Zeposia

Indicated For

relapsing multiple sclerosis, moderate to severe ulcerative colitis

About This Medication

# Bristol Myers Squibb Patient Assistance Program Patient Guide: How to Get ZEPOSIA at Low or No Cost ## About ZEPOSIA ZEPOSIA (ozanimod) is a once-daily pill prescribed for adults with relapsing multiple sclerosis (MS). If you have been prescribed ZEPOSIA but are concerned about the cost, Bristol Myers Squibb offers several programs to help you access this medication affordably or at no cost. ## Who Qualifies for Assistance ZEPOSIA assistance programs are designed to help patients in different insurance situations: **Commercially Insured Patients**: If you have private or commercial insurance, you may be eligible to pay as little as $0 per month for your ZEPOSIA prescription through co-pay assistance programs. A dedicated Support Coordinator can help determine your coverage and identify financial options available to you. **Uninsured Patients**: If you do not have insurance and are struggling financially, you may qualify for free or reduced-cost ZEPOSIA through Bristol Myers Squibb's patient assistance program. Some Bristol Myers Squibb medications are available free of charge to eligible uninsured patients who meet financial requirements. **Government Insurance Patients**: If you have Medicare, Medicaid, or TRICARE, you are not eligible for Bristol Myers Squibb's co-pay assistance programs. However, Bristol Myers Squibb can provide information about independent charitable foundations that may offer financial support. These foundations operate independently and have their own eligibility criteria. ## Income Eligibility While specific income thresholds for ZEPOSIA are not publicly detailed in standard materials, Bristol Myers Squibb's patient assistance programs generally consider your household income and financial need. The company evaluates applications on a case-by-case basis. When you apply, be prepared to discuss your financial situation, including household income, expenses, and any hardship factors. ## Insurance Requirements The type of insurance you have determines which assistance program you may qualify for: | Insurance Type | Eligibility | Program | |---|---|---| | Commercial/Private Insurance | Eligible | Co-pay assistance; may pay $0/month | | No Insurance | Eligible | Patient assistance program; free or reduced-cost medication | | Medicare | Not eligible for BMS co-pay programs | May qualify for independent charitable foundation assistance | | Medicaid | Not eligible for BMS co-pay programs | May qualify for independent charitable foundation assistance | | TRICARE | Not eligible for BMS co-pay programs | May qualify for independent charitable foundation assistance | ## How to Apply ### Step 1: Get Your Prescription Your doctor must prescribe ZEPOSIA and submit a Start Form to the ZEPOSIA 360 Support program. ### Step 2: Contact Support Once your prescription is submitted, a Support Coordinator from the ZEPOSIA 360 Support program will contact you to welcome you and explain your options. If you don't hear from them within a reasonable timeframe, contact your healthcare team to confirm your Start Form was submitted. You can also reach out directly to ZEPOSIA 360 Support: - **Phone**: 1-833-ZEPOSIA (1-833-937-6742) - **Hours**: Monday to Friday, 8 AM – 8 PM ET Alternatively, for general Bristol Myers Squibb patient assistance: - **Phone**: 1-800-861-0048 - **Hours**: Monday to Friday, 8 AM – 8 PM EST ### Step 3: Work with Your Support Coordinator Your Support Coordinator will: - Determine your insurance coverage for ZEPOSIA - Calculate your out-of-pocket costs - Explain all financial assistance options available to you - Help you understand eligibility requirements and terms ### Step 4: Complete Application Provide any required financial or insurance documentation. Your healthcare provider and you are responsible for accurately completing any reimbursement or coverage-related documentation. ## Timeline and Delivery **Processing Time**: Benefits reviews are typically completed within a median time of 24 hours. **Medication Delivery**: Once approved, ZEPOSIA will be delivered to you. Eligible commercially insured patients who are newly enrolled and cleared to begin treatment may receive a free Starter Kit that includes a 7-day starter pack and a 21-dose supply of ZEPOSIA. **Bridge Program**: If there is a delay or denial in coverage, commercially insured patients may be eligible to receive up to 2 years of ZEPOSIA through the Bridge Program while coverage issues are resolved. ## Required Documents While specific documentation requirements vary by program, you should be prepared to provide: - Proof of income (pay stubs, tax returns, or other financial documents) - Proof of insurance status (insurance card or letter stating you are uninsured) - Prescription from your doctor - Any other financial information requested by the support team Your healthcare provider will also need to submit your prescription and Start Form. ## What If Your Application Is Denied If your initial application is denied or if your insurance denies coverage: 1. **Appeals Assistance**: Bristol Myers Squibb Access Support may be able to assist by providing information about the appeals process. 2. **Bridge Program**: If you have commercial insurance and face a coverage delay or denial, you may be eligible for up to 2 years of ZEPOSIA through the Bridge Program. 3. **Charitable Foundations**: If you have government insurance (Medicare, Medicaid, TRICARE) or remain uninsured after denial, ask about independent charitable foundations that may provide assistance. These are separate from Bristol Myers Squibb but may help eligible patients. 4. **Contact Support**: Reach out to your Support Coordinator or call 1-833-ZEPOSIA (1-833-937-6742) to discuss next steps and explore other options. ## Additional Support Services Beyond financial assistance, ZEPOSIA 360 Support provides: - Educational materials and resources - Help with required baseline assessments (eligible commercially insured patients may receive assessments in-office or at home) - Reimbursement for out-of-pocket costs associated with baseline assessments - Support Coordinators who speak multiple languages - Answers to questions about ZEPOSIA and your treatment ## Important Disclaimer This guide provides general information about Bristol Myers Squibb's patient assistance programs for ZEPOSIA. Specific eligibility criteria, income thresholds, and program details may change. All information is subject to program terms and conditions. Bristol Myers Squibb cannot guarantee that you will receive assistance. For the most current and accurate information about your specific situation, contact ZEPOSIA 360 Support at 1-833-ZEPOSIA (1-833-937-6742) or your healthcare provider. This guide is intended only for U.S. residents 18 years or older.

Program information last verified: March 25, 2026