The Merck Patient Assistance Program Helps Those in Need

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Resources

Program Information:

Cover of Merck Patient Assistance Program Brochure

Merck Patient Assistance Program Brochure

Cover of Merck Vaccine Patient Assistance Program Brochure

Merck Vaccine Patient Assistance Program Brochure

Enrollment Forms:

Cover of Merck Patient Assistance Program Enrollment Form (English)

Merck Patient Assistance Program Enrollment Form (English)

Cover of Merck Patient Assistance Program Enrollment Form (Spanish)

Merck Patient Assistance Program Enrollment Form (Spanish)

Cover of Merck Vaccine Patient Assistance Enrollment Form (English)

Merck Vaccine Patient Assistance Enrollment Form (English)

Cover of Merck Vaccine Patient Assistance Program Enrollment Form (Spanish)

Merck Vaccine Patient Assistance Program Enrollment Form (Spanish)

Enrollment Form Support Resources:

Cover of Merck Vaccine Patient Assistance Program Instructional Video: Enrollment Form

Merck Vaccine Patient Assistance Program Instructional Video: Enrollment Form

Cover of Merck Patient Assistance Enrollment Form Checklist by Mail

Merck Patient Assistance Enrollment Form Checklist by Mail

Cover of Merck Patient Assistance Enrollment Form Checklist

Merck Patient Assistance Enrollment Form Checklist

Cover of Merck Vaccine Patient Assistance Enrollment Form Checklist

Merck Vaccine Patient Assistance Enrollment Form Checklist

Website Resources:

Medicine Assistance Tool

Merck Patient Support Programs

Merck.com