Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.

Program 1 of 1.  Updated April 05, 2013 Back | Print Page

This program provides brand name medications at no or low cost.

Merck Patient Assistance Program for Invanz, Primaxin, and Cancidas

Provided by:


Merck Patient Assistance, Inc.

PO Box 8122
Somerville, NJ 08876

TEL: 866-840-5400


ALT PHONE:
FAX: 877-923-6786
No Program Website

Languages Spoken: English

Patient assistance
applications

 

Medications

Cancidas Injection 50mg/vial (caspofungin)

Eligibility Requirements

APPLICATION

MEDICATION

Insurance Status Must have no prescription coverage
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Yes
Obtaining Call or download
Receiving Faxed or mailed
Returning Mail or fax
Doctor's Action Hospital contact must complete application and attach dispensing record
Applicant's Action Complete section, sign
Decision Communicated Hospital notified of acceptance or denial
Decision Timeframe Within 48 hours
Amount/Supply Not specified
Sent To Doctor's office or specific site
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application Not specified

Additional Information:

This is a product replacement program.