Syprine Tablets, of program Merck Patient Assistance Program,
A Free Prescription Drug Program of Merck & Company , Inc.
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Syprine Tablets of program Merck Patient Assistance Program can be found below. The program Merck Patient Assistance Program directed by Merck & Company , Inc. conveys this drug Syprine Tablets to patients who qualify after acceptance occurs. Read the available data and then proceed towards applying to the Merck Patient Assistance Program program(s) for Syprine Tablets by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Merck Patient Assistance Program program to get Syprine Tablets meds. At times, a program's process may change without advanced notice.
Listen to the Merck Patient Assistance Program program associate's requests competely because they are there to help you. Free prescription meds programs (this Syprine Tablets prescription and others) exist for the good of everyone including needy patients, the program's company Merck & Company , Inc. and even those who do not require this offer. The respect and good manner you show the program and its employees will help yourself and other patients for years into the future.
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Syprine Tablets |
| Name of Program |
Merck Patient Assistance Program |
| Affiliated Company |
Merck & Company , Inc. |
| Address of Program |
PO Box 732 |
| Address 2 |
Horsham, PA 19044-10021 |
| Address 3 |
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| Phone (Voice) |
800-727-5442 |
| Fax |
na |
| How to get application |
request application |
| General guidelines/directives for applicants |
For patients who live in US, have US doctor, exhausted all possible avenues for coverage, who can't afford medication, and have income must at or be below $18,000 for an individual (at or below $24,000 for a couple or at or below 35,000 for a family of four). Exceptions may be made in regards to income guidelines given extenuating circumstances. Vaccines and injectables are not available through the program. See separate listing for Crixivan program. |
| Beginning course of action to obtain drugs |
Doctor or patient may call to have an application mailed. Application may also be downloaded from http://www.merck.com/pap/pap/consumer/index.jsp (application may be filled out online). Copied applications are not accepted. |
| Doctor/provider's |
Doctor/Prescriber completes section with black ink pen. Prescription attached must not exceed a 90 day supply with a maximum of three refills. Doctor confirms patient eligibility criteria. Form must be hand signed. |
| Responsibilities of Patient |
Completes application section in black ink. |
| Distribution manner |
Medication is sent to the doctor's office or patient's home. |
| Amount distributed |
132 days |
| Refill process |
Call for refill. New application required yearly. |
| Program limitations |
Indefinite |
Paid source(s):
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