Merck Patient Assistance Program Instructional Video – Enrollment Form

This short video will explain how to fill out the enrollment form for the Merck Patient Assistance Program. Here is how this video is organized:

0:00-0:26: Introduction to Merck Helps

0:27-0:58: How to get the enrollment form

0:59-1:31: Who's eligible?

1:32-1:46: Finding covered medicines

1:47-4:53: How to fill out section 1 of the enrollment form

4:54-6:59: How your health care provider should complete sections 2 and 3 of the enrollment form

7:00-7:26: Who to call for additional help

7:27-7:29: Where to mail your form

7:30-7:44: Estimated delivery time for approved forms