Prescription Assistance This page provides information and forms from pharmaceutical companies.  This information is for patients to use to request assistance from the pharmaceutical companies to help pay for their prescription medications.  http://www.merck.com/merckhelps/patientassistance/home.html http://www.colcrys.com/patient-assistance-program.htm http://www.DiabetesAccessSupport.com   Bristol-Myers Squibb Patient Assistance Information and Application Information and application for the Bristol-Myers Squibb Patient Assistance Program. sanofi-aventis APPEAL FOR MEDICARE PART D If you have Medicare Part D you will need to complete this form along with the application. Both forms can be submitted together. sanofi-aventis Patient Assistance Information and Application Information and application for the sanofi aventis Patient Assistance Program. Merck Patient Assistance Application For more information, a link to the Merck Patient Assistance page is available from this page. Sanofi Patient Assistance Application Patient to complete page 2 of application to apply for assistance from Sanofi. PACE Prescription Assistance Information Contact information for PACE.