Vaccines and GSK Patient Assistance Program

This section provides information about the GSK Patient Assistance Program for patients who need financial assistance with a GSK vaccine. This program does not constitute health insurance.

Do I Qualify?

The GSK Patient Assistance Program

To qualify for the GSK Patient Assistance Program:

For a vaccine, you must:

  • Have no third party coverage for vaccines
  • Be an adult, age 19 or older
  • Live in one of the 50 states or the District of Columbia
  • Have a household income within program eligibility criteria:
Maximum Monthly Gross Income
Household Size
48 states and D.C.
Alaska
Hawaii
1
$2,475.00
$3,091.67
$2,847.92
2
$3,337.50
$4,170.83
$3,839.58
3
$4,200.00
$5,250.00
$4,831.25
4
$5,062.50
$6,329.17
$5,822.92
For each additional person, add
$862.50
$1,079.17
$991.67
Calculate your monthly income limit if you have more than 4 people in your household
  • You must enroll in the GSK Patient Assistance Program through your healthcare provider, who will need to first register with the program. Your healthcare provider will submit your application
  • 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