I have Medicare Prescription Coverage

This section provides information about Zejula patient assistance programs for patients with Medicare prescription coverage. This program does not constitute health insurance.

Do I Qualify?

Zejula Patient Assistance Programs

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

  • Live in one of the 50 states, District of Columbia, Puerto Rico or U.S. Virgin Islands
  • Have a Medicare prescription drug plan and proof of out of pocket prescription spend this calendar year that is 3% or more of total annual household income (the program will calculate this for you)
  • Not be eligible for Puerto Rico's Government Health Plan Mi Salud, or have applied and been denied
  • Meet certain income eligibility requirements. 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)
Maximum Monthly Gross Income
Household Size
48 states, D.C. and U.S. Virgin Islands
Puerto Rico
For each additional person, add
Calculate your monthly income limit if you have more than 4 people in your household
  • For assistance with the Zejula Patient Assistance Program please call
    Together with GSK Oncology at 1‑844‑283‑7276