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` Home > Patient Assistance Programs > Commitment to Access Reimbursement Support Program
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`®
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`COMMITMENT TO ACCESS
`Reimbursement Support Program
`
`For patients taking GSK cancer (oncology) or specialty medications, the Commitment to Access (CTA) Reimbursement
`Support Program offers support to help you obtain and pay for your medicine.
`
`The CTA Reimbursement Support program counselors are available by phone to help you learn more about your
`insurance coverage and benefits, arrange delivery of your medicine, and refer you to other helpful resources.
`
`The CTA Reimbursement Support Program also offers the GSK Co-Pay Assistance Program for people who have
`prescription coverage (including through a Health Insurance Marketplace Plan/Exchange), who need extra help paying
`for certain oral oncology and specialty medicine. This program does not constitute health insurance. If you qualify, you
`will be responsible for paying the approved co-pay amount for each fill of qualifying GSK medicines. Your co-pay
`amount will be dependent on your household income. Applicants with copayments or coinsurance that exceeds 50% will
`be responsible for any remaining costs not covered by their insurance plan or GSK’s copay assistance program.
`
`You may qualify for the GSK Co-Pay Assistance Program if you:
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`Live in one of the 50 states or the District of Columbia (excluding residents of Massachusetts)
`Have commercial prescription medicine coverage (including through a Health Insurance Marketplace Plan/Exchange)
`
`The GSK Co-Pay Assistance Program is not available for individuals who:
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`Have come to the United States seeking healthcare and live outside the United States
`Have insurance coverage through a government-funded program such as Medicare or Medicaid
`Are enrolled in a health plan that does not permit members to participate in co-pay assistance programs
`
`Print Page
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`Do You Qualify for This
`Program?
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`Find out if you’re eligible for this
`or any other GSK patient
`assistance program.
`LEARN MORE
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`Watch Our Informational Video
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`Find out how GSKForYou can guide you to
`assistance programs or offers that may be
`right for you.
`
`VISIT THE CTA REIMBURSEMENT SUPPORT PROGRAM WEB SITE
`.
`DOWNLOAD AN APPLICATION
`Assistance is available in Spanish and many other languages:
`La asistencia está disponible en español y muchos otros idiomas:
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`Healthcare Reform Resources
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`1-866-265-6491
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`LEARN MORE
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`This website is funded and developed by GlaxoSmithKline.
`This site is intended for US residents only.
`© 1997-2014 GlaxoSmithKline. All Rights Reserved.
`Legal Notices | Privacy Statement | Contact Us
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`http://www.gskforyou.com/patient-assistance-programs/commitment-to-access-rrc.html[12/30/2014 3:00:44 PM]
`
`IMMUNOGEN 2338, pg. 1
`Phigenix v. Immunogen
`IPR2014-00676
`
`
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