Programas de asistencia al paciente para Zostavax

Solicite apoyo para su receta con Zostavax

Si califica, los programas a continuación le pueden ser útiles para conseguir Zostavax. Revise la información para saber si califica. Las solicitudes están disponibles en formato PDF y deben enviarse directamente a quien proporciona el programa de asistencia al paciente.

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Merck Vaccine Patient Program Assistance

(Programa 1 de 1 — Para visualizar todos, deberá desplazarse hacia abajo )

Provienen de: Merck & Co., Inc.
None
TEL: 800-293-3881
FAX: 800-528-2551
Idiomas hablados:
English, Spanish, Others By Translation Service
La Página del Programa
Medicamentos
  • Zostavax (zoster vaccine live)
Requisitos de Elegibilidad
  • Insurance Status Determined case by case
  • Those with Part D Elibible? Contact program for details.
  • Income At or below 400% of FPL
  • Diagnosis/Medical Criteria Must be 19 yr old or older
  • U.S. Residency Required? Must be a legal resident of the United States or its territories
Solicitud
  • Obtaining Call or download
  • Receiving Faxed, mailed or downloaded from website
  • Returning The application must be faxed back from the doctor's office prior to administration of the vaccine in order to qualify.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section and sign
  • Decision Communicated Doctor notified
  • Decision Timeframe Same Day
Medicamento
  • Amount/Supply Not specified
  • Sent To Doctor's office
  • Delivery Time Not specified
  • Refill Proces New application
  • Limit Not specified
  • Re-application Varies
Información Adicional
Decision Timeframe: Made within 10 minutes, if information is complete. For vaccines that are multidoses, the process must be repeated for each dose. The Gardasil vaccine is only available for patients age 19-26. The Zostavax vaccine is only available for patients age 50 and older. Individuals who don't meet the insurance criteria may still qualify for the Merck Patient Assistance Program if they attest that they have special circumstances of financial hardship, and their income meets the program criteria.
Actualizado March 18, 2019

Si usted, su paciente o un ser querido no es elegible para este programa o otros, se pueden encontrar precios de aquí.

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