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If your patient is uninsured or has limited coverage, they may be eligible to receive their medication at no cost through this program. To qualify for this program, patients must meet certain requirements including:
† $150,000 for a household of 4, as determined by electronic verification‡. This criterion does not apply for certain low-income Medicare Part D beneficiaries.
‡ If unable to determine income via eVerify, patient will need to submit 1040 or 1040-SR to YourBlueprint. Asset information not collected.
§ Add $25,000 for each person over 4.
Eligibility criteria as of May 2021. Program is subject to modification. Please contact YourBlueprint for current eligibility criteria.
Upon receipt of enrollment form, your patient’s Case Manager will communicate your patient’s program eligibility determination by fax and phone. If approved, we will contact your patient by phone and letter.
Your patient’s Case Manager can provide you with contact information for independent charitable foundations that might be able to assist your patient. These foundations are not associated with Blueprint Medicines and establish their own rules and application processes. Blueprint Medicines does not endorse any particular foundation.