Learn More About Enrollment
THE MERCK ACCESS PROGRAM
The Merck Access Program is designed to provide reimbursement and insurance coverage–related information for you throughout your treatment process.
Get started by enrolling in The Merck
Access Program to determine your coverage
and support throughout your treatment.
The Merck Access Program is designed to provide reimbursement and insurance coverage–related information for you throughout your treatment process.
Your healthcare provider must also submit the Healthcare Provider Enrollment Form.
Your healthcare provider must also submit the Healthcare Provider Enrollment Form.
This sample form is a helpful resource that outlines important details and steps while you are filling out the enrollment form to ensure that all information and signatures are captured.
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This link will take you to a site outside of Merck & Co.,
Inc. that is managed by a third-party administrator of The
Merck Access Program. Merck does not endorse and is
not responsible for the accuracy, content, practices, or
standards of any non-Merck site.
The Merck Co-pay Assistance Program for KEYTRUDA® (pembrolizumab) Injection 100 mg ("Program Product")
To receive benefits under the Co-pay Assistance Program, the patient must enroll in the Co-pay Assistance Program and be accepted as eligible. A patient's eligibility for the Co-pay Assistance Program will commence upon the date of The Merck Access Program’s acceptance of patient’s enrollment and will continue for twelve months thereafter (“Eligibility Period”), so long as the patient satisfies all eligibility criteria of the Co-pay Assistance Program for each date of administration of the Program Product. A patient may contact The Merck Access Program to inquire about the current Program Product(s) that are subject to these Terms and Conditions.
US-KEY-06986 08/23
If you received a re-enrollment letter from The Merck Access Program and would like to re-enroll:
A member from The Merck Access Program will reach out to you and your healthcare provider after the enrollment form is submitted.
US-NON-13837 09/23