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.
As of July 20, 2020, the GSK (PAP) will no longer accept applications for RABAVERT in the GSK Patient Assistance Program. All shipments of RABAVERT will be completed by July 30, 2020.
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 OR be enrolled in a Medicare Part D Prescription Drug Plan and have spent at least $600 on prescription medicines through your Medicare Part D Prescription Drug Plan during this calendar year
- Be an adult, age 19 or older
- Live in one of the 50 states, District of Columbia or Puerto Rico
- Not be eligible for Puerto Rico's Government Health Plan Mi Salud or have applied and been denied
- Have a household income within program eligibility criteria:
|
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 | ||||
- 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