
Voucher Card
Pay as little as $0 for NUCALA
Restrictions apply. Go to GSKCopayPrograms.com for complete Program Terms and Conditions.
You are not eligible for the program if:
You may be eligible for the program if:
AND
The NUCALA Co-pay Program helps eligible approved patients with their out-of-pocket costs for NUCALA up to $15,000 for 12 months.
Your healthcare team is your first line of support when you start NUCALA. But many other resources are available to help you start and stay on your treatment with NUCALA as prescribed.
Restrictions apply. Go to GSKCopayPrograms.com for complete Program Terms and Conditions.
You are not eligible for the program if:
You may be eligible for the program if:
AND
There are 2 ways to get started with the NUCALA Co-pay Program:
Once you have been approved for the Co-pay Program, how you use the Co-pay Program may be different depending on how you signed up and how you pay for your medicine.
You must be approved by your insurance company to take NUCALA before you can use the Co-pay Program.
Patients in government-funded programs (eg, Medicare, Medicaid, VA, or TRICARE) are not eligible for the NUCALA Co-pay Program.
If you take NUCALA at home OR if you receive NUCALA in your doctor’s office and your doctor chooses to use a specialty pharmacy, a specialty pharmacy will call you monthly to collect your co-pay. Follow the 2 steps below to pay your co-pay with the NUCALA $0 Co-pay Program.
Once complete, your remaining out-of-pocket cost for that month will be automatically loaded onto the Virtual Debit Card.
You will receive a new text or email in real time, each time your Virtual Debit Card has successfully been loaded.
It is especially important that you answer this call from the specialty pharmacy and then save this phone number into your contacts, so that it may be easier to recognize when it’s time to refill your prescription.
If you receive NUCALA in your doctor’s office and your doctor chooses not to use a specialty pharmacy, your doctor’s office will collect your co-pay. Follow the 2 steps below to pay with the NUCALA $0 Co-pay Program.
Refer to your approval letter to understand how to activate your card with your doctor by using an Explanation of Benefits (EOB) from your insurance company.
Use your card each time you go to the doctor to get NUCALA.
Restrictions apply. Go to GSKCopayPrograms.com for complete Program Terms and Conditions.
You are not eligible for the program if:
You may be eligible for the program if:
AND
Upload an Explanation of Benefits (EOB) to www.NUCALACopayProgram.com. (This may take up to 7 days to review, so make sure to complete in advance.)
After review of your EOB, you will receive a reimbursement check in the mail.
Use these sample card images to help identify where your card information is located. If you have questions or need assistance along the way, please contact Gateway to NUCALA at 1-844-4-NUCALA/1-844-468-2252.
These are your NUCALA Co-pay Program Voucher and Debit cards.
The Debit Card can help you save on the remaining balance on your NUCALA co-pay.
Voucher Card
Virtual Debit Card
If a specialty pharmacy asks for your Voucher Card:
If you’re approved for the NUCALA Co-pay Program, you’ll receive an approval letter with specific instructions, tailored just for you. Make sure to follow those instructions.
Keep your cards handy, and write in your co-pay information once you receive an approval letter.
For full terms and conditions, go to GSKCopayPrograms.com.
You are not eligible for the program if:
You may be eligible for the program if:
AND
Sign up now for more about NUCALA!
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