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ACT Program for Zolinza

Summary:

Merek & Company, Inc. was founded in 1891 by George Merck. In the 1930's Merck & Company, Inc. entered the pharmaceutical research field after their 39 year start as a chemicals supplier. Since then, the company has merged with Sharp & Dohme and acquired Medco Containment Services, Inc.. Merck & Company, Inc. are considered to be one of the highest ranking global pharmaceutical companies with some of the greatest scientists in the industry.

Merck & Company, Inc. pride themselves at providing their products to over 200 countries world wide. Along with their extensive product line, Merck & Company, Inc. provides not-for-profit services including their publication of unbiased health information.

Zolinza is a repackaging of vorinostat launched by Merek & Company, Inc. in 2006. Zolinza has been approved by the FDA for the treatment of cutaneous T-cell lymphoma. Zolinza is administered in capsule form.

Eligibility:

ACT Program for Zolinza, a patient assistance program provided by Merek & Company, Inc., offers Zolinza at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must be uninsured or underinsured.

- You must meet an undisclosed income guideline.

- You must be an outpatient currently under the care of a physician.

The medication must be sent to the physicians office.
SOURCE: 2008 HHS Poverty Guidelines
Persons in Family or Household 48 Contigous States and D.C. Alaska hawaii
1 $10,400 $13,000 $11,960
2 $14,000 $17,500 $16,100
3 $17,600 $22,000 $20,240
4 $21,200 $26,500 $24,380
5 $24,800 $31,000 $28,520
6 $28,400 $35,500 $32,660
7 $32,000 $40,000 $36,800
8 $35,600 $44,500 $40,940
For each addtional person, add $3,600 $4,500 $4,140

What’s Next?

Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Merck & Company , Inc. program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

Other Tips

  • If you have any questions please call the Merck & Company , Inc. program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to Merck & Company , Inc. program. Without their help millions of people will be without medication.



  • PAP Links:
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    Company Website:
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    Company Phone: Create Account to View
    Company Fax: Create Account to View
    Company Address:
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    List of Medications:
    Zolinza Capsules 100mg (vorinostat)

    Forms and other information are Copyright © ACT Program for Zolinza