Drug:

 
Program Contact Info / Application Submission
Program ACT (Accessing Coverage Today)
Company Merck & Company, Inc.
Form Download PDF
Address PO Box 18979, Louisville, KY 40261-0979
Phone 866-363-6379, opt 1 (open M-F 8-8 EST)
Fax 1-866-363-6389
Website http://www.merck.com/merckhelps/act-program/home.html
 
Delivery of Medication
Ship Time 48-72 hours
Delivery Options Can NOT be delivered directly to the patient
Can NOT be delivered directly to the doctor
 
Application Process
New Applications New applications NOT accepted
Patients can NOT apply directly to the program
Doctors can NOT apply directly to the program
Advocates can NOT apply directly to the program

Can NOT apply for a new application via phone
Can NOT apply for a new application via fax
Can NOT apply for a new application via mail
Refills Refills NOT accepted
Patients can NOT apply for refills
Doctors can NOT apply for refills
Advocates can NOT apply for refills
 
Other Medications
Other
 Medications
 available in
 this program
EMEND capsule 40mg - Nausea (Generic: aprepitant)
Intron-A - Cancer (Generic: interferon alfa-2b)
PEG-Intron - Cancer (Generic: peginterferon alfa-2b)
Rebetol - Hepatitis Antiviral (Generic: ribavirin)
Temodar Capsules 5mg - brain tumor Cancer (Generic: temozolomide)
Temodar Capsules 20mg - (Generic: )
Temodar Capsules 100mg - (Generic: )
Temodar Capsules 250mg - (Generic: )
EMEND capsule 80mg - (Generic: )
EMEND capsule 125mg - (Generic: )
EMEND injection 115mg - (Generic: )
Noxafil Oral Suspension - (Generic: )
TICE BCG - (Generic: )
Zolinza Capsules 100mg - (Generic: )
Victrelis 200mg - (Generic: )
EMEND capsule 280mg - Nausea (Generic: )
Sylatron - (Generic: )