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 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
$2,683.33
$3,352.08
$3,087.50
$2,000.00
2
$3,629.17
$4,535.42
$4,175.00
$2,500.00
3
$4,575.00
$5,718.75
$5,262.50
$3,000.00
4
$5,520.83
$6,902.08
$6,350.00
$3,500.00
For each additional person, add
$945.83
$1,183.33
$1,087.50
$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