This private and confidential program provides vaccines free of charge to eligible adults, primarily the uninsured who, without our assistance, could not afford needed Merck vaccines.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to PPA.

Product(s) Covered by Program

  • G

    • GARDASIL®9
  • M

    • M-M-R II
  • P

    • PNEUMOVAX® 23
  • R

    • Recombivax HB®
  • V

    • VAQTA®
    • VARIVAX®
  • Z