Program

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This program provides brand name medications at no or low cost.
Pharmaceutical Company	GlaxoSmithKline
Program Name	GSK Access
Program Address	PO Box 52046 Phoenix, AZ 85072-2046
Phone Number	866-518-4357
Fax Number	866-518-3994
Medications on Program	Avandia Tablets 2mg, 4mg, 8mg (rosiglitazone)
Application Forms	GSK Access
On-line Application	No on-line application available at this time
Web Site	Click to go to program's web site
Eligibility Guidelines and Notes	The patient must have Medicare Part D, and have a low income based on the Federal Poverty Guidelines. Medical diagnosis necessary for this program is not specified. The patient must also be residing in the US. The patient must also have spent $600 dollars on medications through the Medicare Part D plan in the current year.
Application Process	Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application will be faxed out. The completed application can be faxed or mailed back. The patient is notified of eligibility for the program.
Application Requirements	Not applicable.
Program Details	The patient is sent a pharmacy card. The pharmacy card is good for one year. Every year a new application is needed.
Last Updated	June 04, 2010

This program provides brand name medications at no or low cost.
Pharmaceutical Company	Xubex Pharmaceuticals
Program Name	Xubex Free Medication Program
Program Address	PO Box 1244 Winter Park, Fl 32790-1244
Phone Number	866-699-8239
Fax Number	407-671-7960
Medications on Program	Avandia 2mg, 4mg, 8mg (rosiglitazone)
Application Forms	Not Applicable
On-line Application	No on-line application available at this time
Web Site	Click to go to program's web site
Eligibility Guidelines and Notes	Applicants with insurance are eligible. Not applicable Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This program is non-need based. Some medications may be offered for less than a 30 day supply .Check the program's website as the medications change frequently. Certain medications may not be available in MA.
Application Process	Anyone requesting assistance can call the above number to request an application be mailed or faxed out or download it from the website. The application can be faxed, mailed out or downloaded from website. The completed application should be faxed back from the doctor's office. The medication will be shipped within 10-14 days.
Application Requirements	The doctor must fill out a section and sign the application.
Program Details	Up to a 30-day supply is sent to the patient's home.
Last Updated	August 03, 2010

This is a discount card program.
Pharmaceutical Company	Together Rx Access
Program Name	Together Rx Access
Program Address	PO Box 9426 Wilmington, DE 19809-9944
Phone Number	800-444-4106
Fax Number
Medications on Program	Avandia Tablets 2mg, 8mg (rosiglitazone)
Application Forms	Not Applicable
On-line Application	No on-line application available at this time
Web Site	Click to go to program's web site
Eligibility Guidelines and Notes	The patient must have no prescription coverage for any medications and have an income at or below $45000 if single, $60000 for a family of 2, $75000 for a family of 3, $90000 for a family of 4, $105000 for a family of 5 Medical diagnosis necessary for this program is not specified. The patient must not be eligible for Medicare. Most cardholders save between 25%-40% on brand name prescription medications. Each card holder's savings depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.
Application Process	The patient can enroll online to get their ID number which can be used immediately.
Application Requirements	Not applicable.
Program Details	The patient is sent a Together Rx Access prescription savings card.
Last Updated	May 10, 2010