Merck Access Co-pay Assistance: Prevymis - Covered benefit

Coverage RequiredNot Funded

About

The Merck Access Co-pay Assistance: Prevymis - Covered benefit program offers significant cost savings on the Prevymis drug product. This program allows eligible privately insured patients to pay as little as $15 per prescription, with a maximum saving of $2,500 per prescription, enhancing the affordability of Prevymis treatment.

Insurance requirements: Commercially insured

As low as: $15 per fill

Enrollment Forms

Enrollment Form

Benefits

•$2500 annual maximum benefit

•4 maximum fills per year

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: Yes

•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 4 qualifying prescriptions for up to a onemonth's supply per prescription

•Maximum savings is $2,500 per prescription

Enrollment Forms

Enrollment Form