| Pharmaceutical Company | Ability Patient Assistance Program |
| Program Address | Abilify Patient Assistance Program PO Box 29020 Phoenix AZ 85038-9020 |
| Toll Free Phone Number | 800-736-0003 |
| Fax Number | 866-598-5561 |
| Guidelines and Notes | Abilify is a new drug that was recently approved by FDA for use with schizophrenia. We are impressed that Bristol-Myers Squibb, the maker, immediatelly created an assistance program to help those who will not be able to afford this drug. The program can be reached between 9am and 6pm eastern time, Monday through Friday. Application is dated 10-02 in botton right hand corner. |
| Initiating Enrollment | Call company to get application automatically faxed 24 hours a day, or print it out on this site. Completed form can be faxed or mailed in. |
| Health Provider's Role | Physician complets basic information including DEA#, state license #, shipping address and prescription information. Separate prescription not needed. |
| Patient's Role | Provide basic personal, insurance, income and expense information and sign form. |
| How Dispensed | Not specified |
| Amount Dispensed | Unavailable |
| Refills | Reapplication needed after a year.. |
| Limit | Not specified |