Steps to Balance

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Steps to Balance  
 

Next Step

Now that you’re here, take the next step.

Join Steps to Diabetes Goals today!

It's simple to sign up. Just complete and submit the form below. Once you're enrolled, here's what you can look forward to:

 

Useful tips and refill reminders to help you manage your type 2 diabetes

 

1,000+ diabetes-friendly recipes to help make eating healthy easier

 

Special offers for eligible patients** (Terms and Conditions apply)

 

An offer to receive a FREE diabetes-friendly cookbook


Let’s get started!

Are you a patient or a caregiver?

Have you or the person you care for been diagnosed with type 2 diabetes?

You must be 18 years or older to participate in the Steps to Diabetes Goals program.

Are you 18 years of age or older?

You must be 18 years or older to participate in the Steps to Diabetes Goals program.

Have you or the person you care for been prescribed 1 of these medicines for type 2 diabetes?
Please check all treatments that have been used in the last 90 days.

Please select an option.

 

Sign up to get medication reminders and practical tips on managing type 2 diabetes sent right to your phone!

If you or the person you care for is taking certain Merck medications, you are eligible to enroll in our Steps to Diabetes Goals Text Program. It’s a program that sends you practical tips and resources to help in managing type 2 diabetes. You’ll also have the option of getting text reminders for taking and refilling those medications once you sign up. It’s easy, just fill in your information below.

Would you like to enroll in the Steps to Diabetes Goals Text Program?

Please provide your mobile number:

Please enter a valid mobile number.

 
 
 

Please confirm that you have read and agree to the Terms and Conditions.

Your Permission: I agree to permit the Merck & Co., Inc., family of companies (collectively, “Merck”) or others working on behalf of Merck to provide text communications related to the Steps to Diabetes Goals program. I understand that the personal information I provide will be used only to fulfill my request for text communications related to the Steps to Diabetes Goals program. Personal information I provide will not be disclosed for marketing purposes without my permission. However, I acknowledge that Merck will share personal information with third parties who provide these text communications.

Subscribing to the Steps to Diabetes Goals Text Program is not required to obtain any product or service. You may cancel your subscription at any time by texting STOP to 69866. Message and data rates may apply. Charges are dependent on your service plan, which may include fees from your carrier to send and receive text messages.

How do you or the person you care for currently pay for prescriptions?

Please select an option.

more information

(Medicaid, Medicare, a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered), TRICARE, CHAMPUS, Puerto Rico Government Health Insurance Plan (“Healthcare Reform”), or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program (collectively, “Government Programs”))

Participants in Government Programs and Exchange Plans are not eligible to receive certain special offers, such as coupons. However, you are eligible to enroll to receive free information and support to help manage type 2 diabetes.

Participants in Government Programs and Exchange Plans are not eligible to receive certain special offers, such as coupons. However, you are eligible to enroll to receive free information and support to help manage type 2 diabetes.

I pay cash for my medications

Uninsured registrants are not eligible to receive certain special offers, such as coupons. However, you are eligible to enroll to receive free information and support to help manage type 2 diabetes.

**Please note that special offers are subject to eligibility and Terms and Conditions. Please see Terms and Conditions of the applicable offer for details. Not all Program participants will receive information about special offers.

To help ensure your privacy, the information must be sent directly to you. Please provide only your own information. Continue to scroll down to fill in information until you reach the “SUBMIT” button.

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, and according to the same standards, 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 the Internet Privacy Policy and Privacy Statement for U.S. Patients, Consumers, and Caregivers

Items marked with an * are required fields

*First Name

Please enter a first name.

*Last Name

Please enter a last name with at least 2 characters.

*E-mail Address

Please enter an e-mail address.

*Address

Please enter an address.

Address 2
*City

Please enter a city.

*State

Please select a state.

Please note: Absent a change in Massachusetts law, effective July 1, 2017, the coupon will no longer be valid for residents of Massachusetts.

*Zip Code

Please enter a zip code.

By providing your name, address, and other personal information, 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 unlimited access to our free resource center, information about type 2 diabetes, JANUVIA® (sitagliptin) tablets, JANUMET® (sitagliptin and metformin HCl) tablets, or JANUMET® XR (sitagliptin and metformin HCl extended-release) tablets, and related treatment options, and other communications about resources and services related to type 2 diabetes, JANUVIA, JANUMET, or JANUMET XR, and related treatment options. Additionally, your information may be used for market research purposes. If you are eligible and wish to participate in any special offers, such as coupon programs that may be made available to you, your information may be used for purposes of fraud prevention and/or verification with program terms and conditions.

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 type 2 diabetes, JANUVIA, JANUMET, or JANUMET XR, and related treatment options by calling 1-888-776-8364. Unless you change this selection sooner, your permission will expire 1 year after Merck no longer promotes products for type 2 diabetes.

By clicking “Submit” I am signing this form.

Cancel

 

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e-mail addresses) about you or your
friend will be collected from this
e-mail notification feature offered
by Merck.

 
 
 
 
 
 

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