For private insurance only. To stand behind Merck ExpressCheck, we are providing our Commitment, which allows eligible customers
to submit a claim to Merck if the coverage information obtained by Merck ExpressCheck is not accurate and the inaccurate information
causes you to collect less than the actual patient responsibility amount as shown on the patient's EOB (Explanation of Benefits).
Claims are product limited to $160 for ZOSTAVAX® (Zoster Vaccine Live), $50 for PNEUMOVAX®23 (Pneumococcal Vaccine Polyvalent),
$115 for GARDASIL® [Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant], and $140 for
GARDASIL® 9 (Human Papillomavirus 9-valent Vaccine, Recombinant).
This commitment is for vaccines fees, not administration fees and/or office visit fees. Due to state laws, this
Commitment provision does not apply to patients or providers in the states of Maine, Massachusetts, Michigan,
Minnesota, Missouri, New Hampshire, Rhode Island, or Vermont, or to patients who are insured by a qualified
health plan purchased through a health insurance exchange established by a state government or the federal