{"id":13,"date":"2025-12-03T13:13:48","date_gmt":"2025-12-03T13:13:48","guid":{"rendered":"https:\/\/www.mfpask.com\/januvia\/?page_id=13"},"modified":"2026-02-02T11:28:22","modified_gmt":"2026-02-02T11:28:22","slug":"home-page","status":"publish","type":"page","link":"https:\/\/www.mfpask.com\/januvia\/","title":{"rendered":"Home page"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.mfpask.com\/januvia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width has-primary-background-color full-page-width\"><div class=\"cropped\" id=\"row3de9c7db-3faa-43c6-8f24-4d00b2fb21f3\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\"><link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.mfpask.com\/januvia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1764595895' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:24px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.mfpask.com\/januvia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1764595895' media='all' \/>\n\n<div class=\"vivid360-heading\" id=\"a04596800-c13d-4a10-895a-54786ae0061f\"><h1 class=\"has-white-color content-width fontWeightBold\" style=\"--desktopFontSize:36px;--tabletFontSize:36px;--mobileFontSize:24px;--desktopLineHeightSize:45px;--tabletLineHeightSize:45px;--mobileLineHeightSize:\" id=\"\">This website is dedicated to information specific to the Maximum Fair Price (MFP) for JANUVIA only.<\/h1><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:24px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width full-page-width\"><div class=\"cropped\" id=\"rowdd288636-ddf1-46a5-8659-da247cc92478\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\">\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:24px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-dark-text-color has-text-color has-link-color wp-elements-11a707d7f8c56b2dccddc57d2a7ad0fd\">JANUVIA is subject to the MFP under the Inflation Reduction Act beginning January 1, 2026. All valid, non-expired, saleable US NDCs of JANUVIA are included.<br><br>To streamline communication regarding MFP matters, Merck is using the Beacon platform which is available through Merck&#8217;s vendor, Second Sight Solutions. The Beacon platform is a free web-based application available to all dispensing entities. Merck encourages <strong>all dispensing entities<\/strong> to enroll in the Beacon platform. Beacon serves as the centralized hub for Merck to share key information with dispensing entities, including Merck\u2019s MFP effectuation plan and its associated procedures. The Beacon platform also features a resolution center designed to facilitate the receipt, response, and tracking of communications from dispensing entities regarding MFP effectuation. Dispensing entities may contact the Beacon customer support center with specific questions about the Beacon platform and may view recorded webinars that explain Beacon platform functionality and use. Following a brief registration process, dispensing entities will be verified and then have access to Beacon. The Beacon platform is available online or via email 24 hours a day, 7 days a week, with live phone and chat support available from the Vendor\u2019s representatives Monday through Friday, 9 AM to 9 PM ET. Dispensing entities may now register at <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><a aria-label=\"#\" href=\"https:\/\/mfp.beaconchannelmanagement.com\/\"><span class=\"interstitial-external-link\">Beacon<\/span><\/a><\/mark><\/strong>.<\/p>\n\n\n\n<div class=\"vivid360-heading\" id=\"ad21fae29-aca6-4f3c-8b9d-31d857f618f4\"><h2 class=\"has-primary-dark-color content-width fontWeightBold\" style=\"--desktopFontSize:24px;--tabletFontSize:24px;--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:36px;--mobileLineHeightSize:\" id=\"\">For dispensing entities with questions:<\/h2><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-left\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.mfpask.com\/januvia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1782224464' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.mfpask.com\/januvia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn primary primary-regular  interstitial-external-link\" role=\"button\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:4px;border-style:solid;justify-content:center;text-align:center;width:100%\" href=\"https:\/\/mfp.beaconchannelmanagement.com\/\" title=\"Click here to access Beacon\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Click here to access Beacon\" data-design-module=\"element\" data-event-name=\"element_click\">Click here to access Beacon<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:20px;--mobile-spacer:20px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-dark-text-color has-text-color has-link-color wp-elements-1dd79a16cfaaf1c7ed28361eb1232aa6\"><strong>Dispensing entities that are not 340B <\/strong>covered entities may also communicate with Merck regarding MFP-related matters for JANUVIA including if the dispensing entity believes a specific MFP refund transaction does not reflect appropriate access to the MFP for JANUVIA by completing the form below.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:32px;--mobile-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a6cf464bc-91d0-4cc6-8643-c9d3742cbd88\"><h2 class=\"has-primary-dark-color content-width fontWeightBold\" style=\"--desktopFontSize:24px;--tabletFontSize:24px;--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:36px;--mobileLineHeightSize:\" id=\"\">Frequently Asked Questions<\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:8px;--tablet-spacer:12px;--mobile-spacer:12px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-accordion-css-css' href='https:\/\/www.mfpask.com\/januvia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/accordion\/css\/style.min.css?ver=1776083020' media='all' \/>\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title has-primary-dark-headline-color\"><strong>How do I dispute an unpaid MFP request for JANUVIA?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\"><span class=\"vivid360-block-accordion-desc has-regular-font-size\">Merck encourages any dispensing entity that believes a specific MFP refund transaction does not reflect appropriate access to the MFP for JANUVIA to engage in a good faith resolution. Dispensing entities are encouraged to first contact Beacon for MFP-related questions. Click here: <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><a href=\"https:\/\/mfp.beaconchannelmanagement.com\/\"><span class=\"interstitial-external-link\">Beacon<\/span><\/a><\/mark>.<br><br>Additionally, entities may contact Merck by completing the form below.<\/span><\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title has-primary-dark-headline-color\"><strong>What process is Merck establishing for cash constrained pharmacies who are processing MFP effectuation for JANUVIA?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\"><span class=\"vivid360-block-accordion-desc has-regular-font-size\">To help mitigate potential short-term cashflow concerns related to MFP effectuation, Merck will make best efforts where feasible to expedite the MFP refund timeline for claims for all dispensing entities received from the MTF Data Module (MTF DM) during January 2026, including those that have cashflow concerns.<\/span><\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title has-primary-dark-headline-color\"><strong>What Merck products are involved in MFP?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\"><span class=\"vivid360-block-accordion-desc has-regular-font-size\">JANUVIA<\/span><\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title has-primary-dark-headline-color\"><strong>What NDCs of JANUVIA are eligible for MFP?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\"><span class=\"vivid360-block-accordion-desc has-regular-font-size\">All valid, non-expired, saleable US NDCs of JANUVIA are included.<\/span><\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title has-primary-dark-headline-color\"><strong>How do I contact Merck for MFP questions for JANUVIA?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\"><span class=\"vivid360-block-accordion-desc has-regular-font-size\">Dispensing entities are encouraged to first contact Beacon for MFP-related questions. Click here: <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><a href=\"https:\/\/mfp.beaconchannelmanagement.com\/\"><span class=\"interstitial-external-link\">Beacon<\/span><\/a><\/mark>. Should non-340B Covered dispensing entities want to communicate directly with Merck regarding MFP-related matters for JANUVIA, including if the dispensing entity believes a specific MFP refund transaction does not reflect appropriate access to MFP for JANUVIA, complete the form below.<\/span><\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title has-primary-dark-headline-color\"><strong>How do I contact Merck if I have questions regarding the MFP for JANUVIA?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\"><span class=\"vivid360-block-accordion-desc has-regular-font-size\">Dispensing entities are encouraged to first contact Beacon for MFP-related questions. Click here: <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><a href=\"https:\/\/mfp.beaconchannelmanagement.com\/\"><span class=\"interstitial-external-link\">Beacon<\/span><\/a><\/mark>. Should non-340B Covered dispensing entities want to communicate directly with Merck regarding MFP-related matters for JANUVIA, including if the dispensing entity believes a specific MFP refund transaction does not reflect appropriate access to MFP for JANUVIA, complete the form below.<\/span><\/div><\/details><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:16px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Form To Contact Merck with Questions Regarding MFP for JANUVIA<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/januvia\/wp-json\/wp\/v2\/pages\/13' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_19\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_19'>Name<\/label><div class='ginput_container'><input name='input_19' id='input_3_19' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_19'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_3_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible largetext-wrapper\"  data-field-class=\"largetext-wrapper\" ><label class='gfield_label gform-field-label' for='input_3_1'>Customer Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' data-design-module='Form' \n                data-design-category='Label' \n                type='text' value='' class='large' maxlength='50'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_3'>Customer email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_3_3' data-design-module='Form' \n                data-design-category='Label' \n                type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Customer phone number<\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_3_4' data-design-module='Form' \n                data-design-category='Label' \n                type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible largetext-wrapper\"  data-field-class=\"largetext-wrapper\" ><label class='gfield_label gform-field-label' for='input_3_5'>Medicare Transaction Facilitator (MTF) Internal Claim Number (ICN)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_3_5' data-design-module='Form' \n                data-design-category='Label' \n                type='text' value='' class='large' maxlength='50'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible largetext-wrapper\"  data-field-class=\"largetext-wrapper\" ><label class='gfield_label gform-field-label' for='input_3_6'>Medicare Transaction Facilitator (MTF) XRef<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_3_6' data-design-module='Form' \n                data-design-category='Label' \n                type='text' value='' class='large' maxlength='50'     aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible custom_gformselect\"  data-field-class=\"custom_gformselect\" ><label class='gfield_label gform-field-label' for='input_3_7'>NDC11<\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_3_7' class='large gfield_select'     aria-invalid=\"false\" ><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='' selected='selected' class='gf_placeholder'>Select<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006022128-JANUVIA 25MG TABLET 100UU 1 UNIT OF USE BOTTLE OF 100' >00006022128-JANUVIA 25MG TABLET 100UU 1 UNIT OF USE BOTTLE OF 100<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006022131-JANUVIA 25MG TABLETS 30UU 1 UNIT OF USE BOTTLE OF 30' >00006022131-JANUVIA 25MG TABLETS 30UU 1 UNIT OF USE BOTTLE OF 30<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006022154-JANUVIA 25MG TABLETS 90UU 1 UNIT OF USE BOTTLE OF 90' >00006022154-JANUVIA 25MG TABLETS 90UU 1 UNIT OF USE BOTTLE OF 90<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006011228-JANUVIA 50MG TABLET 100UU 1 UNIT OF USE BOTTLE OF 100' >00006011228-JANUVIA 50MG TABLET 100UU 1 UNIT OF USE BOTTLE OF 100<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006011231-JANUVIA 50MG TABLETS 30UU 1 UNIT OF USE BOTTLE OF 30' >00006011231-JANUVIA 50MG TABLETS 30UU 1 UNIT OF USE BOTTLE OF 30<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006011254-JANUVIA 50MG TABLETS 90UU 1 UNIT OF USE BOTTLE OF 90' >00006011254-JANUVIA 50MG TABLETS 90UU 1 UNIT OF USE BOTTLE OF 90<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006027728-JANUVIA 100MG TAB 100UU 1 UNIT OF USE BOTTLE OF 100' >00006027728-JANUVIA 100MG TAB 100UU 1 UNIT OF USE BOTTLE OF 100<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006027731-JANUVIA 100MG TABLET 30UU 1 UNIT OF USE BOTTLE OF 30' >00006027731-JANUVIA 100MG TABLET 30UU 1 UNIT OF USE BOTTLE OF 30<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006027754-JANUVIA 100MG TABLET 90UU 1 UNIT OF USE BOTTLE OF 90' >00006027754-JANUVIA 100MG TABLET 90UU 1 UNIT OF USE BOTTLE OF 90<\/option><option data-design-module='Form' \n                data-design-category='dropdown_selection' value='00006027782-JANUVIA 100MG TAB 1000UD 1 BOTTLE OF 1000' >00006027782-JANUVIA 100MG TAB 1000UD 1 BOTTLE OF 1000<\/option><\/select><\/div><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_8'>Date of service<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_8' id='input_3_8' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_3_8_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_3_8_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_8' class='gform_hidden' value='https:\/\/www.mfpask.com\/januvia\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_3_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible largetext-wrapper\"  data-field-class=\"largetext-wrapper\" ><label class='gfield_label gform-field-label' for='input_3_10'>Quantity\/Units<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_3_10' data-design-module='Form' \n                data-design-category='Label' \n                type='text' value='' class='large' maxlength='50'     aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible largetext-wrapper\"  data-field-class=\"largetext-wrapper\" ><label class='gfield_label gform-field-label' for='input_3_11'>Service provider number of the pharmacy (NPI)<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' data-design-module='Form' \n                data-design-category='Label' \n                type='text' value='' class='large' maxlength='50'     aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_15\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_15'>Supporting documentation<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='26214400' \/><input name='input_15' id='input_3_15' type='file' class='large' aria-describedby=\"gfield_upload_rules_3_15\" onchange='javascript:gformValidateFileSize( this, 26214400 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_15'>Accepted file types: pdf, jpeg, Max. file size: 25 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_15'><\/div> <\/div><\/div><div id=\"field_3_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'>Description of the issue<\/label><div class='ginput_container ginput_container_textarea'><textarea data-design-module='Form' \n                data-design-category='Text_Input' name='input_13' id='input_3_13' class='textarea medium'   maxlength='300'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_14\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style>\n.gform_wrapper .gform_heading { \npadding: 0 0 10px;\n}\ndiv[id*=\"gform_wrapper\"] form { \npadding: 0 0;\n}\n.gform_title{ \nfont-weight: 700; \ncolor: #1B2157;\n}\n.gform_wrapper.gravity-theme .gfield_required .gfield_required_text { \ndisplay: none; \n}\n#gfield_upload_rules_3_15 { \ndisplay: block;\npadding-top: 0;\ncolor: #585E6A;\n}\n.gform_wrapper .gform_body .gform_fields div .gfield_label { \nfont-weight: 700; \n}\n.gform_wrapper.gravity-theme input[type=email], .gform_wrapper.gravity-theme input[type=tel] {\npadding: 0.563rem 0.75rem 0.625rem 0.75rem;\n}\n.gform_wrapper.gravity-theme .gfield_description {\ndisplay: none;\n}\n.gform_wrapper.gravity-theme .gfield_description.validation_message{\ndisplay: block;\nfont-size: 16px;\npadding: 0;\nborder: 0;\ncolor: #C92318;\nmargin-block-start: 10px;\nbackground: transparent;\n}\n.gform_wrapper.gravity-theme .gform_validation_errors>h2.hide_summary{\ncolor: #C02B0A;\nfont-size: 16px;\n}\n#gfield_description_3_12 {\ndisplay: block;\ncolor: #585E6A;\n}\ndiv[id*=\"gform_wrapper\"] form input[type=\"text\"]:hover { \nborder: 1px solid #333; \n}\n.ginput_container_select button { \nbackground-color: transparent!important; \ncolor: #333!important; \nfont-weight: normal;\nborder: 1px solid #333;\n}\n.ginput_container_select button:hover { background-color: transparent;\ncolor: #333; \n}\n#gform_submit_button_3{\nwidth: 100%;\nmax-width: 552px;\nmargin: 0 auto;\ntext-align: center;\n}\n.gform_wrapper.gravity-theme .gform_validation_errors{\nborder: 1px solid #C02B0A40;\npadding-block: 22px;\nbox-shadow: 0px 1px 4px 0px #12196114;\nmargin-block-end: 14px;\n}\n.gform-icon--circle-error:before{\ncontent: url('https:\/\/vip-msd.com\/mfpask-januvia\/wp-content\/uploads\/sites\/365\/2025\/12\/Icon.png');\nheight: 32px;\n}\n.gravity-theme.ui-datepicker .ui-datepicker-header .ui-datepicker-next{\npointers-event: none;\n}\n#input_3_8{\nwidth: 100%;\n}\n.gform_wrapper.gravity-theme .gfield_required .gfield_required_asterisk{\ncolor: #333;\nposition: relative;\nleft: -3px;\nfont-size: 14px;\n}\n.gform_confirmation_message p{\nfont-size: 18px;\n}\n#gfield_upload_rules_3_15{\nfont-size: 14px;\n}\n\n<\/style>\n\n<script>\n\n<\/script>\n<\/div><div id=\"field_3_16\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><script>\ndocument.addEventListener(\"DOMContentLoaded\", function () {\n  const dateInput = document.getElementById(\"input_3_8\");\n\n  dateInput.addEventListener(\"click\", function () {\n\n    setTimeout(() => {\n      const dp = jQuery.datepicker._getInst(dateInput);\n      if (!dp) return;\n\n      \/\/ Always open datepicker at January 2026\n      dp.settings.defaultDate = new Date(2026, 0, 1);\n\n      \/\/ Allowed date range\n      dp.settings.yearRange = \"2026:2030\";\n      dp.settings.minDate = new Date(2026, 0, 1);\n      dp.settings.maxDate = new Date(2030, 11, 31);\n\n      \/\/ Rebuild datepicker UI\n      if (jQuery(dateInput).datepicker(\"widget\").is(\":visible\")) {\n        jQuery.datepicker._updateDatepicker(dp);\n\n        \/\/ Force it to show January 2026 on open\n        jQuery(dateInput).datepicker(\"setDate\", new Date(2026, 0, 1));\n\n        updateButtons();\n      }\n\n      \/\/ Bind dropdown listeners only once\n      const monthSelect = document.querySelector(\".ui-datepicker-month\");\n      const yearSelect = 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         <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"123\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 3, 'https:\/\/www.mfpask.com\/januvia\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_3').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_3');var is_confirmation = 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