Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with ORENCIA Co-pay Program (Bristol Myers Squibb) before sending sensitive documents. FaxFlow is not affiliated with this organization.
ORENCIA Co-pay Program (Bristol Myers Squibb) fax number
(800) 856-9036
Co-pay Program
Used for: Submit Co-pay Program Check Request for reimbursement of eligible out-of-pocket costs
Fax destination details
- Department
- Co-pay Program
- Purpose
- Submit Co-pay Program Check Request for reimbursement of eligible out-of-pocket costs
- Form
- Check Request Form — ORENCIA Co-pay Program Check Request Form
- Address
- PO Box 2355 Morristown, NJ 07962
- Voice phone
- 800-803-3407
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fax or mail this form with a detailed Explanation of Benefits (EOB) to the provided fax number to request payment from the ORENCIA Co-pay Program; include patient and provider details and service date.
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