WELCOME TO
THE MERCK
ACCESS PROGRAM
ARE YOU A US HEALTH CARE PROFESSIONAL?
YES
NO
Contact The Merck Access Program Mon-Fri at 855-257-3932
SUPPORT RESOURCES
| Resource | Click Here |
| Electronic Enrollment | |
| The Merck Access Program 2022 Electronic Patient Enrollment Form
This patient form can be signed and submitted electronically. Please note that your health care provider must also submit the Health Care Provider Enrollment Form. |
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| Enrollment | |
| The Merck Access Program 2022 Enrollment Form |  |
| The Merck Access Program Spanish Enrollment Form | |
| The Merck Access Program Sample Enrollment Form | |
| Patient Representative's Form | |
| Available Independent Foundation Support | |
| Patient support materials | |
| KEYTRUDA.com | |
| Product information | |
| Physician Prescribing Information | |
| Medication Guide | |
This site is intended only for residents of the United States.
Copyright © 2021 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved. US-KEY-04309 09/21
