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Patient Assistance Information

Merck Product Replacement Patient Assistance Program

PO Box 8122
Somerville, NJ 08876
Phone : 866-840-5400
Fax: 877-923-6786
> This program is for healthcare professionals only. Patients must be uninsured. Medicare Part D recipients are not eligible. Patients must have an FDA-approved diagnosis and must be residing in the US or a US territory. Patients must also be under the care of a US physician.
Who Can Apply
> The doctor or doctor's office must call to obtain an application.
> Patients must inform the doctor that they are in need of assistance. The doctor or doctor's office must call.
> Varies
Ship To
> Doctor's office or specific site.
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.
Cancidas injectable; iv
Invanz injection
Primaxin IM injection
Primaxin injection