endobj 29 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 30 0 obj<> endobj 31 0 obj<> endobj 32 0 obj<> endobj 33 0 obj<> endobj 34 0 obj<>/Type/Font>> endobj 35 0 obj<> endobj 36 0 obj<> endobj 37 0 obj<> endobj 38 0 obj[/Separation/PANTONE#20186#20C/DeviceCMYK 60 0 R] endobj 39 0 obj<> endobj 40 0 obj<<>> endobj 41 0 obj<> endobj 42 0 obj<> endobj 43 0 obj<> endobj 44 0 obj<> endobj 45 0 obj<> endobj 46 0 obj<>stream Section 2 is your prescription.

0000001176 00000 n By continuing, you will be directed to a site intended only for residents of the United States and Canada. The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. Coupons are not available for patients who are uninsured or patients with Medicare or other Government Program insurance. Consult your healthcare professional before using this drug. 0000004237 00000 n If underlying assumptions prove inaccurate or risks or uncertainties materialize, actual results may differ materially from those set forth in the forward-looking statements. There can be no guarantees with respect to pipeline products that the products will receive the necessary regulatory approvals or that they will prove to be commercially successful. 0000001982 00000 n The office must provide the date of administration and lot number to the Merck Vaccine Patient Assistance Program for all approved doses of vaccine in order for replacement product to be provided. 0000001553 00000 n

0000046624 00000 n 0000044922 00000 n

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merck vaccine patient assistance program application casodex

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0000001469 00000 n 0000009195 00000 n 0000002168 00000 n 0000174978 00000 n 0000103398 00000 n 0000126586 00000 n Merck Patient Assistance Program provides certain Merck medicines and adult vaccines for free to qualified patients; Merck Access Program Information about insurance coverage and financial assistance options for eligible patients; Clinical trials Learn about our clinical trials and find available studies; Merck Manuals Medical information source covering thousands of topics in …

0000080190 00000 n 0000052848 00000 n

0000103527 00000 n See the information below to find out if any of our programs may help you. 0000051874 00000 n 0000008988 00000 n

0000174692 00000 n Private Securities Litigation Reform Act of 1995.

BICALUTAMIDE-ORAL (bye-kah-LEW-tuh-mide) COMMON BRAND NAME(S): Casodex 0000049430 00000 n 0000174491 00000 n 0000043802 00000 n Merck Patient Assistance Program (PAP) reserves the right to modify the application form, modify or discontinue this program, or terminate assistance at any time and without notice.

0000009370 00000 n To see if a coupon is available, please go to the product brand website. Please type in a product name to see if you're financially eligible. Mail completed applications to: Merck Patient Assistance Program PO Box 690 Horsham, PA 19044-9979. The Merck Patient Assistance Program Helps Those in Need At Merck, we believe that no one should go without the medicines or vaccines they need. 0000008624 00000 n 0000008732 00000 n 0000006548 00000 n 0000224024 00000 n

0000007591 00000 n 0000008944 00000 n Merck Patient Assistance Program provides certain Merck medicines and adult vaccines for free to qualified patients; Merck Access Program Information about insurance coverage and financial assistance options for eligible patients; Clinical trials Learn about our clinical trials and find available studies; Merck Manuals Medical information source covering thousands of topics in … That’s why we offer several patient support programs.

I authorize Merck PAP … Forms will be processed quickly* — with a goal of less than 10 minutes — and the Licensed Prescriber's Office will be notified by phone so that qualifying patients can receive the Merck vaccine during that visit. Select Merck brands offer coupons to eligible, privately-insured patients to save on their out-of-pocket costs. That is why the company provides certain medicines and adult vaccines for free to people who do not have prescription drug or health insurance coverage and who, without our assistance, cannot afford their Merck medicine and vaccines. Please Note: Incomplete or incorrectly completed applications will be returned. Re-application Policy: A new application will need to be completed and submitted to the Merck Vaccine Patient Assistance Program for eligibility assessment prior to a patient receiving a subsequent dose in a multi-dose series or for another Merck vaccine. H�dR{ The Merck Patient Assistance Program, Inc., may be able to provide medicines and adult vaccines free of charge through periodic bulk replenishments to eligible facilities that serve a large percentage of low-income, uninsured patients. 0000043845 00000 n Your medication will be sent to your home address unless …

x�b``�a``y����8�� ��X8^0�hj``8w�LֶV�e>���`���W��?ar�� 0��ZFG� �e`�_�5��,"���l�4C���@��������_1la��� ����0�1�IcӁ��=��9��d�K^�Ő���6w�bĬ�1�� �'x�7�q��4���|��R� ���9@� �A;� endstream endobj 28 0 obj<> endobj 29 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 30 0 obj<> endobj 31 0 obj<> endobj 32 0 obj<> endobj 33 0 obj<> endobj 34 0 obj<>/Type/Font>> endobj 35 0 obj<> endobj 36 0 obj<> endobj 37 0 obj<> endobj 38 0 obj[/Separation/PANTONE#20186#20C/DeviceCMYK 60 0 R] endobj 39 0 obj<> endobj 40 0 obj<<>> endobj 41 0 obj<> endobj 42 0 obj<> endobj 43 0 obj<> endobj 44 0 obj<> endobj 45 0 obj<> endobj 46 0 obj<>stream Section 2 is your prescription.

0000001176 00000 n By continuing, you will be directed to a site intended only for residents of the United States and Canada. The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. Coupons are not available for patients who are uninsured or patients with Medicare or other Government Program insurance. Consult your healthcare professional before using this drug. 0000004237 00000 n If underlying assumptions prove inaccurate or risks or uncertainties materialize, actual results may differ materially from those set forth in the forward-looking statements. There can be no guarantees with respect to pipeline products that the products will receive the necessary regulatory approvals or that they will prove to be commercially successful. 0000001982 00000 n The office must provide the date of administration and lot number to the Merck Vaccine Patient Assistance Program for all approved doses of vaccine in order for replacement product to be provided. 0000001553 00000 n

0000046624 00000 n 0000044922 00000 n

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