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Cardiology

Zontivity

Generic: vorapaxar

Manufacturer: Merck  ·  Program:

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Eligibility Criteria

Insurance Requirement

See program details

Residency

U.S. resident with a valid U.S. address

Program Information

Processing Time

4–8 weeks

Delivery Method

Varies by program

Application Method

Multiple

Indicated For

history of myocardial infarction, peripheral arterial disease

About This Medication

# Merck Patient Assistance Program Guide: How to Get Zontivity at Low or No Cost ## About This Guide If you've been prescribed Zontivity (vorapaxar) to help prevent serious heart problems after a heart attack or to manage peripheral arterial disease, you may be concerned about the cost. This guide explains how the Merck Patient Assistance Program can help you access Zontivity at reduced or no cost if you qualify. ## What is Zontivity? Zontivity is a prescription medication that belongs to a class of drugs called PAR-1 antagonists. It works by helping prevent blood clots in patients who have had a heart attack or who have peripheral arterial disease (PAD)—a condition affecting blood flow to the legs and feet. By reducing the risk of dangerous blood clots, Zontivity helps lower the chance of serious heart events. ## What is the Merck Patient Assistance Program? Merck offers a Patient Assistance Program designed to help uninsured and underinsured patients access their medications, including Zontivity, at little to no cost. This program is free to apply for and is available to eligible U.S. residents. ## Who Can Apply? You may qualify for the Merck Patient Assistance Program if you meet these general criteria: - You are a U.S. resident - You have a valid prescription for Zontivity from your doctor - Your household income falls within the program's limits (see income table below) - You are uninsured or underinsured (your insurance does not cover Zontivity, or your copays/coinsurance are too high) ## Income Eligibility Guidelines Income limits vary based on your household size and may be adjusted annually. Use this table as a general reference: | Household Size | Maximum Annual Income | |---|---| | 1 person | Varies | | 2 people | Varies | | 3 people | Varies | | 4 people | Varies | | 5 people | Varies | | 6+ people | Varies | *Note: Specific income thresholds vary by program and are subject to change. Contact Merck or your healthcare provider for current limits.* ## Insurance Requirements The program accepts applications from: - Uninsured patients - Patients with insurance that does not cover Zontivity - Patients whose insurance requires high copays or coinsurance that create a financial hardship - Medicare patients (with limitations—see FAQ) Insurance coverage status may affect your eligibility, so have your insurance information ready when you apply. ## How to Apply: Step-by-Step Instructions ### Step 1: Gather Required Documents Before applying, collect the following: - **Valid prescription** for Zontivity from your doctor - **Proof of income** (recent tax return, W-2, pay stubs, or benefit statements) - **Proof of household size** (birth certificates, dependent documents, or household member IDs) - **Insurance information** (if applicable) or proof of being uninsured - **Photo ID** ### Step 2: Contact the Merck Patient Assistance Program You can apply through: - **Calling Merck directly** (phone number available through your doctor's office or Merck's website) - **Working with your doctor's office**—many doctors' offices help patients apply - **Contacting a patient advocate or hospital social worker**—they often assist with applications ### Step 3: Complete the Application You will need to: - Provide personal and household information - Report your household income - Submit proof of income and citizenship/residency - Authorize release of information to Merck Applications can usually be submitted by phone, mail, or online, depending on current program options. ### Step 4: Wait for Approval Merck will review your application. Typical processing takes **4-8 weeks**. You may be asked for additional information during this time. ### Step 5: Receive Your Medication Once approved, your Zontivity will be shipped to you or your pharmacy. Delivery methods vary, so confirm how you'll receive your medication with the program. ## Timeline and What to Expect - **Application submission**: Same day - **Processing time**: 4-8 weeks typical - **Approval notification**: Via phone or mail - **Delivery**: Varies by program - **Coverage period**: Typically covers medication for an extended period; reauthorization requirements not yet specified ## What If You're Denied? If your application is denied, you have options: 1. **Ask why you were denied**—eligibility reasons might be correctable (e.g., income documentation) 2. **Reapply if circumstances change**—if your income decreases or insurance changes 3. **Explore alternatives** (see next section) ## Alternative Resources if You Don't Qualify If the Merck Patient Assistance Program isn't available to you, consider: ### Merck Savings Card Merck offers a savings card for patients with commercial insurance. Check the manufacturer website for eligibility and current discounts. ### Other Resources - **NeedyMeds.org**: Free database of assistance programs - **RxAssist.org**: Searchable database of patient assistance programs - **State pharmaceutical assistance programs**: Many states offer additional help - **Hospital financial assistance**: Ask your hospital if they offer medication assistance - **Non-profit organizations**: Heart disease and vascular disease foundations may offer support ## Important Legal Information This guide is for informational purposes only and is not a guarantee of eligibility or assistance. Program details, income limits, and requirements are subject to change. For the most current and accurate information, contact Merck directly or speak with your healthcare provider. Merck reserves the right to modify or discontinue this program at any time. ## Next Steps 1. Ask your doctor for help applying or contact information 2. Gather your income documentation 3. Call Merck or apply online 4. Follow up if you haven't heard back within 8 weeks Don't let cost prevent you from taking a medication your doctor recommends. Reach out for help today.

Program information last verified: March 25, 2026

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