Free Medication, Patient Assistance Programs & More

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*Complete the short registration form for Immediate, Free Access to the Complete Details of this Patient Assistance Program.


Register for FREE

Complete the short form below to INSTANTLY Receive Your FREE MEDICATION Information

*Important information regarding how you can take advantage of FREE MEDICATION PROGRAMS will be sent to this email address.

Program Name: 177

Program provides medicine FREE of charge to eligible individuals - primarily the
uninsured who, without assistance, could not afford needed Merck medicines.

Medications covered:
COSOPT (dorzolamide hydrochloride-timolol maleate ophthalmic solution)
COZAAR (losartan potassium tablets)
CUPRIMINE Capsules (penicillamine)
ELSPAR Injection (asparaginase)
FOSAMAX (alendronate sodium tablets)
HYZAAR (losartan potassium-hydrochlorothiazide tablets)
INDOCIN Oral Suspension (indomethacin)
LACRISERT (hydroxypropyl cellulose ophthalmic insert)
MAXALT Tablets (rizatriptan benzoate)
MAXALT-MLT Orally Disintegrating Tablets (rizatriptan benzoate)
MEPHYTON Tablets (phytonadione)
PROSCAR Tablets (finasteride)
SINGULAIR Tablets and Chewable Tablets (montelukast sodium)
STROMECTOL Tablets (ivermectin)
SYPRINE Capsules (trientine hydrochloride)
TIMOPTIC in OCUDOSEĀ® (timolol maleate ophthalmic solution) Preservative-
Free Ophthalmic Unit Dose Dispenser
TIMOPTIC (timolol maleate ophthalmic solution)
TIMOPTIC-XE (timolol maleate ophthalmic gel forming solution)
TRUSOPT (dorzolamide hydrochloride ophthalmic solution)
ZOCOR Tablets (simvastatin)

* Do You Need Help with your Free Medication Application?
* Do you want to know if you qualify to receive your medications for FREE?

Click 'Continue' & Complete the Form to be contacted by a Professional, Patient Assistance Agent.