Benlysta Gateway Patient Assistance Program

Funded

About

The Benlysta Gateway Patient Assistance Program is designed to provide critical support for patients needing access to the drug Benlysta. This program is especially beneficial for uninsured patients, and some Medicare-insured individuals who meet eligibility criteria, enabling them to receive Benlysta free of charge. With a straightforward enrollment process and dedicated support, the Benlysta Gateway Patient Assistance Program ensures patients can access necessary medication while easing the financial burden.

Insurance requirements: Medicare / Medicaid, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Benlysta Gateway can help eligible uninsured patients and some Medicare patients who meet eligibility requirements obtain access to BENLYSTA free of charge through GSK's Patient Assistance Program

•HCP and patient should complete the Benlysta Gateway enrollment form and fax to 8778509901 with any required documentation

•After contacting patient's insurance and determining coverage options, BENLYSTA Gateway will contact patient within 1 week

•HCP will handle prescription once approved. Patient should call HCP's office to check the status of prescription if patient doesn't hear back within 2 weeks of the first call

•Call 8774236597, Monday to Friday, 8 AM to 8 PM ET, with any questions

Enrollment Forms

Enrollment Form