Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Program 1 of 2.
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Entereg Access Support and Education (E.A.S.E.)

For Healthcare Professionals Only

Provided by: Merck Sharp & Dohme Corp., a subsidiary of Merck & Co.


TEL: 877-282-4786, opt. 4


FAX: 800-278-1365
Languages Spoken:

English

Program Website

 

Program Applications and Forms

Entereg Hospital E.A.S.E. Registration Form

Entereg Healthcare Provider Letter

Entereg Prescriber and Pharmacist Information Brochure

 

Medications

  • alvimopan capsule (Entereg) Capsule
 

Eligibility Requirements   

Insurance Status Not specified
Those with Part D Eligible? Not specified
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Not specified
   

Application

Obtaining Doctor/Doctor's office must call or download
Receiving Sent to Doctor's office
Returning Fax from Doctor's office
Doctor's Action Hospital contact must complete and sign
Applicant's Action Inform Doctor that he/she is in need
Decision Communicated Doctor notified
Decision Timeframe Not specified
   

Medication

Amount/Supply Varies
Sent To Hospital
Delivery Time Not specified
Refill Process Not applicable
Limit Only limited by manufacturer's guidelines
Re-application Not applicable
   

Additional Information

Resources for HEALTHCARE PROFESSIONALS ONLY.

Entereg is available only to hospitals that enroll in the E.A.S.E. Program and is available only for short-term (15 doses) use in hospitalized patients.


Updated May 19, 2017


Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
Program 2 of 2.
 

Merck Connect

For Healthcare Professionals Only

Provided by: Merck & Co., Inc.


TEL: 800-489-5119


Languages Spoken:

English

Program Website

 

Program Applications and Forms

Merck Connect: Contact program

 

Medications

  • alvimopan capsule (Entereg) Capsule
 

Eligibility Requirements   

Insurance Status Determined case by case
Those with Part D Eligible? Determined case by case
Income Not disclosed
Diagnosis/Medical Criteria Medically Necessary as determined by a Doctor
US Residency Required? Must be treated by US licensed healthcare provider
   

Application

Obtaining Enroll online
Receiving Not specified
Returning Not specified
Doctor's Action Enroll in the program
Applicant's Action Inform Doctor that he/she is in need
Decision Communicated Not specified
Decision Timeframe Not specified
   

Medication

Amount/Supply Up to 30 day supply
Sent To Not specified
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application Not specified
   

Additional Information

Resources for HEALTHCARE PROFESSIONALS ONLY.

The Physician must register to access tools and materials for patient support, product sample requests, up-to-date professional resources, and other Merck professional sites.


Updated May 19, 2017