GSK Patient Assistance Program (PAP)* for Prescription Medicines

If You Have Medicare Part D

This section provides information about the GSK Patient Assistance Program for patients who have Medicare Part D.

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Eligibility

To qualify for the GSK Patient Assistance Program, you must:

  • Live in the United States or Puerto Rico
  • Have a Medicare prescription drug plan and meet other program requirements
  • Not be eligible for Puerto Rico's Government Health Plan Mi Salud, or have applied and been denied
  • Have paid a total of $600 for prescriptions in the current calendar year

You must also meet certain household income eligibility requirements as outlined below:

48 States and DC
Household SizeMaximum Annual Gross Income
1$45,180
2$61,320
3$77,460
4$93,600
For each additional person, add$16,140
Calculate your annual income limit if you have more than 4 people living in your household, including yourself.
Alaska
Household SizeMaximum Annual Gross Income
1$56,430
2$76,620
3$96,810
4$117,000
For each additional person, add$20,190
Calculate your annual income limit if you have more than 4 people living in your household, including yourself.
Hawaii
Household SizeMaximum Annual Gross Income
1$51,930
2$70,500
3$89,070
4$107,640
For each additional person, add$18,570
Calculate your annual income limit if you have more than 4 people living in your household, including yourself.
Puerto Rico
Household SizeMaximum Annual Gross Income
1$28,800
2$36,000
3$43,200
4$50,400
For each additional person, add$7,200
Calculate your annual income limit if you have more than 4 people living in your household, including yourself.
  • Assistance is available in Spanish and many other languages: 1-866-728-4368
  • La asistencia está disponible en español y muchos otros idiomas: 1-866-728-4368

Enrollment

    • *

      Subject to eligibility, program terms, and conditions, which are subject to change. Programs do not constitute health insurance.

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    Have private insurance?

    See access and copay assistance programs for certain products.

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    Need help paying for a vaccine?

    Learn about the GSK Patient Assistance Program for Vaccines.

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    Have questions about patient assistance?

    Please take a look at our FAQs.