To learn more about the program, click here to read the full brochure. Click here to see a video on how to fill out the Merck Patient Assistance Program enrollment form.
Click here to download a checklist to help you complete the enrollment form. This private and confidential program provides vaccines free of charge to eligible adults, primarily the uninsured who, without our assistance, could not afford needed Merck vaccines. Ask your health care provider if they participate in the VFC program. Or, contact the VFC coordinator in your state. For more information, visit www.
Vaccines for adults aged 65 and older may be covered by Medicare. For more information, go to www. At Merck, we understand that obtaining the medicines you need can be complicated by health care reimbursement.
To make the process easier, we created the Merck Access Program. The Merck Access Program provides free reimbursement support services to help answer questions related to insurance coverage and reimbursement.
If you do not meet the prescription drug coverage criteria, your income meets the program criteria, and there are special circumstances of financial and medical hardship that apply to your situation, you can request that an exception be made for you. Vytorin has been approved by the FDA as part of a treatment for the reduction of high LDL cholesterol that includes dieting. Vytorin is administered in tablet form. Zetia has been approved by the FDA as part of a treatment for the reduction of low-density LDL cholesterol that includes dieting.
Zetia is administered in tablet form. Eligibility is based off of the following requirements:. Fill out the program enrollment form located to your right.
This is consistent with Merck's long-held values and traditions of putting patients first. If you or someone you know needs help paying for medicines or adult vaccines, the Merck Patient Assistance Program, Inc. Merck is a proud participant in the Medicine Assistance Tool. Merck is not associated with any individuals or organizations that may charge patients a fee to assist them in completing enrollment forms for our programs.
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