Merck Access Co-pay Assistance: Prevymis - Non-covered benefit

Not Funded

About

The Merck Access Co-pay Assistance program offers valuable support for patients prescribed Prevymis, a critical medication. This program helps eligible individuals reduce their out-of-pocket costs, making Prevymis more accessible through participating pharmacies in the United States and Puerto Rico.

Insurance requirements: Commercially insured

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

•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