Co-pay Assistance for Eligible Patients

The Merck Patient Assistance Program

 

CO-PAY COUPON

Eligible, privately insured patients may save on NOXAFIL 100 mg Delayed-Release Tablet

 

 

Not all patients are eligible. Certain restrictions apply. Please see Terms and Conditions.

VIEW SAVINGS OFFER

Questions? Call The Merck Access Program at 866-258-3903 Mon–Fri, 8 AM to 8 PM (ET), to speak with a representative.

THE MERCK PATIENT ASSISTANCE PROGRAM

What does the program do?

The Merck Patient Assistance Program provides certain Merck medicines free of charge to eligible patients.

Who is the program for?

Patients who do not have insurance or whose insurance does not cover NOXAFIL Delayed-Release Tablets or NOXAFIL Oral Suspension may be eligible for free product from the Merck Patient Assistance Program if they meet certain financial and medical criteria.

For more information on the program’s eligibility requirements, please visit www.merckhelps.com.

GETTING STARTED IS SIMPLE!

  • Work with your health care professional to download and complete the Enrollment Form.
  • Print and fax the completed form to 800-977-0647.
  • A program representative will contact you and your health care professional.

Questions? Call The Merck Access Program at 866-258-3903 Mon–Fri, 8 AM to 8 PM (ET), to speak with a representative.

 

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MERCK ACCESS PROGRAM

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