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.

Enrollment in the GSK Patient Assistance Program for a Vaccine

  • Prior to enrolling patients, prescribers must register in the program.
  • For patient enrollment, prescribers must fax the completed and signed application to 1‑855‑474‑3063. Once approved, the applicant will be eligible to receive vaccine for up to one year.
  • Once enrolled, the patient can receive subsequent doses of vaccine by having the prescriber complete the Dose Authorization Request Form.