| |
Merck Connect
|
,
Phone
:
800-489-5119
Fax:
|
|
Eligibility
|
| > |
This program is for healthcare professionals only. Patient eligibility will be determined on a case by case basis. Income requirements for this program have not been disclosed. The medication must be medically necessary as determined by a doctor. The patient must be treated by a US licensed healthcare professional. |
| Who Can Apply
|
| > |
Patients can enroll online. |
|
Required
|
| > |
Doctors must enroll in the program. Patients must inform their doctor that they are in need. |
|
Supply
|
| > |
Up to a 30 day supply. |
|
Ship To
|
| > |
Not specified |
|
Note
|
| > |
Resources for HEALTHCARE PROFESSIONALS ONLY.
The Physician must register to access tools and materials for patient support, product sample requests, up-to-date professional resources, and other Merck professional sites. |
| |
Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
|
| Asmanex HFA aerosol; inhalation |
| Asmanex Twisthaler Inhalation Powder |
| Belsomra tablet |
| Dulera aerosol; inhalation |
| Emend capsule |
| Emend injection |
| Follistim AQ Cartridge injection; subcutaneous |
| Grastek tablet; sublingual |
| Isentress tablet |
| Janumet tablet |
| Janumet XR tablet; extended release |
| Januvia |
| Nexplanon implant |
| Noxafil tablet; delayed release |
| Nuvaring vaginal ring |
| Proventil HFA aerosol; inhalation |
| Ragwitek tablet; sublingual |
| Vytorin tablet |
| Zepatier |
| Zetia tablet |
| Zontivity tablet |
| |
| |
|
|