Please
allow at least eight (8) weeks for the processing of your completed
application.
Applications submitted less than eight weeks prior to an event
may be rejected as a result of insufficient time for review.
Bristol-Myers
Squibb provides support for specific activities and initiatives
of healthcare-related organizations and institutions,
independent medical or professional societies, and patient advocacy-related
organizations, including, but not limited to:
- Patient
education
- Community
health-care related activities
- Disease
awareness initiatives
- Activities
related to improving patient access to healthcare and medications
Generally,
to be eligible for support, activities and initiatives
must:
- Be
for the benefit of, and open to, the general public or
other broad audience
- Be
primarily dedicated, in both time and effort, to communicating
health-care related information to patients
and/or the public or otherwise contribute to the advancement of quality healthcare
or
science to the ultimate benefit of patients.
Eligible
recipients include organizations with a
health-related public
mission and/or patient
focus, hospitals
or
other similar healthcare facilities,
community health centers, medical or other professional
societies,
and patient support
or advocacy
organizations.
Specific
activity support must
not be tied, in any way, to past, present, or future prescribing,
purchasing, or recommending (including formulary
recommendations) of any product(s).
Any evidence that suggests that the support or request
for support
is
tied, in any way, to past, present,
or
future prescribing or recommending
of any product(s) will
cause the request
to
be rejected,
and the request
may not be resubmitted.
Before
you start the submission process, please be sure to have the
following
information available:
1. |
Federal
Tax ID number for your organization |
2. |
Organizational
Information |
| 3. |
List of Partnering Organizations (if applicable) |
| 4. |
Federal Tax ID number of Partners (if applicable) |
5. |
Activity
information (if applicable) |
6. |
Valid
E-Mail address for communications |
7. |
Verification
of your role within the requesting organization |
| 8. |
Completed
Program Costs Form (Excel) |
| 9. |
Activity
information (including, if applicable, speaker names and
affiliations, agenda, program objectives, location and
date of event) |
| 10. |
Firewall
Certification Checklist (PDF) |
Click
here to begin the application process. |
