I Don't Have Insurance
This section provides information about the GSK Patient Assistance Program for patients who do not have insurance. This program does not constitute health insurance.
As of December 31, 2020, AVANDIA will no longer be available on the GSK Patient Assistance Program.
*The last date to submit a new or renewal application for AVANDIA is November 30, 2020.
*The last date to submit a refill request for AVANDIA is December 14, 2020.
Do I Qualify?
The GSK Patient Assistance Program
To qualify for the GSK Patient Assistance Program:
For a prescription medicine, you must:
- Live in one of the 50 states, District of Columbia or Puerto Rico
- Have no prescription drug benefits through any insurer/payer/program
- Not be currently receiving prescription drug coverage through a government Program (excluding Medicare), which includes Medicaid, VA, DOD or TriCare benefits
- Not be eligible for Puerto Rico's Government Health Plan Mi Salud or have applied and been denied
- Meet certain income eligibility requirements
|
Maximum Monthly Gross Income
|
||||
Household Size |
48 states and D.C. |
Alaska |
Hawaii |
Puerto Rico |
|
1
|
$2,658.33
|
$3,322.92
|
$3,058.33
|
$2,000.00
|
|
2
|
$3,591.67
|
$4,489.58
|
$4,131.25
|
$2,500.00
|
|
3
|
$4,525.00
|
$5,656.25
|
$5,204.17
|
$3,000.00
|
|
4
|
$5,458.33
|
$6,822.92
|
$6,277.08
|
$3,500.00
|
|
For each additional person, add
|
$933.33
|
$1,166.67
|
$1,072.92
|
$500.00
|
| Calculate your monthly income limit if you have more than 4 people in your household | ||||
- 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
Find Out If You Qualify for Assistance for Your GSK Medicine or Vaccine
If you're without prescription medicine coverage and need help paying for your GSK medicine or vaccine, let GSKForYou guide you to a patient assistance program that may be right for you. This site will direct you to information about GSK patient assistance programs that you may qualify for. Once enrolled, you'll be eligible to receive free medicines through the mail or vaccine administered by your healthcare provider.
NOTE: These programs do not constitute health insurance. Some medicines are only available at a retail pharmacy and are not distributed through mail order.