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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 Poverty Chart
Family Size
300%
250%
200%
150%
133%
100%
1
$32,490
$27,075
$21,660
$16,245
$14,404
$10,830
2
$43,710
$36,425
$29,140
$21,855
$19,378
$14,570
3
$54,930
$45,775
$36,620
$27,465
$24,352
$18,310
4
$66,150
$55,125
$44,100
$33,075
$29,327
$22,050
5
$77,370
$64,475
$51,580
$38,685
$34,301
$25,790
6
$88,590
$73,825
$59,060
$44,295
$39,275
$29,530
7
$99,810
$83,175
$66,540
$49,905
$44,249
$33,270
8
$111,030
$92,525
$74,020
$55,515
$49,223
$37,010
Each Additional Family Member
$11,220
$9,350
$7,480
$5,610
$4,974
$3,740

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 AAI Pharma Inc. program. Without their help millions of people will be without medication.

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