Merck’s Privacy Commitment

The information you provide will be available to the Merck & Co., Inc., family of companies (collectively, “Merck”) and others working on behalf of Merck, to provide the information and services you request. Personal information about you will not otherwise be disclosed for marketing purposes without your permission. Merck reviews personal information and nonidentifiable information, not only to provide the requested information and services, but also to develop and offer additional services and communications that we believe our customers might find of interest. Merck also may use personal information to audit its resources for compliance and security purposes. For more information about how Merck protects personal information about you, please read our Internet Privacy Policy and Privacy Commitment for US patients, consumers, and caregivers.

Please complete the form below to
receive more information about hep C.
*Required item
Are you 18 years of age or older?*

You must be 18 years of age or older.

The program is only for those 18 years of age or older. If you are 18 years of age or older, please check the "Yes" button on this page.

By providing your name, address, and other personal information above and clicking the submit button below, you agree to permit Merck and others working on behalf of Merck to use this information to provide you with information, resources, services and communications about hepatitis C and related treatment options for hepatitis C via e-mail or otherwise. Additionally, your information may be used for market research purposes.

At any time, you can request a copy of this permission and that personal information about you be removed from the Merck contact list for hepatitis C medications by calling 888-776-8364. Unless you change this selection sooner, your permission will expire 1 year after Merck no longer promotes hepatitis C medications.

By clicking submit I am signing this form:


MERCK CARES Commitment Access Resources Education Support