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About the program

GSK Vaccines Access Program is a patient assistance program sponsored by GlaxoSmithKline that provides GlaxoSmithKline vaccines to adult applicants who meet eligibility requirements.

There are three easy steps to providing free vaccine to eligible patients:

1. Prior to enrolling patients, prescribers must register in the program.
2. For patient enrollment, prescribers must fax the completed and signed application along with the applicant’s income documentation to 1-877-822-1555. Once approved, the applicant will be eligible to receive vaccine for up to one year.
3. Once enrolled, the patient can receive subsequent doses of vaccine by having the prescriber complete the Dose Authorization Request Form.

GlaxoSmithKline patient assistance programs provided medicines valued at over $507 million (Wholesale Acquisition Cost) to 466,000 patients during 2009.

Click on "Learn more" to find out how the program works