Patient Assistance Program for Patients on Oncology or Specialty medicines

	Breakthrough Medicines for Patients in Need
	Commitment to Access, GlaxoSmithKline’s patient assistance program for oncology and specialty pharmacy medicines, provides GSK prescription medicines to eligible low income patients with no third party prescription drug benefits except Medicare Part D and generic-only coverage. GlaxoSmithKline patient assistance programs provided medicines valued at over $438 million (Wholesale Acquisition Cost) to almost 415,000 patients during 2008. Patients with Medicare Part D coverage must submit proof that they have spent at least $600 on prescription medications through the Medicare Part D Prescription Drug Plan in the current calendar year.

Program Highlights
	No application or enrollment fees
	Most GSK oncology and specialty pharmacy medicines available
	Patient-specific product shipped direct to prescriber
	Enroll once per year
	Applies to qualifying Medicare Part D enrollees


		Getting Started for Patients

		Learn about eligibility criteria and enrollment process
		What is an Advocate
		Obtain enrollment forms
		How to get your first prescription(s) after enrolling
		Obtain refills

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.