Find billing teams, financial-assistance programs and payment correspondence addresses. A bill-payment address is not a claims, records or specimen destination.
patient assistance
GSK Patient Assistance Program — existing enrollment and refill help
Confirm the exact product or service National contact — confirm product and location
Mailing address
Not researched for this route
The disaster-response page routes people already enrolled in the program here. The current prescription PAP page also lists this number for refills. Verify exact medicine and enrollment support; specialty and oncology programs use separate routes.
Confirm the exact product or service National contact — confirm product and location
Mailing address
Not researched for this route
Prescribers must register and submit the signed vaccine application through the portal or published fax. Medicare patients are excluded from this vaccine PAP; do not apply the broader medicine-PAP eligibility wording to vaccines.
Non-vaccine patient-assistance application questions; enrollment and refill support subject to current program rules.
Fax
855-474-3063
Completed signed non-vaccine PAP application and required prescription/documentation. Faxed prescriptions are accepted only directly from a physician office with a fax cover sheet.
Published hours
Monday–Friday, 8 a.m.–8 p.m. Eastern.
Product, plan and location
Confirm the exact product or service National contact — confirm product and location
Completed non-vaccine patient-assistance application and supporting documents. Postal destination only; not a visit location.
The current official prescription-PAP product list names TRELEGY ELLIPTA and BREO ELLIPTA. The program is operated by the independent GSK Patient Access Programs Foundation. These forms are not for NUCALA, BENLYSTA or GSK oncology products. The current Medicare route requires proof of $600 in prescription spending in the calendar year and other income/coverage conditions. Ask the program to assess current requirements; no eligibility, coverage or enrollment is established here. This program is distinct from commercial savings coupons.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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Find billing teams, financial-assistance programs and payment correspondence addresses. A bill-payment address is not a claims, records or specimen destination.
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Lab or provider bill and relevant insurance explanation, kept privately
Existing billing or assistance reference
Authorized representative information if required
Questions to resolve
Is this a bill, insurance explanation or assistance application?
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What written confirmation will document the next step?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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