For more information on the program's eligibility requirements, please visit www.merckhelps.com.
Getting started is simple
1. Work with your health care provider to download and complete the enrollment form, OR complete the electronic patient enrollment form.
2. Submit the electronic patient enrollment form online, or print and fax the completed downloadable form to 833-996-3275.
3. A program representative will contact you and your health care provider's office.