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To submit a medical copay claim you will need:

  • Explanation of Benefits (EOB) or Claims Remittance Advice (EOP)
  • Documentation provided via portal must include:
    • Patient cost share for the GSK drug covered in the program
    • Patient cost share for administration fee related to injection or infusion of the GSK drug covered in the program
    • Named patient who is covered / eligible for the GSK copay program
    • GSK product name or the associated J-Codes

If submitting via mail or fax, HCP / Account seeking reimbursement and provider address must also be included. See the Contact Us page for details.

Watch this  training video  to learn how to use our HCP portal.