MERCK & COMPANY, INC.
Merck Vaccine Patient Assistance Program
Information last checked August 18, 2026
Contact info
- Phone
- 1-800-293-3881
- Fax
- 1-800-528-2551
Eligibility
- Patient must be a US resident and be at least 19 years old.
- Patient must not have health insurance coverage. However, 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 and medical hardship, and their income meets the program criteria.
- Income limit, single
- 400% of the federal poverty level
- Income limit, couple
- 400% of the federal poverty level
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- No
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- None
- Prescriber license number
- State license number
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Determination is made within 10 - 15 minutes within receipt of faxed application.
Getting the medication
- Patient receives
- Medication
- Shipped to
- Provider
- Supply per shipment
- Not published
- Time to first delivery
- 0–2 weeks
- Refills
- Not published
- Staying enrolled
- A new application will need to be completed and submitted to the Merck Vaccine Patient Assistance Program for eligibility assessment prior to a patient receiving a subsequent dose in a multi-dose series or for another Merck vaccine.
Medications covered
- Capvaxive (Pneumococcal 21-valent Conjugate Vaccine)
- Gardasil 9 (human papillomavirus 9valent recombinant)
- M-M-R ll (measles, mumps, and rubella virus vaccine live)
- Pneumovax 23 (pneumococcal vaccine polyvalent)
- Recombivax Hb (Hepatitis B vaccine (recombinant))
- Vaqta (Hepatitis A vaccine, inactivated)
- Varivax (Varicella Virus vaccine live)
- Vaxneuvance (Pneumococcal 15-valent conjugate vaccine)