| In addition to Commitment
to Access, GSK offers the following access programs for patients:
Bridges to Access
Bridges to Access is GlaxoSmithKline's patient assistance program for non-oncology products.
GSK Access
GSK Access is GlaxoSmithKline's patient assistance program for Medicare Part D Prescription
Drug plan enrollees who are taking GSK non-oncology products.
GSK Co-Pay Assistance Program
GSK Co-Pay Assistance Program is a patient assistance program sponsored by GlaxoSmithKline that helps eligible patients pay
insurance copayments for certain GSK medicines. Eligibility is based on household income and insurance status. To apply,
fax a completed application along with income documentation to 1.866.272.9439. Applicants will be notified if they qualify
for the Program. If approved, the patient will be responsible for paying the approved co-pay amount for each fill of the
qualifying GSK medicine. The applicant’s Program co-pay ranges from $25 to $300, depending on the applicant’s household income.
Applicants with copayments or coinsurance that exceed 50% will be responsible for any remaining costs not covered by their
insurance plan or the Program. Applicants must re-apply annually. Additional information about eligibility requirements and
how to complete this form can be obtained by clicking the above link or by calling 1.888.ONE.GSKCARES (1.888.663.4752).
Together Rx Access
Together Rx Access is a prescription discount savings program sponsored by some of the world's largest
pharmaceutical companies. The program offers an easy way to save 25% - 40% off the usual and customary
prices on more than 300 FDA-approved brand-name medicines. Participating companies independently set the
level of savings offered and the products included in the program. This is not an insurance program.
Partnership for Prescription Assistance
Partnership for Prescription Assistance is a national coalition of pharmaceutical companies, doctors
and other health care providers, pharmacists, patient advocates and community groups. PPA helps
patients to identify what potential assistance programs are available, assess potential eligibility,
and obtain enrollment forms.
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