Merck has included Victrelis/Boceprevir to its patient assistance program/May 22

http://www.merck.com/merckhelps/

Merck will include Victrelis to its patient assistance program through which eligible patients may be able to receive product free of charge.

Many Merck medicines are included in this program. A partial list of Merck medicines follows. Please call The ACT Program at 1-866-363-6379 for the full list of covered products.

• EMEND^® (aprepitant)
• EMEND^® (fosaprepitant dimeglumine) for Injection
• INTRON^®A (interferon alfa-2b, recombinant) for Injection
  Before prescribing INTRON A, please read the Prescribing Information, including Medication Guide and Boxed Warnings about fatal or life-threatening neuropsychiatric, autoimmune, ischemic and infectious disorders.
• NOXAFIL^® (posaconazole) Oral Solution
• PEGINTRON^® (peginterferon alfa-2b) Powder for Injection
  Before prescribing PEGINTRON, please read the Prescribing Information, including Medication Guide and Boxed Warnings about fatal or life-threatening neuropsychiatric, autoimmune, ischemic and infectious disorders and ribavirin-associated birth defects and fetal death.
• SYLATRON^™ (peginterferon alfa-2b)
  Before prescribing SYLATRON, please read the Prescribing Information, including Medication Guide and the Boxed Warning about depression and other neuropsychiatric disorders.
• TEMODAR^® (temozolomide)
• TICE^® BCG LIVE (for intravesical use)
  Before prescribing TICE BCG, please read the Prescribing Information, including the BOXED WARNING about potential risk for transmission of the live attenuated mycobacteria contained in TICE BCG.
• VICTRELIS^™ (boceprevir)
• ZOLINZA^® (vorinostat)

Who May Qualify

If you have been prescribed a Merck medicine, you may be eligible for the program if all 3 of the following conditions apply:

1. You are a US resident and have a prescription for a Merck medicine from a doctor licensed in the United States.*
   AND
2. You do not have insurance or other coverage for your prescription medicine.
   Some examples of other insurance coverage include private insurance, HMOs, Medicaid, Medicare, state pharmacy assistance programs, veterans assistance, or any other social service agency support.
   AND
3. You cannot afford to pay for your medicine.
   You may qualify for the program if you have a household income of $43,560 or less for individuals, $58,840 or less for couples, or $89,400 or less for a family of 4.**

At Merck we realize that sometimes exceptions need to be made based on the patient's individual circumstances. If you do not meet the prescription drug coverage criteria, your income meets the program criteria, and there are special circumstances of financial and medical hardship that apply to your situation, you can request that an exception be made for you.
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Download and print out an application with instructions

• English*
  [PDF: 934 KB, 3 pages]
• Spanish*
   [PDF: 459 KB, 3 pages]

Patients/Consumers:
Patients can call 1-800-727-5400 toll free 8:00 AM–8:00 PM ET to obtain a brochure outlining the program and an enrollment application. The enrollment application must be completed by the patient and his or her physician.

OR

Patients/consumers may request a brochure and application online.

See Mercks Website For More Information

Related; VICTRELIS™- Boceprevir: Prescribing Information and Medication Guide

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