All other Terms and Conditions for the Merck Co-pay Assistance Program remain in effect and must be satisfied to receive the benefit.
US-KEY-03570 04/21
Please click on the links below to access The Merck Access Program forms that are applicable to you. If your patient is requesting a referral to the Merck Patient Assistance Program, be sure to include all information, including a prescription for KEYTRUDA. Please be sure all signatures are included prior to submitting forms to The Merck Access Program.