Zetia

Indicated For

hypercholesterolemia, high cholesterol

About This Medication

# Merck Patient Assistance Program Patient Guide: How to Get Zetia (ezetimibe) at Low or No Cost Zetia (ezetimibe) is a prescription medication used to help lower cholesterol levels by reducing cholesterol absorption in the intestines, often prescribed alongside diet and exercise or other cholesterol-lowering drugs like statins. The **Merck Patient Assistance Program** offers Zetia free of charge to eligible patients who lack insurance coverage or face financial hardship, making it accessible for those who cannot otherwise afford it.[1][2][5] ## About Zetia and Why Assistance Matters **Zetia** works differently from statins by targeting the small intestine to block cholesterol uptake from food, helping to lower LDL ("bad") cholesterol and reduce the risk of heart disease, stroke, or heart attacks. It's typically taken as a 10 mg tablet once daily. High cholesterol affects millions of Americans, but the cost of Zetia—often over $300 for a month's supply without insurance—can be a barrier. This program bridges that gap by providing the medication at no cost to those who qualify, ensuring you can stay on track with your treatment without financial stress.[7] ## Who Qualifies for the Program? To qualify for free Zetia through the Merck Patient Assistance Program, you generally must meet **three key conditions**:[10] 1. Be a U.S. resident with a prescription for Zetia from a U.S.-licensed healthcare provider. 2. Lack prescription drug coverage, such as private insurance, HMOs, Medicaid, Medicare Part D, veterans assistance, or state pharmacy programs.[2][3] 3. Have income that meets program guidelines, typically for those at or below a certain federal poverty level (FPL), though exact thresholds are determined case-by-case with possible exceptions for financial/medical hardship.[3][5] **Primarily for the uninsured**: The program targets indigent and uninsured patients, but exceptions may apply if you attest to special circumstances like extreme financial or medical hardship, even if you have some insurance.[3][5][10] ## Income Eligibility Breakdown Merck does not publicly list fixed income thresholds online, as eligibility is evaluated individually based on household income, size, and hardship factors. Patients are encouraged to apply, as approvals consider special circumstances.[3][5] Generally, programs like this support incomes up to 400-500% of the Federal Poverty Level (FPL), but confirmation comes during application review. Here's a general reference table for 2026 FPL guidelines (for context; Merck assesses specifically): | Household Size | 100% FPL | 400% FPL | 500% FPL | |----------------|----------|----------|----------| | 1 (Individual) | $15,060 | $60,240 | $75,300 | | 2 (Couple) | $20,440 | $81,760 | $102,200| | 3 | $25,820 | $103,280| $129,100| | 4 | $31,200 | $124,800| $156,000| *Add ~$5,380 per additional person for FPL calculations. Apply even if near limits—exceptions possible.*[3][5] ## Insurance Requirements **No prescription coverage required**: You must not have insurance or third-party coverage for Zetia. This includes Medicare Part D, Medicaid, or other programs. If insured but facing high copays or denials, explore Merck's separate Access Program for copay help first, or request a hardship exception here.[2][3][5] Medicare recipients may qualify case-by-case if no Part D coverage applies and hardship is demonstrated.[5] ## Step-by-Step Application Process 1. **Confirm Prescription**: Ensure you have a valid Zetia prescription from your U.S. doctor.[10] 2. **Contact Merck**: Call **800-727-5400** (8 AM-8 PM ET, Mon-Fri) for a brochure and application, or download from merckhelps.com.[1][3][10] 3. **Complete Application**: Doctor and patient sign together. Include income proof (tax returns, pay stubs), proof of no insurance, and hardship details if applicable. Original must be mailed—no faxes.[5][6] 4. **Submit**: Mail to the address on the form. Merck reviews promptly.[5] 5. **Wait for Approval**: If approved, receive up to 90-day supply with 3 refills (up to 1 year total).[5] **Merck Access Program Alternative**: For insurance questions or copay aid, call 855-257-3932 (8 AM-8 PM ET).[2][3] ## Timeline and Delivery Processing typically takes 2-4 weeks, though it varies. Once approved, medication ships directly to your doctor's office or pharmacy for pickup. Refills via toll-free number for up to 1 year; reapply annually.[5] Expect 90-day supplies initially.[5] ## Alternatives if Denied or Ineligible - **Merck Access Program**: Copay cards or coverage appeals (855-257-3932).[2] - **Other PAPs**: Partnership for Prescription Assistance (helpingpatients.org) or Simplefill (1-877-386-0206) for matching.[7][8] - **Generic Ezetimibe**: Cheaper option if available; discuss with doctor. - **State Programs**: Check Medicaid or state assistance. - **Reapply**: New circumstances may qualify you later.[3] No biosimilar alternatives listed for Zetia. ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Program details can change; always verify with Merck at 800-727-5400 or merckhelps.com. Not medical advice—consult your doctor. Merck reserves the right to modify/discontinue.[1][3] Word count: 950.

Program information last verified: March 30, 2026