Glaxosmithkilne

LINK: http://www.gskforyou.com/index.html

You must live in one of the 50 states, District of Columbia or Puerto Rico.

You cannot have any prescription drug benefits through any insurer/payer/program.

You must not be eligible for Medicaid or Puerto Rico’s Government Health Plan.

Income guidelines:

Household Size Monthly Income
1 $2,452.08
2 $3,318.75
3 $4,150.00
4 $5,052.09
Each additional add $866.67

Medications available through the Patient Assistance Program:

ADVAIR DISKUS® 100/50 (fluticasone propionate 100 mcg and salmeterol 50 mcg inhalation powder)

ADVAIR DISKUS® 250/50 (fluticasone propionate 250 mcg and salmeterol 50 mcg inhalation powder)

ADVAIR DISKUS® 500/50 (fluticasone propionate 500 mcg and salmeterol 50 mcg inhalation powder)

ADVAIR® HFA 115/21 (fluticasone propionate 115 mcg and salmeterol 21 mcg)Inhalation Aerosol

ADVAIR® HFA 230/21 (fluticasone propionate 230 mcg and salmeterol 21 mcg)Inhalation Aerosol

ADVAIR® HFA 45/21 (fluticasone propionate 45 mcg and salmeterol 21 mcg) Inhalation Aerosol

ALTABAX® (retapamulin ointment), 1%

ANORO™ ELLIPTA® (umeclidinium and vilanterol inhalation powder)

ARNUITY™ ELLIPTA® (fluticasone furoate inhalation powder)

AVANDIA® (rosiglitazone maleate) Tablets

AVODART® (dutasteride) Soft Gelatin Capsules

BACTROBAN CREAM® (mupirocin calcium cream, 2%)

BACTROBAN® NASAL OINTMENT (mupirocin calcium ointment, 2%)

BECONASE AQ® (beclomethasone dipropionate, monohydrate ) Nasal Spray, 0.042%

BREO® ELLIPTA® (fluticasone furoate and vilanterol inhalation powder)

COREG CR® (carvedilol phosphate extended release capsules)

DUAC® Topical Gel (clindamycin phosphate 1%, benzoyl peroxide 5%)

EPIVIR-HBV® (lamivudine) Oral Solution

EPIVIR-HBV® (lamivudine) Tablets

FABIOR™ (tazarotene) Foam

FLOVENT® DISKUS® 100 mcg (fluticasone propionate inhalation powder, 100 mcg)

FLOVENT® DISKUS® 250 mcg (fluticasone propionate inhalation powder, 250 mcg)

FLOVENT® DISKUS® 50 mcg (fluticasone propionate inhalation powder, 50 mcg)

FLOVENT® HFA 110 mcg (with a dosage counter) (fluticasone propionate inhalation aerosol)

FLOVENT® HFA 220 mcg (with a dosage counter) (fluticasone propionate inhalation aerosol)

FLOVENT® HFA 44 mcg (with a dosage counter) (fluticasone propionate inhalation aerosol)

IMITREX® (sumatriptan) Nasal Spray

INCRUSE® ELLIPTA® (umeclidinium inhalation powder)

JALYN (dutasteride and tamsulosin hydrochloride) Capsules

LAMICTAL® (lamotrigine) Starter Kits

LAMICTAL® (lamotrigine) Tablets, Chewable Dispersible Tablets or Orally Disintegrating Tablets

LAMICTAL® ODT™ (lamotrigine) Patient Titration Kits

LAMICTAL® XR™

LAMICTAL® XR™ (lamotrigine) Patient Titration Kits

LOVAZA® (omega-3-acid ethyl esters) Capsules

MALARONE® (atovaquone and proguanil hydrochloride) Tablets

MEPRON® (atovaquone) Suspension

POTIGA® (ezogabine) Tablets

RELENZA® (zanamivir) inhalation powder for oral inhalation

REQUIP® XL™ (ropinirole extended-release tablets)

RYTHMOL® SR (propafenone hydrochloride) extended release Capsules

SEREVENT® DISKUS® (salmeterol xinafoate inhalation powder)

SORIATANE® (acitretin) Capsules

SORILUX® (calcipotriene) Foam

TANZEUM® (albiglutide) for injection, for subcutaneous use

VELTIN® Gel (clindamycin phosphate/tretinoin) 1.2%/0.025%

VENTOLIN® HFA (albuterol sulfate HFA inhalation aerosol)

VERAMYST® (fluticasone furoate) Nasal Spray

Phone: (706) 208 9700   Mail: info@pcpmail.org