THE MERCK CO-PAY ASSISTANCE PROGRAM

Notice to Qualified Health Plans:
After careful consideration and deliberation, including analysis of the October 30, 2013, and February 6, 2014, letters from former Secretary Sebelius to Representative McDermott (D-WA) and Senator Grassley (R-IA), respectively, Merck has decided to make a co-payment assistance program for this product available to enrollees of a health insurance exchange established by a state government or the federal government who are not Medicaid-eligible. The terms and conditions of our patient co-payment assistance program are available through the link below.

The Merck Co-pay Assistance Program offers assistance to eligible privately insured patients who need help affording ZINPLAVA.

  • Once enrolled eligible, privately insured patients pay the first $100 of their co-pay.
  • Maximum Co-pay Assistance Program benefit applies. See Terms and Conditions.
Co-pay assistance from the Merck Co-pay Assistance Program is not insurance. Not all patients are eligible for the Merck Co-pay Assistance Program. Restrictions apply. See Terms and Conditions.
You may be eligible if you
  • Are at least 18 years old
  • Are a resident of the United States (including Puerto Rico)
  • Have private health insurance that provides coverage for ZINPLAVA under a medical benefit program
 
The Merck Co-pay Assistance Program is not valid for patients covered under a Government Program, as that term is defined in the Terms and Conditions. The Merck Co-pay Assistance Program is not valid for uninsured patients.
You and your health care professional must submit all required information. Please see the enrollment form for details.
Other financial support options

What if I am not eligible for the Merck Co-pay Assistance Program?

You may be able to get help from an independent co-pay assistance foundation. A representative can provide you with information about independent foundations that may be able to provide financial support to patients who do not qualify for the Merck Co-pay Assistance Program. Each independent foundation has its own eligibility criteria and application process.
We can help
Contact a representative for assistance. Representatives are available by calling 877-709-4455, Mon–Fri, 8 AM to 8 PM ET.
 
 
 

Questions? Contact The Merck Access Program at 877-709-4455 Mon–Fri, 8 AM to 8 PM ET, to speak to a representative.