anemia patients.[1] Common side effects include fatigue, joint pain, dizziness, and increased need for iron chelation; serious risks involve blood clots or hypertension—discuss with your doctor.[1] It's typically covered under medical benefits (buy-and-bill or specialty pharmacy), and BMS Access Support can help verify coverage.[9] ## Income Eligibility Breakdown This co-pay program **does not use income thresholds**; eligibility focuses on commercial insurance and out-of-pocket costs.[1][2] However, for context: | Eligibility Factor | Details | Notes | |--------------------|---------|-------| | **Income** | No limits specified | Open to all qualifying insured patients[2] | | **Insurance Type** | Commercial only | Government insurance ineligible[1] | | **Benefit Cap** | Up to $25,000/year (oncology) | May pay $0 per dose after cap[8] | | **Household Size** | Not required | Focus on insurance verification[3] | If income-based free medication is needed, ask about the separate BMS Patient Assistance Foundation (BMSPAF), which requires income proof.[10] ## Insurance Requirements - **Eligible**: Commercially insured patients with Reblozyl coverage but high costs.[2] - **Ineligible**: Medicare Part D, Medicaid, TRICARE, or other government programs—BMS will refer you to independent charities.[1] - BMS Access Support verifies benefits, checks prior authorizations (PA), and supports appeals.[4][9] ## Step-by-Step Application Process 1. **Confirm Eligibility**: Call **1-800-861-0048** (8 AM-8 PM ET, Mon-Fri) for a benefits review. Provide insurance details.[2][3] 2. **Enroll**: Use online e-enrollment at BMSAccessSupport.com/hcp or download the form.[3][4][6] - Patient signs authorization. - Doctor completes and signs sections. 3. **Submit**: Fax to **1-888-776-2370** or e-sign via BMSeSign.com/hcp.[3][9] 4. **Activate Co-Pay Card**: Receive digitally or by mail; use at pharmacy or doctor's office.[2] 5. **Get Support**: BMS handles PA/appeals if needed.[9] Your doctor’s office often starts this—ask them to enroll you.[7] ## Timeline and Delivery - **Processing**: Varies; benefits summary sent post-enrollment. Approval often quick for co-pay cards.[4][9] - **Delivery**: Co-pay assistance applies at point-of-service (pharmacy/infusion). Medication via your provider's procurement (buy-and-bill/specialty pharmacy).[9] - Refills: Use card ongoing until cap or renewal.[2] ## Alternatives if Denied or Ineligible - **Government Insurance**: Call 1-800-861-0048 for **independent foundation referrals** (e.g., Patient Access Network, HealthWell Foundation—not guaranteed).[1] - **Free Medication**: Apply to **BMS Patient Assistance Foundation (BMSPAF.org)** for uninsured/underinsured (requires income proof, doctor info; 1-year enrollment).[8][10] - **Other Options**: State programs, 340B clinics, or generic alternatives (none for Reblozyl currently).[5] - **Appeals**: BMS assists with insurance appeals.[9] ## Disclaimer This guide is for informational purposes based on publicly available BMS program details as of 2025.[3] Eligibility, benefits, and terms can change—visit www.BMSAccessSupport.com/co-pay-financial-assistance for full Terms & Conditions.[2] BMS makes no reimbursement guarantees.[7] Not legal/medical advice; consult your healthcare provider. Program availability subject to change.[1]

Program information last verified: March 30, 2026

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