The SUPPORT Program for ISENTRESS™ and/or CRIXIVAN® Reimbursement Support and Patient Assistance Services
Merck and Co., Inc.
Contact Information
SUPPORT
P.O. Box 305
San Bruno, CA 94066
1-(800) 850-3430 (phone)
1-(866) 410-1913 (fax)
SUPPORT
P.O. Box 305
San Bruno, CA 94066
1-(800) 850-3430 (phone)
1-(866) 410-1913 (fax)
Physician requests should be directed to:
1-(800) 850-3430 (phone)
1-(800) 850-3430 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Eligibility:
The SUPPORT program is a free program that assists patients who are prescribed ISENTRESS ™ and/or CRIXIVAN ® and are uncertain of their insurance coverage, or in locating payment sources for ISENTRESS ™ and/or CRIXIVAN ®. Patient Assistance for free of charge ISENTRESS ™ and/or CRIXIVAN ® is provided to eligible patients for whom no alternative source of coverage can be identified. Patients must reside in the United States and have a prescription for ISENTRESS ™ and/or CRIXIVAN ® from a doctor licensed in the United States. All applications are reviewed on a case-by-case basis. Product is shipped to the prescriber's office or directly to the patient. Medicine is labeled for the patient.
The SUPPORT program is a free program that assists patients who are prescribed ISENTRESS ™ and/or CRIXIVAN ® and are uncertain of their insurance coverage, or in locating payment sources for ISENTRESS ™ and/or CRIXIVAN ®. Patient Assistance for free of charge ISENTRESS ™ and/or CRIXIVAN ® is provided to eligible patients for whom no alternative source of coverage can be identified. Patients must reside in the United States and have a prescription for ISENTRESS ™ and/or CRIXIVAN ® from a doctor licensed in the United States. All applications are reviewed on a case-by-case basis. Product is shipped to the prescriber's office or directly to the patient. Medicine is labeled for the patient.
Product(s) covered by program:
- Crixivan®
- Isentress™
