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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Fax prescription to 1-844-431-6650 using the optional prescription template on page 9 of the application, resources on lillycares.com, or provider generated prescription.
716.7737 weekdays from 8 a.m. to 8 p.m. and Saturday from 8 a.m. to noon. From October 1 to March 31, were available seven days a week from 8 a.m. to 8 p.m. (TTY: 1.800. 955.8771 during the same hours. You can also fax your grievances to 1-855-328-0053.
You may also call 1-888-621-6880, or fax 1-888-507-3313 to apply for ALTCS.
TO GET STARTED, SIGN AND COMPLETE THE ENROLLMENT FORM AND SUBMIT ONLINE, OR PRINT AND FAX THE COMPLETED DOWNLOADABLE FORM TO 800-376-2580. IF REQUESTING A REFERRAL TO THE ORGANON PATIENT ASSISTANCE PROGRAM OR TRIAGING TO A SPECIALTY PHARMACY, PLEASE INCLUDE A PRESCRIPTION FOR RENFLEXIS, WHICH CAN BE FOUND ON PAGE 6.
Fax or ask your healthcare provider to help you fax your enrollment form to 855-755-0518.
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People also ask

The Organon Access Program may be able to help answer questions related to insurance coverage and financial assistance options for certain Organon products including questions about: Insurance coverage for patients. Co-pay assistance for eligible patients.
The Merck Vaccine Patient Assistance Program is a fax-in program. The enrollment form for the Vaccine Patient Assistance Program should be completed, signed, and faxed to 800-528-2551. 7. How will I know my enrollment form (application) was received?
Applying for Assistance Once completed, applications can be sent by fax to 1-888-847-1797 or mailed to PO Box 222138, Charlotte, NC 28222-2138.