Register Now

To register for the program, click here:

Register Now

For More Medication Information


Phone Number 1-866-728-4368
Fax Number 1-855-474-3063

   Monday through    Friday
   8 am to 8 pm ET
GSK Patient Assistance Program
PO Box 220590
Charlotte, NC 28222-0590

Forgot User Name

Enter your email address below. Click the Submit button.

Fields with an * are required


The user name will be sent to the indicated email address once it is confirmed.