The Merck Patient Assistance Program - Eligibility Guidelines

• Reside in the United States and have a prescription for a Merck medicine from a U.S.-licensed physician
• Do not have insurance or other coverage for their prescription medicines
• Have a household income below $43,560 for individuals, $58,840 for couples, and $89,400 for a family of four

We realize that sometimes exceptions need to be made based on a patient's individual circumstances. If patients do not meet the prescription drug coverage criteria, but their income meets the program criteria, and there are special circumstances of financial or medical hardship, they can request that an exception be made.

More information is available at www.merckhelps.com or 1-800-727-5400.