Emend

Indicated For

Chemotherapy-induced nausea and vomiting

About This Medication

# Merck Patient Assistance Program Patient Guide: How to Get Emend (fosaprepitant) at Low or No Cost Emend (fosaprepitant) is a prescription medication used to prevent nausea and vomiting caused by chemotherapy or surgery. The **Merck Patient Assistance Program** provides this medicine **free** to eligible patients who are uninsured or lack coverage and meet income guidelines[1][2][3]. ## About Emend (fosaprepitant) **Emend (fosaprepitant)** is an injectable medicine given by a healthcare professional. It belongs to a class of drugs called NK1 receptor antagonists. It works by blocking substances in the body that trigger nausea and vomiting, especially those linked to cancer treatments like chemotherapy or after surgery. Typically, it's part of a combination therapy with other anti-nausea drugs. Always follow your doctor's instructions on dosing and use[1][3]. This guide explains how to access **Emend** through Merck's program. It's designed for patients facing high costs without insurance. The program ships medicine directly to you at no charge if approved[1][5]. ## Who Qualifies? To join, you must meet **three key criteria**: 1. **Reside in the US**: Live in the United States or a US territory (no citizenship required)[1][3]. 2. **Have a prescription**: From a US-licensed healthcare provider for Emend[1][2]. 3. **Financial and insurance needs**: Household income at or below program limits, and no insurance coverage for Emend (exceptions for hardship cases)[1][3][5]. The program helps those in financial need get free Merck medicines like Emend. ## Income Eligibility Breakdown Merck bases eligibility on **household income**. For individuals, the limit is **$62,600 or less per year**. Larger households get higher thresholds, often tied to Federal Poverty Level (FPL), though exact figures for families may vary—call for details. Exceptions exist for documented financial hardship[1][3]. Here's a simple table (based on provided data; confirm current limits by calling)[3]: | Household Size | Annual Income Limit | |----------------|---------------------| | 1 Person | $62,600 | | 2 People | Contact program | | 3 People | Contact program | | 4+ People | Contact program | **Notes**: Provide proof like tax returns or pay stubs if requested. The program may verify income without affecting your credit[1][3]. ## Insurance Requirements You must be **uninsured** for Emend or have no prescription coverage. This includes lacking private insurance, Medicaid, or employer plans that cover it. Medicare patients often qualify if there's no coverage for this drug. Exceptions apply for financial hardship—contact the program[1][3][5]. Do **not** qualify if your insurance requires applying to this program as a condition. ## Step-by-Step Application Process Follow these **4 simple steps** to apply[2][3][5]: 1. **Check eligibility**: Visit merckhelps.com or call **(800) 727-5400** to confirm[2][3]. 2. **Download and complete the form**: Get the enrollment form from merckhelps.com. Fill out **Section 1** (your info), sign and date **Sections 2 and 3**. Include income details[1][2][3]. 3. **Get doctor involvement**: Take the form to your prescribing doctor. They complete **Sections 4 and 5**, including their NPI number, diagnosis, and prescription. A **separate signed prescription** is needed for controlled substances[1][3]. 4. **Mail the original form**: Send to **Merck Patient Assistance Program, PO Box 1206, Wilkes Barre, PA 18703-1206**. No copies—originals only. Include required documents[1][5]. **Required Documents**: - Completed, signed enrollment form (patient and doctor)[1][3]. - Prescription for Emend[1]. No extra docs needed upfront, but audits may request proof later[5]. ## Timeline and Delivery Processing takes **about 2 weeks** if complete, or **less than 7 business days** typically[3][5]. For urgent needs, call **(800) 727-5400**[3]. Approved patients get Emend **shipped free to their home** (or doctor's office in some cases). Coverage lasts up to **12 months**; reapply after[3][6]. ## Alternatives if Denied If denied: - **Appeal**: Call (800) 727-5400 to discuss reasons and resubmit with more info[3]. - **Hardship exceptions**: Provide extra financial proof[1]. - **Other programs**: Check RxHope.com, NeedyMeds.org, or state assistance. No biosimilars listed for Emend[program data]. - **Generic options**: Ask your doctor about alternatives. - **Discount cards**: GoodRx or manufacturer coupons if partially insured. ## Important Disclaimer This guide is for informational purposes based on available program details as of general knowledge. Eligibility rules, income limits, and processes can change—**always verify with Merck at (800) 727-5400 or merckhelps.com**[1][2][3][5]. Not medical advice; consult your doctor. Merck may audit applications and limit enrollment. Free medicine is not guaranteed[1][3]. (Word count: 942)

Program information last verified: March 30, 2026