Jalyn
Generic: dutasteride / tamsulosin
Manufacturer: GlaxoSmithKline (GSK) · Program: GSK Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured, no prescription coverage for the medication, or Medicare Part D patients spending 4%+ of household income on prescriptions
Residency
US resident or US Territory
Eligible patients typically at or below 400-500% FPL; specific thresholds not detailed for this drug; requires income verification
Program Information
Processing Time
2-4 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income (e.g., W2, 1040 tax forms, pay stubs)
- Prescription
- Proof of residency
Indicated For
Benign Prostatic Hyperplasia (BPH)
About This Medication
# GSK Patient Assistance Program Patient Guide: How to Get Jalyn (dutasteride / tamsulosin) at Low or No Cost Jalyn (dutasteride / tamsulosin) is a prescription medication used to treat symptoms of an enlarged prostate, known as benign prostatic hyperplasia (BPH), in men. It combines two drugs—dutasteride, which shrinks the prostate over time, and tamsulosin, which relaxes muscles in the prostate and bladder to improve urine flow. If you're struggling to afford Jalyn due to lack of insurance or high costs, the **GSK Patient Assistance Program** can provide it at no cost if you qualify. This guide explains everything you need to know in simple terms. ## Who Qualifies for the Program? The GSK Patient Assistance Program, run by the independent GSK Patient Access Programs Foundation, helps eligible patients in the US, District of Columbia, and Puerto Rico get certain GSK medicines like Jalyn for free. You're likely eligible if: - Your household income meets the program's limits (typically around 400-500% of the Federal Poverty Level, or FPL, though exact thresholds vary and require verification). - You are uninsured, have no prescription coverage for Jalyn, or are a Medicare Part D patient spending significant amounts on meds. - You have a valid prescription from a US-licensed healthcare provider. This program is not health insurance and availability depends on your situation and GSK product guidelines. It's designed for patients facing financial hardship.[1][2][4] ## About Jalyn (dutasteride / tamsulosin) **Jalyn** treats BPH, a common condition in older men where the prostate enlarges, causing urinary problems like weak stream, frequent urination, or difficulty starting. Dutasteride blocks hormones that cause prostate growth, while tamsulosin eases urine flow quickly. Taken as one capsule daily, it reduces BPH symptoms and risk of complications like acute urinary retention. Common side effects include dizziness, runny nose, or reduced ejaculate volume—discuss with your doctor. Always follow your prescription exactly, and note Jalyn is for men only.[1] ## Income Eligibility Breakdown Eligibility hinges on household gross income, verified by documents. While specific thresholds for Jalyn aren't detailed publicly and may align with 400-500% FPL, Medicare Part D examples provide guidance (adjust for current year and non-Medicare cases). Use this table as a reference—call the program for your exact limits.[7] **Contiguous US (Medicare Part D Example):** | Household Size | Maximum Annual Gross Income | |---------------|-----------------------------| | 1 | $47,880 | | 2 | $64,920 | | 3 | $81,960 | | 4 | $99,000 | | Each additional | +$17,040 | **Alaska (Medicare Part D Example):** | Household Size | Maximum Annual Gross Income | |---------------|-----------------------------| | 1 | $59,850 | | 2 | $81,150 | | 3 | $102,450 | | 4 | $123,750 | | Each additional | +$21,300 | Income includes wages, Social Security, etc. Specifics for Jalyn require application verification; thresholds may be higher for non-Medicare.[7] ## Insurance Requirements - **Uninsured**: Fully eligible if other criteria met. - **Private insurance**: Generally ineligible if you have prescription coverage for Jalyn. - **Medicare Part D**: Eligible if you've spent at least $600 (or equivalent threshold) on prescriptions that year, provide proof, and meet income limits. Include your Medicare Beneficiary Identifier (MBI) and Part D ID.[2][4][7] No coverage for the med? You may qualify. The program checks insurer info to confirm.[3] ## Step-by-Step Application Process 1. **Get a prescription**: Ask your doctor for a signed prescription for Jalyn, written as medically appropriate. Faxed ones need a cover sheet from the doctor's office.[2] 2. **Download or request application**: Visit gskforyou.com or gskpaf.org, or call 1-866-728-4368 (Mon-Fri 8am-8pm ET) to get the form.[1][4] 3. **Fill out completely**: Include patient info, income, insurance status. Sign and date. Medicare patients: Add proof of spend and ID.[2][3] 4. **Gather documents**: - Proof of income (W-2, 1040 tax forms, pay stubs). - Signed prescription. - Proof of residency (e.g., utility bill). - Medicare: Part D card, spend proof.[2] 5. **Submit**: Fax, mail, or use portal (providers/advocates). Keep copies—originals not returned. PO Box 220590, Charlotte, NC 28222-0590; Fax varies.[2][8] Incomplete apps delay processing![2][3] ## Timeline and Delivery Processing takes **2-4 weeks** after full submission. If approved, medication ships to your home or doctor's office. Track via 1-866-728-4368. Reauthorization needed periodically—program notifies.[1][4] ## Alternatives if Denied - **Refill issues**: Call 1-866-728-4368 or online portal.[4] - **Other programs**: Check NeedyMeds.org, RxAssist.org, or state assistance. GSK Reimbursement Resource Center for insured patients.[5][9] - **Generic options**: Discuss dutasteride/tamsulosin separately with doctor. - **Copay help**: GSKForYou for private insurance.[1] - **Appeal**: Contact program; resubmit if docs missing. No biosimilars for Jalyn listed.[4] ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Program terms change; eligibility not guaranteed. Consult gskpaf.org, call 1-866-728-4368, or your doctor. Not medical/financial advice. GSK PAP isn't insurance.[1][2] (Word count: 1028)
Program information last verified: March 30, 2026
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