Celgene Patient Support Specialist
Meet Samuel

Samuel is a Celgene Patient Support® Specialist. To meet your Specialist, click here.

PhoneFor more information, call 1-800-931-8691


Celgene Patient Support® is committed to using our best efforts to protect your privacy. While the security of information in transit over the Internet cannot be assured, our privacy practices are designed to protect personally identifiable information and to ensure that we use information we receive in ways compatible with the purposes for which it has been collected. All the information provided in this online enrollment form will be sent in an encrypted form and then stored in a secure Celgene Database.

The information provided is for Celgene Patient Support® use only and will not be shared outside of Celgene Patient Support® and its authorized representatives, agents, and individuals or entities involved in processing this application and implementing a Celgene Patient Support® program for which you may qualify. These may include your Healthcare Professional and health insurance provider. If you have questions about the privacy of your information, e-mail privacy@celgene.com or write to Celgene Corporation, 86 Morris Avenue, Summit, NJ 07901. Attention: Privacy Office.

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Please select all of the services you are looking for..

  • Benefits Investigation
    Helps patients understand their insurance coverage and co-pays; assesses patient eligibility for Medicare, Medicaid, or alternative coverage

  • Appeals Assistance
    Helps appeal the denial of a prior authorization/pre-certification or claim for a Celgene product

  • Celgene Commercial Co-pay Program
    Assists patients who have commercial or private insurance but are unable to afford their co-pay

  • Prior Authorization/Precertification
    Expedites the process of authorizing the use of a Celgene product prior to initiating therapy

  • Co-payment/Co-insurance Assistance
    Helps patients apply for co-pay assistance programs from non-profit 501 (c) (3) foundations when they are unable to afford their co-pay

  • Celgene Free Medication Program
    Determines the eligibility of uninsured and underinsured patients for the Celgene Free Medication Program based on patient financial and insurance criteria

Referral Source

  • Patient
    Healthcare Professional
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Patient Information

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Drugs & Diagnosis

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  • If you cannot find your diagnosis in the provided list, please select “Other” from the drop down list and enter your diagnosis in the “Other Diagnosis” field.
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