Resources
GSK wants to help you learn more about your health, which is why we've made available a number of health information Web sites and downloadable resources for your reference. We’ve also created resources specifically for Advocates (anyone who is involved in the delivery of a patient's healthcare, such as a healthcare provider, social worker, or case worker).
Please look through our health resources and see what GSK can provide you.
Resources from GSK
Downloadable Documents
You'll need the free Acrobat™ Reader™ software to view PDF documents.
Medicine Record Form (PDF Format)
Keep track of the medicines you're taking with this form, which you can bring with you during visits with your healthcare provider. Each time that you take a new medicine, add the name of that medicine to your Medicine Record Form.
GSK Patient Assistance Program Information Sheet (PDF Format)
Information regarding the GSK Patient Assistance Programs and GSKforYou.
GSK Response Center
The GSK Response Center is staffed by trained specialists who have the knowledge and resources to answer you product questions about GSK Medicines.
Contact Us
Additional Healthcare Resources
Medicare & Medicaid Resources Centers for Medicare and Medicaid Services (CMS)
This government website provides information on topics including Medicare, Medicaid, Children's Health Insurance Program (CHIP), and more.
Medicare.gov
This government website provides Medicare information on topics including costs, coverage, enrollment, Part D drug coverage, organizations in your state that can help answer your questions, and more.
Understanding the Extra Help With Your Medicare Prescription Drug Plan
This booklet is provided by the Social Security Administration provides information regarding the Extra Help program associated with Medicare Part D.
Choosing A Medigap Policy: A Guide To Health Insurance For People With Medicare
This booklet contains information on choosing a Medigap policy to supplement the original Medicare plan.
State Health Insurance Assistance Programs (SHIPS)
The State Health Insurance Assistance Programs (SHIPs) provide local, in-depth, and objective insurance counseling and assistance to Medicare-eligible individuals, their families, and caregivers.
Social Security Administration: Application for Medicare
This page on the Social Security Administration Web site allows an individual to apply for Medicare, check the status of their previously submitted application, or apply for Extra Help with Medicare prescription medicine costs.
Where can I get more information?
Advocates Corner
An Advocate is anyone who is involved in the delivery of a patient's healthcare, such as a healthcare provider, social worker, or case worker.
Visit our Patient Assistance Program Portal for providers and advocates to:
- Learn more about advocacy
- Register as an advocate
- Quickly enroll or re-enroll patients
- Get an instant determination of your patient’s eligibility (for patients in the office who sign electronically)
Program Forms
Patient Assistance Program for General Pharmaceutical Medicines
- Application – English
- Application - Spanish
- Authorization for Third Parties
- Patient Health and Allergy Information Form
- Attestation of the Necessity of Lamictal Tablets
Patient Assistance Program for GSK Vaccines
- Vaccines Application - English
- Vaccines Application - Spanish
- Vaccine Dose Authorization Request Form
- Authorization for Third Parties
- Patient Health and Allergy Information Form
Benlysta Gateway
Gateway to Nucala
Together with GSK Oncology
