CAN HELP ANSWER QUESTIONS ABOUT:
 Insurance coverage for patients
 The prior authorization and appeals process
 Co-pay assistance for eligible patients
 Merck Patient Assistance Program
 Referral to the Merck Patient Assistance Program for eligibility determination (provided through the Merck Patient Assistance Program, Inc.)
 
GETTING STARTED IS SIMPLE!
Contact The Merck Access Program
Mon–Fri, 8 AM to 8 PM (ET)
855-404-5278
 
 
ENROLL NOW
 
 

Electronic Enrollment Form with E-Signature