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Alternatives to () (, ) empagliflozin () canagliflozin () . alogliptin (Nesina) ( XL) / (, XR)

You cannot afford to pay for your medicine. You may qualify for the program if you have a household income of $60,240 or less for individuals, $81,760 or less for couples, or $124,800 or less for a family of 4.

You do not have insurance or other coverage for your prescription medicine. You cannot afford to pay for your medicine. You may qualify for the patient assistance program if you have a household income of $75,300 or less for individuals, $102,200 or less for couples, or $156,000 or less for a family of 4.

Electronic Data Interchange (EDI) System Access Applications. Law Enforcement Agency Complaint. Learning Portal Administrator Requests. Notice of Appointments and Separations.

If you believe that you meet the eligibility criteria for the Merck Patient Assistance Program and you have received a prescription for a Merck product, call toll-free 800-727-5400 8 AM to 8 PM ET to obtain a brochure outlining the program and an enrollment application, or proceed to Step 4 to download an enrollment ...

You may be able to get a 90-day supply of . If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost. If you're interested in this option, check with your doctor, pharmacist, or insurance provider.

The cost for oral tablet 100 mg is around $613 for a supply of 30 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Submit the electronic patient enrollment form online, or print and fax the completed downloadable form to 833-996-3275. 3. A program representative will contact you and your healthcare provider's office.