THE MERCK PATIENT ASSISTANCE PROGRAM
The Merck Access Program representatives can refer patients to the Merck Patient Assistance Program for an evaluation of their eligibility for free product.
Who is the program for?
Patients who do not have insurance or whose insurance does not cover ZINPLAVA may be eligible for free product from the Merck Patient Assistance Program if they meet certain financial and medical criteria. The Merck Patient Assistance Program is not insurance.
For more information on the program’s eligibility requirements, please visit www.merckhelps.com.
Getting started is simple
1. Download and complete the appropriate sections of the enrollment form, OR use the electronic enrollment form.
2. Submit electronically, or print and fax the completed form to 800-977-1957.
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