WELCOME TO
THE MERCK
ACCESS PROGRAM
ARE YOU A US HEALTH CARE PROFESSIONAL?
YES
NO

 
THE MERCK PATIENT ASSISTANCE PROGRAM
The Merck Patient Assistance Program provides certain Merck medicines free of charge to eligible patients.
The Merck Access Program representatives can refer you to the Merck Patient Assistance Program.
Who is the program for?
If you do not have insurance or your insurance does not cover KEYTRUDA, you may be eligible for free product from the Merck Patient Assistance Program (if you meet certain financial and medical criteria).

For more information on the program's eligibility requirements, please visit www.merckhelps.com.

Getting started is simple
  1. 1. Work with your health care provider to download and complete the enrollment form OR complete the electronic enrollment form.
  2. 2. Print and fax the completed form to 855-755-0518.
  3. 3. A program representative will contact you and your health care provider's office.
Download the Enrollment Form for The Merck Access Program for KEYTRUDA® (pembrolizumab) Download the Enrollment Form for The Merck Access Program for KEYTRUDA® (pembrolizumab) Electronic Enrollment Form for The Merck Access Program for KEYTRUDA® (pembrolizumab) Download the Enrollment Form for The Merck Access Program for KEYTRUDA® (pembrolizumab) Download the Enrollment Form for The Merck Access Program for KEYTRUDA® (pembrolizumab) Electronic Enrollment Form for The Merck Access Program for KEYTRUDA® (pembrolizumab)