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Havrix

Generic: hepatitis A vaccine

Manufacturer: GlaxoSmithKline (GSK)  ·  Program:

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Free to apply. Service from $40/month, payable only when your application is ready to submit.

Eligibility Criteria

Insurance Requirement

See program details

Residency

US residency required

Income Threshold

Up to 300% FPL

Individual Income Limit

$43,740/year

Must be uninsured or underinsured

Program Information

Processing Time

2–4 weeks

Delivery Method

shipped to patient, physician office, or participating pharmacy

Application Method

Multiple

Indicated for

Hepatitis A prevention

About This Medication

GSK Vaccines Patient Assistance Program Patient Guide: How to Get Havrix at Low or No Cost

Havrix is a hepatitis A vaccine manufactured by GlaxoSmithKline (GSK) to protect against hepatitis A virus infection, a liver disease spread through contaminated food or water. This guide explains the GSK Vaccines Patient Assistance Program (also called GSK Vaccines Access Program), which provides eligible patients with GSK vaccines like Havrix at no cost through a charitable foundation.[1][2][5]

About Havrix and Why You Might Need Assistance

Havrix is an inactivated vaccine given in two doses (typically 0 or 6-12 months apart) to prevent hepatitis A, recommended for travelers, those at risk from lifestyle or occupation, and certain high-risk groups like people with chronic liver disease or clotting disorders. It's safe for adults and children over 1 year old, with common side effects like soreness at the injection site, headache, or fatigue.[1][2] Without insurance or financial help, vaccines can cost $100-$200 per dose, making assistance crucial for uninsured patients.[5][8]

GSK's program helps by shipping free vaccine doses to your healthcare provider's office for administration. It's not insurance and eligibility varies by product—confirm Havrix coverage by calling or checking with your provider.[2][5]

Who Qualifies?

To qualify for the GSK Vaccines Patient Assistance Program:

  • You must be a US resident (including Puerto Rico or US Virgin Islands for some products).
  • Treated by a US-licensed healthcare provider.
  • Uninsured for the vaccine, though Medicare Part D patients may qualify if they meet other criteria like spending at least $600 on prescriptions.[4][5][7]
  • Meet household income eligibility (specific thresholds not publicly detailed; based on federal poverty level—call 1-866-728-4368 or 1-877-822-2911 for your situation).[1][2][4]

Private insurance? You may not qualify—check GSK copay programs instead.[4][10] The program is for those struggling to afford vaccines.[1]

Income Eligibility Breakdown

Exact income limits aren't listed online and depend on household size and federal poverty level (FPL). Programs like this often use 400-500% FPL, but confirm via phone.[1][4] Here's a general example table based on typical PAP structures (contact GSK for precise 2026 limits):

Household SizeMax Annual Income (est. 400% FPL)Notes
1 person~$60,000Subject to change; verify.
2 people~$81,000Call for exact.
3 people~$102,000Income proof required.
4 people~$123,000Add ~$21K per extra person.

Provide recent tax returns, pay stubs, or benefit letters as proof.[2][8][9]

Insurance Requirements

  • Must be uninsured for the vaccine.[5][7][8]
  • Medicare Part D: Possibly eligible if you've spent $600+ on meds and meet income rules.[5][7]
  • Private/Medicaid: Likely ineligible—explore copay help.[4][10]
  • No coverage? You're a prime candidate.[1]

Step-by-Step Application Process

  1. Talk to your healthcare provider: They must register at GSKPatientAssistanceProgramPortal.com or www.GSK-VAP.com.[2][8][9]
  2. Get forms: Download English/Spanish applications, Patient Health/Allergy Form, or request by mail. Call 1-866-728-4368.[2]
  3. Complete application: Provider fills patient details, income proof, prescription. Include Dosage Authorization for extra doses.[2][8]
  4. Submit: Provider faxes to 1-877-822-1555 or 1-855-474-3063, or uses portal.[2][5][8]
  5. Assistance available: Spanish/other languages at 1-866-728-4368. Hours: Mon-Fri 8am-8pm ET.[2][9]

Your provider handles everything—you authorize info release.[9]

Timeline and Delivery

  • Processing: Not specified; typically 2-4 weeks—call to check status.[2]
  • Approval duration: Up to 1 year eligibility; reapply annually.[2][8]
  • Delivery: Free vaccine shipped to provider's office (not home).[2][8][9]
  • Refills/Extra doses: Provider submits Dosage Authorization Form.[2][8]
  • Get vaccinated at the office—no direct patient shipping.[1]

Alternatives if Denied or Ineligible

  • Copay programs: For insured patients via GSKForYou.com.[3][10]
  • Other vaccines: Program covers ENGERIX-B, BOOSTRIX, etc.—ask if suitable.[2]
  • State programs: Vaccines for Children (VFC) for kids <19, or adult programs.[5]
  • RxHope/RxAssist: Search similar PAPs.[5][7]
  • Free clinics/Travel health: Local health departments often provide low-cost Hep A shots.
  • Denial appeal: Call 1-877-822-2911 with more docs.[8]

Disclaimer

This guide is for informational purposes based on publicly available data as of 2026. Program details, eligibility, and availability can change—always verify with GSK at 1-866-728-4368 or 1-877-822-2911.[1][2] Not medical advice; consult your doctor. GSK programs aren't insurance and may end anytime. Word count: 912.

Program information last verified: March 30, 2026

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