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GSK Reimbursement Resource Center
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PO Box 221425
Charlotte, NC 28222
Phone
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(800)745-2967
Fax:
(866)216-5292
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Eligibility
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May have insurance. Medicare PartD determined case by case. Income requirements for this program have not been disclosed. Must be a US resident. |
| Who Can Apply
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Call to have application faxed or download from website. Return application via fax. |
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Required
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Medically appropriate condition/diagnosis required. Patient must complete and sign application. |
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Supply
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Amount/supply not specified. Refill process and limit not specified. Re-application process not specified. |
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Ship To
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Shipping location not specified. |
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Note
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This program helps patients and healthcare professionals in the U.S. with coverage, reimbursement and coding issues for certain GSK products. Services include verification of benefits, and assistance with prior authorization processes, denied or underpaid claims, coding issues, and alternate funding research. |
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Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
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| Advair Diskus powder; inhalation |
| Advair HFA aerosol; inhalation |
| Anoro Ellipta powder; inhalation |
| Avandia tablet |
| Avodart capsule; softgel |
| Bactroban |
| Bactroban cream; topical |
| Beconase AQ spray; nasal |
| Breo Ellipta powder; inhalation |
| Coreg CR capsule; extended release |
| Duac gel; topical |
| Fabior aerosol; foam |
| Flovent Diskus powder; inhalation |
| Imitrex spray; nasal |
| Incruse Ellipta powder; inhalation |
| Jalyn capsule |
| Lamictal CD tablet; chewable dispersible |
| Lamictal ODT patient titration kit |
| Lamictal starter kit |
| Lamictal tablet |
| Lamictal tablet; orally disintegrating |
| Lamictal XR tablet; extended release |
| Lovaza capsule |
| Malarone tablet |
| Mepron oral suspension |
| Potiga tablet |
| Relenza powder; inhalation |
| Requip XL tablet; extended release |
| Rythmol SR capsule; extended release |
| Serevent Diskus powder; inhalation |
| Soriatane capsule |
| Tanzeum injection |
| Ventolin HFA |
| Veramyst spray; nasal |
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