Merck Patient Assistance Program: Isentress, Isentress HD
Funded
About
The Merck Patient Assistance Program: Isentress, Isentress HD offers a valuable opportunity for eligible patients to receive Isentress and Isentress HD medications at no cost. This program supports U.S. residents who have prescriptions and face challenges affording their medications, especially those uninsured or underinsured with limited income. By participating in the Merck Patient Assistance Program, patients can benefit from significant financial relief while adhering to their prescribed treatments.
Insurance requirements: Underinsured, Uninsured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Eligible patients receive medication free of charge
•Patients can download the application from the website or call 18007275400 to request one, Hours: 8 AM – 8 PM ET Days: Monday – Friday
•All sections of the enrollment form must be completed and signed by the patient and physician
•A single application may include prescriptions for up to 3 Merck medications
•Each prescription may not exceed a 90day supply at a time, with a maximum of 3 refills
•Each enrollment form is valid for up to 12 months; after 12 months a new enrollment form will be required. Under certain circumstances, enrollment may be limited to a calendar year
•Completed applications should be mailed to: Merck Patient Assistance Program, PO Box 690, Horsham, PA 190449979
•Medication will be sent to patient’s home address unless otherwise requested by the physician/prescriber in Section 3 of the application
Enrollment Forms
Enrollment Form