Cubicin Patient Assistance Programs

Cubicin: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Cubicin. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Merck Product Replacement Patient Assistance Program

(Program 1 of 1 — Scroll down to see them all )

Provided by: Merck & Co., Inc.
PO Box 8122 Somerville, NJ 08876
TEL: 866-397-8933
FAX: 877-923-6786
Languages Spoken:
English
Program Website
Medications
  • Cubicin (daptomycin)
Eligibility Requirements
  • Insurance Status Must be uninsured
  • Those with Part D Elibible? No
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be residing in the US or a US territory, and under the care of a US physician
Application
  • Obtaining Doctor/Doctor's office must call
  • Receiving Not specified
  • Returning The completed application's destination is not specified
  • Doctor's Action Doctor/Doctor's office must call
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office or specific site
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
Resources for HEALTHCARE PROFESSIONAL ONLY. This program is designed to help indigent and uninsured patients. Contact Merck Helps for more information: 1-866-840-5400 For ZERBAXA, please call 1-866-363-6379
Updated November 8, 2018

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