This information is intended for U.S. healthcare professionals and/or professionals involved in healthcare reimbursement.

This information is intended for U.S. healthcare professionals and/or professionals involved in healthcare reimbursement.

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Start the enrollment process (available on desktop) or download the enrollment form on your computer and fax to 1-866-676-4063.

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The accurate completion of reimbursement- or coverage-related documentation is the responsibility of the healthcare provider and patient. Bristol-Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item.

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The coding, coverage, and payment information contained within this website is current as of 12/16.
MMUS1605512-01-01 12/16

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