GSK Oncology Patient Assistance Program: Zejula

Funded

About

The GSK Oncology Patient Assistance Program: Zejula offers crucial benefits for eligible patients seeking cancer treatment. The program provides Zejula at no cost to uninsured or underinsured patients who meet specific financial criteria, ensuring access to essential medication. By collaborating with healthcare professionals, the GSK Oncology Patient Assistance Program: Zejula expedites the process, swiftly confirming eligibility and facilitating prompt delivery of the drug. For those struggling with the financial burdens of cancer treatment, the GSK Oncology Patient Assistance Program: Zejula stands as a vital resource, offering both medication access and supportive services.

Insurance requirements: Underinsured, 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

•Uninsured or underinsured patients who meet financial eligibility criteria may qualify to receive treatments for free

•Patients must enroll through provider; completed forms must be faxed to: 18006459043

•Together with GSK Oncology will confirm receipt with healthcare professionals by the next business day and conduct a summary benefits call within 12 business days regarding service options for patients

•Patients will receive a call within 2 business days to be provided with coverage information for their prescribed treatment and copay assistance options if eligible

•Program will reach out to patient or provider to schedule shipments to ensure receipt prior to treatment date

•For assistance, please call 18444GSKONC (8444475662) MondayFriday (8 AM to 8 PM ET)

Enrollment Forms

Enrollment Form