A Program of Reimbursement Support and Patient Assistance Services
Merck & Co., Inc. knows that health care reimbursement sometimes can make it difficult to access the medications that patients need. To ease the process, we have created the SUPPORT™ program to help those patients who have been prescribed ISENTRESS.
SUPPORT™ is a 2-part program specifically designed to help patients who have been prescribed ISENTRESS.
How to Contact SUPPORT™
SUPPORT™ provides easy and free reimbursement support services and patient assistance for qualifying individuals through a single toll-free call to 1-800-850-3430, Monday through Friday, 9 am to 6 pm ET. In addition, callers can leave a confidential message for a reimbursement counselor 24 hours a day.
1-800-850-3430.
- Dedicated, personalized support
- Complete investigation of insurance benefits, including information about your coverage and out-of-pocket costs
- Answers to questions about insurance coverage
- Collaboration with you and your doctor to assist with issues related to payments, reimbursements, payment denials, and appeals
- Help with the Prior Authorization and Medical Necessity processes
- Comprehensive searches for alternate reimbursement resources (for example, state and federal assistance programs) and enrollment assistance for qualified patients
- Assessment of qualifications for patient assistance
Although this program provides direct help with individual reimbursement problems, we cannot guarantee either coverage for or a specific reimbursement rate for ISENTRESS. If you do not qualify for coverage, the reimbursement counselor can help you apply for patient assistance.
1-800-850-3430. If you are calling about an insurance question, please be ready to give the following
patient information:
- Name
- Address
- Date of birth
- Social Security number
- Insurance policy number
- Name of policyholder
- Group number
Your personal identifying information will be available to LASH Group, the administrator of the program, but will not be disclosed to anyone else, except as needed to administer the program or as required by law.
Download the SUPPORT™ program brochure for patients:
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Español |
| [PDF: 691 KB, 6 pages] | [PDF: 903 KB, 12 pages] |
Patient Assistance for Eligible Patients
- Convenience: You can start the enrollment process by phone, fax, or mail.
- Ease: Just complete a simple enrollment form.
- Fast response: ISENTRESS can be shipped directly to your home within 10 days of receipt of the completed enrollment form, unless your doctor specifies that your prescribed ISENTRESS be sent to his or her office.
- Refills: A single enrollment form covers 1 prescription and refills. You can begin the prescription-refill process with a simple call to 1-800-850-3430 (certain exceptions may apply).
Download an enrollment form:
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English |
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Español |
| [PDF: 621 KB, 3 pages] | [PDF: 444 KB, 2 pages] |
Who is Qualified?
You may obtain patient assistance through the SUPPORT™ program if you have been prescribed ISENTRESS and all 3 of the following conditions apply:
- You live in the United States (you do not have to be a US citizen) and have a prescription
for ISENTRESS from a doctor licensed in the United
States.
AND - You do not have insurance or other coverage options for ISENTRESS.b The dedicated reimbursement counselor will ensure that all alternate sources for reimbursement coverage—such as private insurance, HMOs, Medicaid, Medicare, state pharmacy assistance programs, veterans assistance, or any other social service agency—have been exhausted.
AND - You cannot afford to pay for ISENTRESS. The reimbursement counselor will determine whether you qualify for ISENTRESS free of charge on the basis of established criteria and your unique financial situation.
How Do You Apply for Patient Assistance?
Phonec
Simply call 1-800-850-3430, 9 am to 6 pm ET, Monday through Friday, and a reimbursement counselor will begin the enrollment process.
STEP 1: Complete and sign the enrollment form available for download above.
- Remember that all sections on the enrollment form must be completed and that both you and your doctor must sign the form
- Incomplete or incorrectly completed forms will slow down the processing of your request.
1-866-410-1913.
Remember, if you do not have access to a fax machine, you may mail the signed original enrollment form. Once you have completed and signed the enrollment form, simply fold it, seal it in the postage-paid envelope, and mail it to the following address:
SUPPORT™
PO Box 305
San Bruno, CA 94066
Your ISENTRESS will be shipped within 10 days of receipt of the completed enrollment form, if you qualify.
Other Important Information
ISENTRESS that is distributed through the SUPPORT™ program is free of charge to all eligible patients. Merck & Co., Inc., is not associated with any individuals or organizations that may charge patients a fee for helping them complete forms for our program. These individuals or organizations are acting independently of Merck, have no affiliation with Merck, and do not have the consent of Merck.
| a | The SUPPORT™ program is also available to assist patients who were either enrolled in the Expanded Access Program or a clinical trial program. |
| b | If you do not meet the SUPPORT™ program's criteria, and there are special circumstances of financial and medical hardship that apply to the situation, you and your doctor can request that an exception be made, provided that his or her income is not above a set limit. |
| c | If you choose to start the patient assistance enrollment process by phone or fax, promptly complete and sign the downloadable enrollment form and mail it to the address above. Signed enrollment forms must be received for all patients who receive ISENTRESS through the SUPPORT™ program. |
INDICATIONS:
ISENTRESS is an anti-HIV medicine used for the treatment of HIV. ISENTRESS must be used with other anti-HIV medicines, which may increase the likelihood of response to treatment.
The safety and effectiveness of ISENTRESS in children has not been studied.
It is important that you remain under your doctor's care.
ISENTRESS will NOT cure HIV infection or reduce your chances of passing HIV to others through sexual contact, sharing needles, or being exposed to your blood.
IMPORTANT RISK INFORMATION:
A condition called Immune Reconstitution Syndrome can happen in some patients with advanced HIV infection (AIDS) when anti-HIV treatment is started. Signs and symptoms of inflammation from opportunistic infections may occur as the medicines work to treat the HIV infection and strengthen the immune system. Call your doctor right away if you notice any signs or symptoms of an infection after starting ISENTRESS.
Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness while taking ISENTRESS. This is because on rare occasions muscle problems can be serious and can lead to kidney damage.
When ISENTRESS has been given with other anti-HIV drugs, the most common side effects included nausea, headache, tiredness, weakness, and trouble sleeping.
People taking ISENTRESS may still develop infections, including opportunistic infections or other conditions that occur with HIV infection.
Tell your doctor about all of your medical conditions, including if you have any allergies, are pregnant or plan to become pregnant, or are breast-feeding or plan to breast-feed. ISENTRESS is not recommended for use during pregnancy. Women with HIV should not breast-feed because their babies could be infected with HIV through their breast milk.
Tell your doctor about all the medicines you take, including prescription medicines like rifampin (a medicine used to treat some infections such as tuberculosis), non-prescription medicines, vitamins, and herbal supplements.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
For more information about ISENTRESS, please read the Prescribing Information and Patient Product Information.
PRIVACY POLICY