Questions? Contact The Merck Access Program at 855-404-5278 Mon–Fri, 8 AM to 8 PM (ET), to speak to a representative.
HOW MAY WE ASSIST YOU?
CAN HELP ANSWER QUESTIONS LIKE
A REPRESENTATIVE MAY BE ABLE TO
  • Does my insurance cover PREVYMIS?
  • What options may be available for co-pay assistance?
  • Should I be referred to the Merck Patient Assistance Program?
  • Can you send information about my insurance coverage to my health care provider to assist me in obtaining access to PREVYMIS?
  • Identify your insurance benefits
  • Obtain information about your out-of-pocket costs
  • Provide information on co-pay assistance options for eligible patients
  • Refer you to the Merck Patient Assistance Program for eligibility determination (provided through the Merck Patient Assistance Program, Inc.)
  • Answer questions about the enrollment form
 
To get started, select a category above or call 855-404-5278 to speak with a representative.
 
GETTING STARTED IS SIMPLE!
Contact The Merck Access Program
Mon–Fri, 8 AM to 8 PM (ET)
855-404-5278
 
 
 

Electronic Enrollment Form with E-Signature