AIDS Treatment Data Network
611
Broadway, Suite 613, New York, NY, 10012 • www.atdn.org • Tel: (212) 260-8868 • (NYS) 800-734-7104
| The Access Project collects and distributes information about medications available for HIV/AIDS and hepatitis co-infection through Medicaid, Medicare Part D, AIDS Drug Assistance Programs (ADAPs), and pharmaceutical industry sponsored patient assistance and expanded access programs (EAP). The Access Project is a program of the The Network (network@atdn.org) |
Merck & Co.
Patient Assistance Program
Products covered:
Blocadren (timolol)
Clinoril (sulindac)
Cosmegen (dactinomycin)
Cosopt (dorzolamide timolol)
Cozaar (losartan)
Cuprimine (penicillamine)
Decadron (dexamethasone)
Demser (metyrosine)
Diuril (chlorothiazide)
Dolobid (diflunisal)
Elspar (asparaginase)
Fosamax (alendronate)
Hyzaar (losartan)
Indocin (indomethacin)
Lacrisert (hydroxypropyl cellulose)
Maxalt (rizatriptan)
Mephyton (phytonadione)
Mevacor (lovastatin)
Midamor (amiloride)
Mintezol (thiabendazole)
Moduretic (amiloride)
Mustargen (mechlorethamine)
Noroxin (norfloxacin)
Pepcid (famotidine)
Prinivil (lisinopril)
Prinzide (lisinopril-hydrochlorothiazide)
Propecia/Proscar (finasteride)
Singulair (montelukast)
Stromectol (ivermectin)
Syprine (trientine)
Timolide/Timoptic (timolol)
Trusopt (dorzolamide)
Vioxx (rofecoxib)
Zocor (simvastatin)
| Contact | 1-800-999-1796
www.merck.com/pap/pap/consumer/index.jsp
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| Program Eligibility |
The patient must meet the following criteria to qualify:
- Be a legal resident of the U.S.
- Has no health insurance or no prescription coverage.
- Not eligible for Medicaid, ADAP, or other drug assistance programs.
- Income must be lower than $18,000 (1-person household), $24,000 (2-person household), $35,000 (4-person household)
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| Enrollment Process |
Doctors or patients can call to enroll. An application is sent to the doctor's office for completion. You can also download the form from their website (see above link).
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| Re-Application |
The doctor can call for up to 90-days supply of the drug at a time. After one year the patient must re-enroll in to the program again.
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| Comments |
Once the application if received, it takes 3-4 weeks for the drug to be available. It can be shipped to either the doctor's office or the patient's home.
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