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The Merck Patient Assistance Program

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The Merck Patient Assistance Program

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Merck Access Program

http://www.merckaccessprogram-noxafil.com/hcp/merck-access-program

THE MERCK ACCESS PROGRAM CAN HELP ANSWER YOUR QUESTIONS ABOUT. Insurance coverage for patients. Benefit investigations and prior authorizations. Financial assistance for patients. GETTING STARTED IS SIMPLE! Contact The Merck Access Program. Mon Fri, 8 AM. ARE YOU A US HEALTH CARE PROFESSIONAL? THANK YOU FOR VISITING. You are now being connected to another site. Do you wish to continue? This site is intended only for residents of the United States.

2

Forms and Documents

http://www.merckaccessprogram-noxafil.com/hcp/forms-and-documentation

ARE YOU A US HEALTH CARE PROFESSIONAL? THANK YOU FOR VISITING. You are now being connected to another site. Do you wish to continue? This site is intended only for residents of the United States. Merck Sharp and Dohme Corp., a subsidiary of Merck and Co., Inc.

3

Financial Assistance

http://www.merckaccessprogram-noxafil.com/hcp

The Merck Patient Assistance Program. THE MERCK PATIENT ASSISTANCE PROGRAM. Merck Access Program representatives can refer patients to the Merck Patient Assistance Program. What does the program do? The Merck Patient Assistance Program provides certain Merck medicines free of charge to eligible patients. Who is the program for? For more information on the program’s eligibility requirements, please visit www.merckhelps.com. GETTING STARTED IS SIMPLE! Print and fax the completed form to 800-977-0647.

4

Find Financial Assistance

http://www.merckaccessprogram-noxafil.com/hcc

Learn About The Merck Access Program. Co-pay Assistance for Eligible Patients. The Merck Patient Assistance Program. Eligible, privately insured patients may save on NOXAFIL 100 mg Delayed-Release Tablet. Not all patients are eligible. Certain restrictions apply. Please see Terms and Conditions. Call The Merck Access Program at 866-258-3903. Mon Fri, 8 AM. ET), to speak with a representative. THE MERCK PATIENT ASSISTANCE PROGRAM. What does the program do? Who is the program for? GETTING STARTED IS SIMPLE!

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The Merck Patient Assistance Program. THE MERCK PATIENT ASSISTANCE PROGRAM. Merck Access Program representatives can refer patients to the Merck Patient Assistance Program. What does the program do? The Merck Patient Assistance Program provides certain Merck medicines free of charge to eligible patients. Who is the program for? For more information on the program’s eligibility requirements, please visit www.merckhelps.com. GETTING STARTED IS SIMPLE! Print and fax the completed form to 800-977-0647.

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