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CONTACT US

Phone Numbers

Voice: 800-736-0003
Fax: 800-736-1611

Monday through Friday
8:00 am - 8:00 pm ET
Contact Address
BMS Patient Assistance Foundation
PO 220769
Charlotte
28222-0769

User Registration

Registering for the BMSPAF Provider Portal allows healthcare professionals to manage their patients who are enrolled in a BMSPAF program, including enrollment status and alerts, re-enrollment reminders, and communicating with the BMSPAF Team online.

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Your Contact Information

This site will collect, use, and disclose information you submit here as necessary to fulfill your requests or as disclosed on this site. 

You agree that the information you provide will be governed by this site's Terms of Use and Privacy Policy.

Please provide the following information about yourself. We will contact you to verify your online registration.



 


 
 

 
 

Your Office Information

Please provide the following information about your office.





 
   
 
 
 

Alternate Contact Information

As an option, you can provide the following information for an alternate person in your office we can call to complete the online registration.