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What is the Merck Vaccine Assistance Program?
What are the eligibility requirements?
What are the income guidelines?
Merck Vaccine Assistance Application
What is the Merck Vaccine Assistance Program?
This is a program to provide Merck vaccines free of charge to eligible patients. Only a $15 administration fee will be charged.
You may click on any of the above vaccine names to view the Vaccine Information Statements (VIS) about each vaccine. Each VIS will give you more information about each disease or virus, each vaccine, who can receive the vaccine, the risks and possible side effects.
What are the eligibility requirements?
You may be eligible for the program if all of the following conditions apply:
You reside in the United States (you do not have to be a US citizen)
You are age 19 or older
Be uninsured or without vaccine coverage on your insurance policy
You fall within the income guidelines
What are the income guidelines?
Your annual household income (all members of the family) must be less than:
$21,660 for individuals
$29,140 for couples or
$44,100 for a family of four
However, Merck recognizes that sometimes exceptions need to be made based on a patient's individual circumstances. Individuals who do not meet these criteria may still qualify for the vaccine program if the patient has special circumstances of financial and medical hardship. Please note that if an exception is made based on income, the maximum income limit for an exception is $43,320 for individuals, $58,280 for couples, $88,200 for a family of four.
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Are there any other charges?
A $15 administration fee will be charged per dose.
What do I need to do?
It’s simple. First, call 304-348-8080 and schedule an appointment. Then, you must complete a Merck Vaccine Assistance Application. For pre-approval, you can either bring it or mail it to our office at 108 Lee Street East, Charleston, WV 25301 or fax it to 304-346-4756 prior to your appointment. Otherwise, you will complete the application the day of your appointment. There will be an approximate 15-minute wait while your application is approved by Merck. If you will be receiving a vaccination that requires a multi doses (such as Gardasil, Hepatitis A or Hepatitis B), a new application will need to be completed prior to each dose.
If you have additional questions, you may call us at 304-348-8080, Monday-Friday, 8:00 am-4:00 pm. If you would like to speak to a representative from the Merck Vaccine Assistance Program you should call (800) 293-3881, Monday –Friday, 8:00 am-8:00 pm, or visit their website at http://www.merck.com/merckhelps/vaccines/home.html for more information.