Supporting Your Patients Every Step of the Way

How to Enroll

Enroll your patients electronically through the CoverMyMeds portal

ORDownload a faxable Enrollment Form for your patients

Have your patient review and sign the Patient Authorization Agreement (PAA) within the Enrollment Form while
they’re in the office.

  • Be sure to include the patient’s email and phone number on the enrollment form. MyCAMZYOS can reach
    out to them to attain their signature if they leave the office before signing the PAA

Need help?

OR

Call 855-CAMZYOS
(855-226-9967)

Once CAMZYOS has been prescribed, MyCAMZYOS can assist with:

Get Started on CAMZYOS™ Icon

Getting Started on CAMZYOS

Free Trial Program

One-time 35-day free trial
for first-time patients

MyCAMZYOS Bridge Program

Commercially insured, first-time patients may initiate
therapy with CAMZYOS at no cost during the
insurance coverage determination process if there are
prior authorization delays and/or if appeals are needed

Patient Access Support Icon

Patient Access
Support

Insurance
benefit
reviews

Electronic prior
authorizations

Appeals process
support

Identification of
programs that
can help with
treatment access

Coordination
with specialty
pharmacies

Dedicated local
Access and
Reimbursement
Managers*

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.

*Access and Reimbursement Managers can educate about patient access and affordability with the MyCAMZYOS program.

Financial Support Icon

Co-Pay Assistance

Prescription Benefits

Commercially insured patients
may
be eligible to pay $10 for
their
CAMZYOS prescription

Echocardiogram Co-Pay Program

Commercially insured patients may
be eligible for co-pay assistance for
their required echocardiograms

Dedicated Nurse Navigators are available to provide information and answer
questions for patients on CAMZYOS. Nurse Navigators do not provide
medical advice. For more information and additional patient resources, visit
camzyos.com/patient-support.

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