GSK (Bridges to Access) Patient Assistance Program

Advair Diskus, Breo Ellipta Inhaler, Lamictal (Lamotrigine)

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

Requirements for uninsured applicants

• Applicants must be at or below 250% federal poverty level to qualify.
  • View federal poverty guidelines.
  • https://www.walgreens.com/pharmacy/thirdpartyrefill/third_party_refill_pres_info.jsp?key=bridges
  • Your physician’s office is required to send in a hard copy with the application for the medication to be filled

  Requirement for Medicare Part D applicants

  • Medicare Part D enrollees are required to have spent $600 out of pocket on medications year to date before they are able to apply
    • You must send in a print out from you pharmacy to verify you have spent this amount on medications along with you application.

    East Carolina University
    ECU Physicians Greenville, NC 27834 252-744-1111 | Contact Us