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Lagevrio

Generic: molnupiravir

Manufacturer: Merck  ·  Program: Merck Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Primarily uninsured; no private insurance, Medicaid, Medicare, etc. Exceptions for special financial/medical hardship

Residency

US resident (including territories); US-licensed prescriber

Individual Income Limit

$63,840/year

Household income limits; exceptions for financial/medical hardship

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to patient

Application Method

Phone

Reauthorization

Required — 12 months

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Prescription from physician
  • Enrollment form
  • Proof of income/hardship if applicable

Indicated For

COVID-19

About This Medication

# Merck Patient Assistance Program Guide: Getting Lagevrio at Low Cost ## What is Lagevrio? Lagevrio (molnupiravir) is an antiviral medication used to treat COVID-19 in adults. It's most effective when started early after symptoms appear. If your doctor has prescribed Lagevrio but cost is a concern, the Merck Patient Assistance Program may help you get this medication for free or at a reduced price. ## Who Qualifies? The Merck Patient Assistance Program is designed primarily for **uninsured patients**. You may qualify if: - You have no health insurance - You are experiencing significant financial hardship - You meet the income limits (see below) - You have a valid prescription from your physician ### Income Limits Income eligibility varies based on household size. The baseline individual income limit is **$63,840 per year**. For larger households, the limit increases. If your household income exceeds these limits, you may still qualify if you can demonstrate special financial or medical hardship. ### Important Insurance Information This program **does not cover patients with private insurance, Medicaid, or Medicare**. If you have any form of health insurance, you should work with your insurance company first. Limited exceptions may apply for patients facing severe hardship—call the program to discuss your specific situation. ## What You'll Need to Apply Before calling, gather these documents: 1. **Valid prescription** from your doctor for Lagevrio 2. **Proof of income** (recent tax return, pay stubs, or benefit statements) 3. **Enrollment form** (provided by the program) 4. **Proof of hardship** (optional, only if claiming financial/medical hardship) 5. **Valid ID or insurance card** (if applicable) ## How to Apply: 4 Simple Steps **Step 1: Call the Program** Contact the Merck Patient Assistance Program at **(800) 727-5400**. Have your prescription and income information ready. **Step 2: Complete Enrollment** A program representative will walk you through an enrollment form over the phone. This typically takes 10-15 minutes. **Step 3: Submit Documentation** Provide proof of income and any hardship documentation. You can submit these by phone, mail, or fax—the representative will explain your options. **Step 4: Receive Approval** Once approved, you'll receive instructions on how to pick up or receive your medication. Some patients also receive a savings card for discounted fills. ## Timeline: What to Expect - **Application call:** 10-15 minutes - **Decision time:** Usually 1-3 business days - **Medication access:** Within 5-7 business days after approval If you need medication urgently, mention this when you call—the program may expedite your application. ## Reauthorization Your assistance approval is valid for **12 months**. If you need to continue receiving help after one year, you'll need to reapply by providing updated income information. ## Savings Card Option If you don't qualify for free medication through the assistance program, Merck may offer a **savings card** that reduces your copay or out-of-pocket costs. Ask about this option when you call. ## What if You're Denied? If your application is denied, ask the program representative: - Why you were denied - What additional information might help - Whether you can reapply Common reasons for denial include having active insurance coverage or exceeding income limits. If your situation changes, you may be able to reapply. ## Next Steps 1. **Get your prescription** from your doctor 2. **Call (800) 727-5400** to start your application 3. **Have documents ready:** proof of income and your prescription 4. **Follow up** with any requested information promptly ## Questions? Contact Merck Patient Assistance Program: - **Phone:** (800) 727-5400 - **Website:** https://www.merckhelps.com/LAGEVRIO - **Hours:** Monday-Friday, 8 AM-8 PM ET The program staff are trained to help and can answer questions about eligibility, the application process, or your status.

Program information last verified: March 25, 2026

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