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Act Program For Zolinza


Summary

Merek & Company, Inc. was founded in 1891 by George Merck. In the 1930's Merck & Company, Inc. entered the pharmaceutical research field after their 39 year start as a chemicals supplier. Since then, the company has merged with Sharp & Dohme and acquired Medco Containment Services, Inc.. Merck & Company, Inc. are considered to be one of the highest ranking global pharmaceutical companies with some of the greatest scientists in the industry.

Merck & Company, Inc. pride themselves at providing their products to over 200 countries world wide. Along with their extensive product line, Merck & Company, Inc. provides not-for-profit services including their publication of unbiased health information.

Zolinza is a repackaging of vorinostat launched by Merek & Company, Inc. in 2006. Zolinza has been approved by the FDA for the treatment of cutaneous T-cell lymphoma. Zolinza is administered in capsule form.

Eligibility

ACT Program for Zolinza, a patient assistance program provided by Merek & Company, Inc., offers Zolinza at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must be uninsured or underinsured.

- You must meet an undisclosed income guideline.

- You must be an outpatient currently under the care of a physician.

The medication must be sent to the physicians office.

SOURCE: 2008 Poverty Chart
Family Size 100% 133% 150% 200% 250% 300%
1 $10,830 $14,404 $16,245 $21,660 $27,075 $32,490
2 $14,570 $19,378 $21,855 $29,140 $36,425 $43,710
3 $18,310 $24,352 $27,465 $36,620 $45,775 $54,930
4 $22,050 $29,327 $33,075 $44,100 $55,125 $66,150
5 $25,790 $34,301 $38,685 $51,580 $64,475 $77,370
6 $29,530 $39,275 $44,295 $59,060 $73,825 $88,590
7 $33,270 $44,249 $49,905 $66,540 $83,175 $99,810
8 $37,010 $49,223 $55,515 $74,020 $92,525 $111,030
For each additional family member $3,740 $4,974 $5,610 $7,480 $9,350 $11,220


What´s Next?

Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Merck & Company , Inc. program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.


Other Tips

  • If you have any questions please call the Merck & Company , Inc. program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to Merck & Company , Inc. program. Without their help millions of people will be without medication.




  • PAP Links:
  • Website:
  • Address:
  • Phone:
  • Fax:
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List of Medications
Zolinza Capsules 100mg (vorinostat)

Forms and other information are Copyright © ACT Program for Zolinza

While you are waiting to qualify for your free medication please try a Free Discount Drug Card > Click Here

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