The Re-Enrollment Process:

• Patients need to re-apply to Bridges to Access every 12 months.
• A re-enrollment application will be mailed to you or your Advocate when it is time to re-apply. The re-enrollment application will have your unique ID number on it. (If your re-enrollment form is lost, you can use another form but must cross out the identification number at the top and write in your unique 9-digit ID number.)
• Fax or mail your completed re-enrollment form and documents to Bridges to Access. Faxed prescriptions are only valid if faxed directly from a physician’s office. Applicant’s name and date of birth must be on each faxed page.
• If you are still eligible for continued assistance through Bridges to Access, your first refill will automatically be sent to the address provided on the application.
• To order subsequent refills, have the prescription number ready and click here or call 1-866-PATIENT (1-866-728-4368) at least 3 weeks before the patient's existing supply of medicine is gone.

For details on how to receive medication and refills, click here