Verquvo

Indicated For

symptomatic chronic heart failure with LVEF ≤45%, NYHA Class II-IV

About This Medication

# Merck Patient Assistance Program for VERQUVO® (vericiguat) Patient Guide: How to Get VERQUVO at Low or No Cost VERQUVO (vericiguat) is a prescription tablet used to reduce the risk of cardiovascular death and heart failure hospitalization in adults with symptomatic chronic heart failure and ejection fraction less than 45%, typically after a recent hospitalization or need for IV diuretics.[1][9][10] This guide explains the **Merck Patient Assistance Program**, which provides VERQUVO free of charge to eligible uninsured patients facing financial hardship.[1] ## About VERQUVO VERQUVO comes in 2.5 mg, 5 mg, and 10 mg tablets taken once daily with food.[1][8] It works by stimulating soluble guanylate cyclase (sGC), increasing cyclic GMP (cGMP) levels to promote smooth muscle relaxation and vasodilation, helping manage heart failure symptoms and lower risks of death or rehospitalization.[9][10] It's for adults with chronic heart failure (HFrEF) with ejection fraction <45% who had a recent worsening event, studied in the Phase 3 VICTORIA trial with over 5,000 patients.[10] Always follow your doctor's dosing instructions, starting low and titrating up as tolerated.[1] ## Who Qualifies? The program targets **primarily uninsured US residents** who can't afford Merck medicines without help.[1] Key requirements: - US resident with a prescription from a US-licensed healthcare provider.[1] - **No insurance coverage** for the medicine, including private insurance, HMOs, Medicaid, Medicare, state programs, veterans assistance, or social services.[1][5] - Exceptions: Insured patients may qualify if they attest to **financial and medical hardship** and meet income criteria (specific thresholds not detailed; contact program for assessment).[1] A single application covers up to **1 year** of product, with reapplication allowed as needed.[1] Enrollment may be limited to a calendar year in some cases.[1] ## Income Eligibility Breakdown Income limits aren't explicitly stated in program details, but eligibility hinges on financial need, especially for those attesting hardship.[1] Contact Merck at the application phone or site for personalized review. Here's a general overview based on similar programs (consult Merck for VERQUVO specifics): | Household Size | Estimated Max Income (e.g., ~400-500% FPL, varies) | Notes | |---------------|----------------------------------------------------|-------| | Individual | Not specified; based on hardship attestation | Primarily uninsured[1] | | Couple | Not specified; income reviewed case-by-case | Hardship exceptions possible[1] | | Family of 3 | Contact program for details | Reapply yearly[1] | | Family of 4+ | Varies; financial need key | US residents only[1] | **Tip**: Gather pay stubs or tax returns for income verification during application.[1] ## Insurance Requirements **Uninsured patients** are primary candidates—no private insurance, Medicare, Medicaid, or government programs covering the drug.[1][3] If insured but facing high costs or denials, attest to **special financial/medical hardship** for possible approval.[1] Note: Separate **coupon program** for privately insured (as low as $10 per Rx, up to $3,500 savings, max 13 fills) excludes uninsured, Medicare, or government insurance.[3][6] Merck Access Program helps check coverage options.[5][9] ## Step-by-Step Application Process 1. **Download or request the enrollment form** from merckhelps.com/VERQUVO.[1] 2. **Complete all patient sections** online (print) or by hand with black ink.[1] 3. **Visit your doctor/prescriber**: They must sign, and write Rx in Section 4 (up to 3 Merck meds, 90-day supply + 3 refills max per Rx).[1] 4. **Submit the form**: Mail or fax as instructed on the form (details at merckhelps.com).[1][2] 5. **Await approval**: Program reviews eligibility confidentially.[1] The process is private; one form valid up to 12 months.[1] ## Timeline and Delivery Processing time not specified—apply early to avoid delays.[1] Once approved, receive up to **1 year of free VERQUVO** shipped directly (method not detailed; typically to prescriber or home).[1][5] Prescriptions limited to 90-day supplies with refills; new form needed after 12 months.[1] Track status via Merck's patient support.[2] ## Alternatives if Denied - **Appeal or reapply** with more hardship proof.[1] - **Merck Access Program**: Get insurance/co-pay help advice.[5][9] - **Coupon/vouchers** if privately insured ($10/Rx or trial supplies).[3] - Third-party aids like Simplefill for application help.[8] - State programs, generics (none listed), or biosimilars (none available).[8] - Doctor samples or patient access foundations via rxassist.org.[7] ## Disclaimer This guide summarizes publicly available info as of latest data; program terms can change—verify at merckhelps.com/VERQUVO or call Merck.[1][2] Not medical/financial advice; consult your doctor and advisor. Eligibility not guaranteed; Merck decides case-by-case.[1] Word count: ~950.

Program information last verified: March 30, 2026