The Merck Patient Assistance Program Helps Those in Need

Resources

Program Information:

Merck Patient Assistance Program Brochure

Merck Vaccine Patient Assistance Program Brochure

Enrollment Forms:

Merck Patient Assistance Program Enrollment Form (English)

Merck Patient Assistance Program Enrollment Form (Spanish)

Merck Vaccine Patient Assistance Enrollment Form (English)

Merck Vaccine Patient Assistance Program Enrollment Form (Spanish)

Enrollment Form Support Resources:

Merck Patient Assistance Program Instructional Video: Enrollment Form (long)

Merck Patient Assistance Program Instructional Video: Enrollment Form (short)

Merck Vaccine Patient Assistance Program Instructional Video: Enrollment Form

Merck Patient Assistance Enrollment Form Checklist by Mail

Merck Patient Assistance Enrollment Form Checklist

Website Resources:

Medicine Assistance Tool

Merck Patient Support Programs

Merck.com