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Neurology

Maxalt

Generic: rizatriptan

Manufacturer: Merck  ·  Program:

Apply for assistance

Free to apply. Service from $40/month, payable only when your application is ready to submit.

Eligibility Criteria

Insurance Requirement

See program details

Residency

US residency required

Income Threshold

Up to 400% FPL

Individual Income Limit

$58,320/year

Must be uninsured or have inadequate coverage

Program Information

Processing Time

2–3 weeks

Delivery Method

shipped to patient or physician office

Application Method

Multiple

Indicated for

migraine

About This Medication

Merck Patient Assistance Program Patient Guide: How to Get Maxalt (rizatriptan) at Low or No Cost

Maxalt (rizatriptan) is a prescription medication used to treat acute migraine attacks with or without aura in adults and children 6 years and older. The Merck Patient Assistance Program offers Maxalt free of charge to eligible uninsured or underinsured patients who meet specific financial criteria.[1][2][3]

About Maxalt (rizatriptan)

Maxalt belongs to a class of drugs called triptans, which are serotonin receptor agonists. It works by binding to specific receptors on blood vessels in the brainstem, narrowing the blood vessels around the brain and reducing inflammatory substances associated with migraine symptoms like severe headache, nausea, and sensitivity to light or sound.[7] Maxalt comes in tablet or orally disintegrating tablet (Maxalt MLT) forms and is taken at the first sign of a migraine. Always follow your doctor's instructions, as it is not for preventing migraines or daily use.[3][7]

This guide explains how to access Maxalt through the Merck Patient Assistance Program, a private, confidential initiative by Merck that provides certain medicines free to those in financial need.[1][4]

Who Qualifies for the Program?

The program primarily serves U.S. residents who:

  • Have a prescription for a Merck medicine like Maxalt from a U.S.-licensed physician.
  • Lack prescription drug insurance coverage or have insurance that does not cover the medication.
  • Cannot afford their medicine due to financial hardship.[2][4][5]

Medicare Part D recipients may be eligible on a case-by-case basis.[3][8] Even if you have some insurance, you might qualify if you attest to special circumstances of financial and medical hardship and your income meets program criteria. Program staff determine eligibility individually—no strict federal poverty level (FPL) thresholds are publicly specified, but income is reviewed closely.[4][8]

Merck prioritizes indigent and uninsured patients. Contact the Merck Access Program at 855-257-3932 (8 AM–8 PM ET, Monday–Friday) for personalized help.[4]

Income Eligibility Breakdown

Specific income limits (e.g., percentages of FPL) are not detailed publicly; eligibility is assessed case-by-case based on household income, size, and hardship.[4][5] Here's a general overview:

Household SizeTypical Income ConsiderationNotes
IndividualReviewed case-by-caseMust attest to inability to afford medicine.[5]
CoupleReviewed case-by-caseHousehold income evaluated.[4]
Family of 3Reviewed case-by-caseSpecial hardship exceptions possible.[8]
Family of 4+Reviewed case-by-caseLarger families may have adjusted reviews.[2]

Submit proof of income (e.g., tax returns, pay stubs) for verification. Exceptions apply for documented financial/medical need.[4]

Insurance Requirements

  • No prescription insurance or insurance not covering Maxalt: Primary qualifiers.[2][3]
  • Medicare patients: Possible eligibility case-by-case; not automatically excluded.[3][8]
  • Privately insured: May qualify via hardship exception if out-of-pocket costs are unaffordable.[4]

The Merck Access Program can check your coverage and refer you.[2] Note: This program provides the medicine free but does not cover copays directly (separate copay assistance may exist).[8]

Step-by-Step Application Process

  1. Get a Prescription: Ask your U.S.-licensed doctor for Maxalt and discuss the Merck Patient Assistance Program.[5]
  2. Download or Request Application: Visit merckhelps.com, call 800-727-5400, or use Merck Access at 855-257-3932.[1][3][4]
  3. Complete the Form: Doctor and patient must fill out, sign, and include a prescription. Originals required—do NOT fax.[3][8]
  4. Gather Documents: Proof of income, residency, no insurance (or coverage denial), ID. Exact list confirmed by program.[3]
  5. Mail Application: Send to Merck Patient Assistance Program, PO Box 690, Horsham, PA 19044.[3]
  6. Wait for Approval: Processing varies; refills available by phone.[3]

Applications cover up to 1 year (90-day supply + up to 3 refills).[3]

Timeline and Delivery

  • Processing Time: Not specified; typically weeks. Call 800-727-5400 for status.[3]
  • Supply: Initial 90-day supply, up to 3 refills (total 1 year). Request refills toll-free.[3][8]
  • Delivery: Shipped free to your home or doctor's office. Confirm with program.[1][4]

Reapply yearly with a new application.[3]

Alternatives if Denied

  • Appeal: Request exception for hardship; provide more documentation.[4][8]
  • Merck Access Program: Call 855-257-3932 for copay help or other Merck options.[2]
  • Third-Party Help: Simplefill (1-877-386-0206) matches patients to programs.[7]
  • Other Resources: Partnership for Prescription Assistance (helpingpatients.org), RxHope, or RxAssist.[6][9]
  • Generic rizatriptan: Cheaper option if available; discuss with doctor.

Disclaimer

This guide is for informational purposes based on publicly available data as of 2026. Program details can change; Merck reserves the right to modify or discontinue.[4] Eligibility is not guaranteed. Consult merckhelps.com or call 800-727-5400 for latest info. Not medical advice—speak to your doctor. Word count: 942.

Program information last verified: March 30, 2026

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