Please read the Prescribing Information for ONTRUZANT, including the
information about heart problems, infusion reactions (lung problems),
and harm to an unborn baby, and discuss it with your doctor.
The Merck Access Program 2021 Electronic Patient Enrollment Form
This patient form can be signed and submitted electronically. Please note that your health care provider must also submit the Health Care Provider Enrollment Form.
The Merck Access Program 2021 Enrollment Form
The Merck Access Program Sample Enrollment Form
Representative's Form
Potential Independent Foundation Support
ONTRUZANT.com
Physician Prescribing Information