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. This program does not constitute health insurance

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. To access the application in Spanish, click here. 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.
Click on "Learn more" to find out how the program works


- For assistance with RabAvert® click here

- For assistance with other GSK vaccines click here


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