Merck Access Co-pay Assistance: Prevymis

Funded

About

The Merck Access Co-pay Assistance: Prevymis program offers substantial benefits for those prescribed Prevymis. Eligible participants can greatly reduce their medication expenses through this program. With Merck Access Co-pay Assistance: Prevymis, qualifying patients can significantly lower their out-of-pocket costs on up to eight prescriptions, ensuring broader access to the essential drug product, Prevymis.

Insurance requirements: Commercially insured

As low as: $15 per fill

Enrollment Forms

Enrollment Form

Benefits

•$2500 annual maximum benefit

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible privately insured patients may pay as little as $15 per prescription on each of up to 8 qualifying prescriptions for up to a onemonth's supply per prescription

•Maximum savings is $2,500 per prescription

•Coupon may be redeemed only once every 21 days

•Submit transaction to McKesson Corporation using RxBIN No. 610524. For pharmacy processing questions, please call the McKesson Help Desk at 877‑264‑2454 (8 AM8 PM ET, MondayFriday)

•For more information, contact The Merck Access Program at 8554045278 Mon–Fri, 8 AM to 8 PM (ET), to speak to a representative

Enrollment Forms

Enrollment Form