Welcome to the Benlysta HCP Copay Portal

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 copay out-of-pocket expenses and provider address must also be included. See the Contact Us page for details.