Patient Access & Reimbursement Services

One source for GSK access and reimbursement support

Explore the options together—we are here to help

Together with GSK Oncology patient image

GSK understands the challenges both you and your patients face. Together with GSK Oncology is here to help, offering a variety of access and reimbursement services in one easy-to-access location for all GSK oncology products.

  • Coverage Support
    • Patient-specific benefits investigation
    • Prior authorization and appeals support
  • Co-pay Assistance Program* for commercial patients
  • Claims assistance
  • Patient Assistance Program (PAP) for uninsured and Medicare patients*
  • Information about third-party support services
    • Patient advocacy organizations
    • Independent co-pay foundations

*See full terms and conditions. Subject to eligibility.

Together with GSK Oncology provides resources for patients and healthcare professionals. Specific eligibility requirements are determined by the payer; therefore, patients and healthcare professionals should confirm information directly with payers. Together with GSK Oncology does not guarantee coverage or payer reimbursement.

$0 co-pay icon

Patients can save on ZEJULA

The ZEJULA Co-pay Program helps eligible commercially insured patients with their out-of-pocket costs for ZEJULA, up to $26,000 for 12 months.

Eligibility for the ZEJULA Co-pay Program must be determined by the GSK Co-pay Program. Eligibility restrictions and program maximum may apply. Visit www.togetherwithgskoncology.com for complete Program Terms and Conditions.

Visit Together with GSK Oncology

Get started together—help your patients enroll

  1. Obtain the Together with GSK Oncology Enrollment Form
    • Ask your GSK Account Specialist or Field Reimbursement Manager for copies
    • Visit Together with GSK Oncology to download the Enrollment Form
  2. Complete the form with your patient and return
    • Select services requested from Together with GSK Oncology
    • Complete all Patient and Prescriber Information
    • Make sure both you and your patient sign the form
    • Fax the completed Enrollment Form, plus copies of your patient’s medical and pharmacy insurance cards, to 1-844-475-4662
  1. Receive enrollment confirmation
    • Together with GSK Oncology will contact your office by the next business day
  2. Review summary of benefits
    • Together with GSK Oncology will review the details of the summary of benefits with the patient
    • Your office will receive a faxed copy and a phone call to review the results

Remind patients to promptly return any phone calls received from Together with GSK Oncology.

Additional questions? We’re here to help.

Call us at 1-844-4GSK-ONC (1-844-447-5662). Monday-Friday (8AM to 8PM ET).

Access and Support Resources

Together with GSK Oncology Patient Enrollment Form

Together with GSK Oncology Overview Brochure

View PDF

Together with GSK Oncology Patient Co-pay Brochure

View PDF

Together with GSK Oncology Tools

Coverage Support: Includes benefits investigation, prior authorization information, and appeals support

Quick Start and Bridge Programs: Providers can prescribe a 15-day supply of ZEJULA at no cost for eligible patients in the event of an insurance coverage delay. Terms and conditions apply

Information About Patient Advocacy Organizations: Includes non-product support services, peer to peer support, and non-co-pay support

Information About Independent Co-pay Foundations: Includes information about potential alternate services of financial support

Patient Assistance Program (PAP): Provides product to eligible uninsured and underinsured patients. Income and other eligibility requirements apply. The PAP is operated on behalf of the GSK PAP Foundation

Co-pay Assistance: Provides assistance with co-payment for eligible commercially insured patients

Claims Assistance: Offers information about claims submission requirements, including examples of forms and sample letters, outlining payer-specific information

Case Manager: Provides personalized support, information about how to access, and affordability services to all our participating patients and providers

Sample Payer Letters: Includes sample letters that you can customize based on the patient’s condition and the requirements of the plan

Together with GSK Oncology provides informational resources for patients and healthcare professionals. Specific eligibility requirements are determined by the payer; therefore, patients and healthcare professionals should confirm information directly with payers. Together with GSK Oncology does not guarantee coverage or payer reimbursement for product treatment or administration.

Together with GSK Oncology can help you and your patients with access to a co-pay program for ZEJULA.

Determine patient eligibility for the co-pay program at the link below or call us at 1-844-4GSK-ONC (1-844-447-5662)

Monday-Friday (8AM to 8PM ET)

See eligibility criteria for the Co-pay Program