patient assistance
GSK non-vaccine PAP — Trelegy and Breo application support
Non-vaccine patient-assistance application questions; enrollment and refill support subject to current program rules.
Fax855-474-3063
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 hoursMonday–Friday, 8 a.m.–8 p.m. Eastern.
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.
View source ↗ · Source checked 2026-10-22 · Source revision APP-003; publication date not stated in the reviewed form · Current prescription-PAP medicine list; product selector identifies Trelegy/Breo as general medicines ↗ · Current Medicare Part D eligibility and enrollment instructions ↗ · Current uninsured eligibility and enrollment instructions ↗
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