ONTRUZANT® (trastuzumab-dttb) Logo

Before prescribing ONTRUZANT, please read the accompanying
Prescribing Information, including the Boxed Warning about cardiomyopathy,
infusion reactions (pulmonary toxicity), and embryo-fetal toxicity.


THE MERCK PATIENT ASSISTANCE PROGRAM

The Merck Access Program representatives can refer patients to the Merck Patient Assistance Program.

Who is the program for?

Patients who do not have insurance, or who cannot afford their prescribed Merck medicine even with prescription drug coverage, may be eligible for free product from the Merck Patient Assistance Program if they meet certain financial, medical, and/or insurance criteria.

Getting started is simple
  1. Download and complete the appropriate sections of the enrollment form, OR use the electronic enrollment form.
  2. Submit electronically, or print and fax the completed downloadable form to 855-755-0518.
  3. A program representative will contact your patient and your office.


 WELCOME TO

THE MERCK ACCESS PROGRAM

ARE YOU A US HEALTH CARE PROFESSIONAL?

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