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This is a discount card program.
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| Pharmaceutical Company |
Merck & Company , Inc. |
| Program Name |
Merck Prescription Discount Program |
| Program Address |
Merck Prescription Discount Program
PO Box 369
Horsham, PA 19044-9945 |
| Phone Number |
800-506-3725
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| Fax Number |
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| Medications on Program |
Cosopt Ophthalmic Solution/ 5ml, 10ml (dorzolamide/timolol)
Cozaar Tablets 25mg, 50mg, 100mg (losartan)
Emend tri-pack (aprepitant)
Hyzaar Tablets 50/12.5mg, 100/12.5mg, 100/25mg (losartan/hydrochlorothiazide)
Janumet Tablets 500mg, 1000mg (sitagliptin/metformin)
Januvia Tablets 25mg, 50mg, 100mg (sitagliptin)
Maxalt Tablets 5mg, 10mg (rizatriptan)
Maxalt MLT Tablets (rizatriptan)
Singulair Tablets 10mg (montelukast)
Trusopt Ophthalmic Solution (dorzolamide)
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| Application Forms |
Merck Prescription Discount Program
Merck Prescription Discount Program (Spanish Application)
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On-line Application
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No on-line application available at this time |
| Web Site |
Click to go to program's web site |
| Eligibility Guidelines and Notes |
The patient must have no prescription insurance. meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident with a prescription from a US doctor. Eligible patient will receive a 15%-20% discount on medications. Enrollment can also be done on line. If patient enrolls on line or the phone and are approved for the program, s/he is given an active membership ID number to be used at the pharmacy until the permanent card arrives.
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| Application Process |
The patient can call to get an application, apply on line, or download the application. The completed application must be mailed back.
The decision is usually made within 2 weeks.
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| Application Requirements |
The doctor needs to provide a prescription to the patient. The patient must fill out a section and sign the application.
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| Program Details |
The patient is sent a card to be used at the pharmacy. Every year a new application is needed.
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| Last Updated |
September 11, 2009 |
