Ventolin HFA (albuterol inhalers)

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

Forms: gskacc1109.pdf

Eligibility guidelines
and notes: The patient must have Medicare Part D, and

Application process: Anyone requesting assistance can call to request a faxed application or download it from the website.

Program details: The patient is sent a pharmacy card.

Last updated: 7/24/2008

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