You are about to leave a GSK/ViiV Healthcare website
You are about to leave a GSK/ViiV Healthcare website. By clicking this link, you will be taken to a website that is independent from GSK/ViiV Healthcare. The site you are linking to is not controlled or endorsed by GSK/ViiV Healthcare and GSK/ViiV Healthcare is not responsible for its content.
Patient Assistance Program (PAP)* for Oncology Medicines
This section provides information about the JEMPERLI Patient Assistance Program for patients who do not have insurance, or whose insurance does not cover the product (please contact program for Functionally Uninsured eligibility process details).
To qualify for the JEMPERLI Patient Assistance Program, you must:
Patients whose income exceeds program eligibility maximum will be provided the opportunity to demonstrate that their eligible medical expenses bring them within the income eligibility criteria (please contact program for details).
Household Size | Maximum Annual Gross Income |
---|---|
1 | $60,240 |
2 | $81,760 |
3 | $103,280 |
4 | $124,800 |
For each additional person, add | $21,520 |
Household Size | Maximum Annual Gross Income |
---|---|
1 | $75,240 |
2 | $102,160 |
3 | $129,080 |
4 | $156,000 |
For each additional person, add | $26,920 |
Household Size | Maximum Annual Gross Income |
---|---|
1 | $69,240 |
2 | $94,000 |
3 | $118,760 |
4 | $143,520 |
For each additional person, add | $24,760 |
Household Size | Maximum Annual Gross Income |
---|---|
1 | $48,000 |
2 | $60,000 |
3 | $72,000 |
4 | $84,000 |
For each additional person, add | $12,000 |
You can enroll in the program in 3 steps:
Subject to eligibility, program terms, and conditions, which are subject to change. Programs do not constitute health insurance.
Learn about the GSK Patient Assistance Program for Vaccines.