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 October 1, 2021, COREG CR, JALYN, and RHYTHMOL SR are no longer be available on the GSK Patient Assistance Program.

Forms

Updated Application Forms Now Available

  • You may call 1‑866‑728‑4368 to request an application by mail, or download a program application here: