Bexsero

Indicated For

Meningococcal disease prevention

About This Medication

# GSK Patient Assistance Program Patient Guide: How to Get Bexsero (meningococcal group B vaccine MenB) at Low or No Cost Bexsero is a vaccine that protects against meningococcal group B disease, a serious bacterial infection that can cause meningitis and bloodstream infections, particularly in adolescents, young adults, and people with certain medical conditions. The **GSK Patient Assistance Program**, run by the independent GSK Patient Access Programs Foundation, provides Bexsero at no cost to eligible uninsured or low-income patients in the US who lack prescription coverage. ## About Bexsero and Why Access Matters **Bexsero (meningococcal group B vaccine, or MenB)** is recommended by the CDC for routine use in adolescents aged 16-23 years (preferably at 16-18 years) to prevent invasive meningococcal disease caused by Neisseria meningitidis group B bacteria. This disease can progress rapidly, leading to severe outcomes like brain damage, amputations, or death, even with treatment. Two doses are typically needed, administered 1-2 months apart, with a possible booster later. Vaccination is crucial because meningococcal B outbreaks have occurred on college campuses and in communities. If cost is a barrier, the GSK Patient Assistance Program bridges the gap by shipping Bexsero free to qualified patients or their doctors. This program supports GSK's commitment to affordable healthcare access, separate from commercial insurance or copay programs. ## Who Qualifies? Eligibility focuses on financial need, residency, and lack of coverage: - **Residency**: Must live in the United States or Puerto Rico (US Virgin Islands for some products). - **Insurance Status**: Uninsured or have insurance that does not cover Bexsero; eligible patients without prescription drug coverage. - **Income**: For low-income or uninsured patients. Specific household income thresholds (e.g., as a percentage of the Federal Poverty Level, or FPL) are not publicly detailed in program materials but are assessed case-by-case. Medicare Part D patients have additional rules (see below). - **Prescription**: Must have a valid prescription from a US-licensed healthcare provider for medically indicated use. - **Other**: Treated by a US provider; not eligible for certain government plans like Puerto Rico's Mi Salud without denial. **Note**: Approval is not guaranteed and varies by product and patient. The program does not replace health insurance. ## Income Eligibility Breakdown Detailed income limits are not specified in available resources, but the program targets uninsured/low-income patients. Here's a general overview based on typical patient assistance structures (confirm with GSK for your situation): | Household Size | Estimated Max Income (as % of FPL) | Notes | |---------------|-----------------------------------|-------| | Individual | Not specified | Low-income/uninsured prioritized [1][6] | | Couple | Not specified | Case-by-case review [1] | | Family of 3 | Not specified | Proof of income required [2] | | Family of 4+ | Not specified | Residency proof needed [2][3] | Contact GSK at 1-866-728-4368 for personalized eligibility screening. Medicare Part D patients must have spent $600+ on prescriptions that year [4]. ## Insurance Requirements - **Uninsured Patients**: Primary target group; no prescription coverage needed. - **Underinsured**: Eligible if insurance denies Bexsero coverage. - **Medicare Part D**: Possible if you've spent $600 on meds this year and meet income criteria; submit Part D ID and proof of spend [2][4]. - **Private Insurance**: Check copay programs first via GSKForYou; PAP for those without coverage. - **Medicaid/Government**: Generally ineligible if covered; denials may qualify you. **Pro Tip**: Ask your doctor's office to verify coverage denial before applying. ## Step-by-Step Application Process The program uses **multiple application methods**: Download forms online, call for help, or have your doctor register at www.GSKPatientAssistancePortal.com [9]. 1. **Check Eligibility**: Visit gskforyou.com/programs/patient-assistance-program or call **1-866-728-4368** (Mon-Fri 8am-8pm ET) [1][9]. Answer quick questions to start. 2. **Gather Documents**: - **Proof of Income**: Pay stubs, tax returns, etc. [2][3] - **Proof of Residency**: Utility bill, etc. [Program details] - **Prescription**: Signed original (faxed OK from doctor's office with cover sheet) [2][3][9] - **Proof of Insurance Status**: Denial letter or statement of no coverage; Medicare Part D ID/spend proof if applicable [2][4] 3. **Complete Application**: Fill Sections 1 (patient info), sign consents, include prescriber details. Doctor must register first for vaccines [9]. Keep copies—originals not returned [2]. 4. **Submit**: Fax to 1-855-474-3063 or mail to PO Box 220590, Charlotte, NC 28222-0590 [9]. Incomplete apps delay processing [2][3]. 5. **Follow Up**: Track via phone or portal. ## Timeline and Delivery Processing time not specified—allow 2-4 weeks; incomplete apps delay [2]. Once approved, Bexsero is **shipped to patient or physician** [Program details]. Vaccines valid within 12 months; reauthorization required [Program details][9]. Refills via 1-866-728-4368 or portal [6]. ## Alternatives if Denied or Ineligible - **GSK Copay Programs**: For commercially insured at gskforyou.com. - **Vaccines for Children (VFC)**: Free for kids 18/under eligible via doctor. - **State Programs**: Check local health departments for meningococcal vaccines. - **NeedyMeds/PAN Foundation**: General vaccine aid. - **Doctor's Office/Pharmacies**: Samples or low-cost options. - **Reapply**: Fix issues and resubmit. ## Reauthorization and Refills **Reauthorization required** after initial supply (up to 12 months for vaccines) [Program details][9]. Request refills by calling 1-866-728-4368 or online [6]. Prescriber attests ongoing need. ## Important Disclaimer This guide is for informational purposes based on publicly available GSK resources as of latest updates. Eligibility, availability, and rules can change—always verify directly with GSK at 1-866-728-4368 or gskforyou.com. Not medical/financial advice; consult your doctor. Program not health insurance; limited supply. GSK not liable for application errors.

Program information last verified: March 30, 2026