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
$2,512.50
$3,137.50
$2,887.50
2
$3,383.33
$4,227.08
$3,889.58
3
$4,254.17
$5,316.67
$4,891.67
4
$5,125.00
$6,406.25
$5,893.75
For each additional person, add
$870.83
$1,089.58
$1,002.08
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