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:
Prior to enrolling patients, prescribers must
in the program.
For patient enrollment, prescribers must fax the completed and signed
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.
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