Top Doctor Award Bristol-Myers Squibb Patient Assistance Information and Application Information and application for the Bristol-Myers Squibb Patient Assistance Program. sanofi-aventis APPEAL FOR MEDICARE PART D If you have Medicare Part D you will need to complete this form along with the application. Both forms can be submitted together. sanofi-aventis Patient Assistance Information and Application Information and application for the sanofi aventis Patient Assistance Program. Merck Patient Assistance Application For more information, a link to the Merck Patient Assistance page is available from this page. Sanofi Patient Assistance Application Patient to complete page 2 of application to apply for assistance from Sanofi. PACE Prescription Assistance Information Contact information for PACE. Patient Survey Patient Survey