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You can use your MerckMedicus user name and password.

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Registered and validated physicians may print out a form to request complimentary samples of Merck products. A form to request complimentary product samples is available for the following products:

COZAAR® (losartan potassium tablets)
(See Boxed Warning on use in pregnancy in Prescribing Information)
HYZAAR® (losartan potassium-hydrochlorothiazide tablets)
(See Boxed Warning on use in pregnancy in Prescribing Information)
JANUVIA® (sitagliptin) tablets
MAXALT® (rizatriptan benzoate) Tablets
MAXALT-MLT® (rizatriptan benzoate) Orally Disintegrating Tablets
PROPECIA® (finasteride)
SINGULAIR® (montelukast sodium)

Merck/Schering-Plough Pharmaceuticals

VYTORIN® (ezetimibe/simvastatin) Tablets
ZETIA® (ezetimibe) Tablets

This is not a complete list of Merck products. For a full listing of Merck products, please visit Prescribing Information for all Merck Products.

When you finalize your request, you will need to print a Complimentary Sample Request Form. This form must then be signed, dated, and returned to Merck via fax or mail using the fax number or address specified on the form.


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The Merck National Service Center will be pleased to assist you Monday–Friday from 8:00 AM–7:00 PM ET. Adverse events and product-related emergencies will be handled at any time.

Get site technical support, or call 1-800-489-5119, for site technical issues.

COZAAR and HYZAAR are registered trademarks of E.I. du Pont de Nemours and Company, Wilmington, Delaware, USA
VYTORIN and ZETIA are registered trademarks of MSP Singapore Company, LLC.
View the Merck/Schering-Plough privacy policy.
All other brand names are registered trademarks or trademarks of Merck & Co., Inc.
MerckServices, MerckSource, and Merck OnCall are registered trademarks of Merck & Co., Inc.
MerckProductServices and MerckMedicus are trademarks of Merck & Co., Inc.

20852575(5)-02/09-EBS-PHY