Lamictal XR

Indicated For

Seizure disorders, bipolar I disorder, bipolar II disorder, focal seizures

About This Medication

# GSK Patient Assistance Program Patient Guide: How to Get Lamictal XR at Low or No Cost ## About This Program The **GSK Patient Assistance Program (PAP)** is a charitable program managed by the GSK Patient Access Programs Foundation, an independent 501(c)(3) nonprofit organization. This program provides certain GSK prescription medicines, including Lamictal XR (lamotrigine), at **no cost to eligible patients** who struggle to afford their medications.[1] ## About Lamictal XR Lamictal XR is an extended-release formulation of lamotrigine, an anticonvulsant medication used to treat seizure disorders and certain mood conditions. By providing access to this medication through the patient assistance program, GSK helps ensure that cost is not a barrier to your treatment. ## Who Qualifies for This Program? You may be eligible for the GSK Patient Assistance Program if you meet **all** of the following criteria:[4] - You live in the United States or Puerto Rico - You are **uninsured OR have Medicare** and meet other program requirements - You meet the program's **financial income eligibility criteria** based on your household income and insurance status - You are being treated by a US-licensed healthcare provider - You have a valid prescription for Lamictal XR from your doctor ## Income Eligibility The GSK Patient Assistance Program bases eligibility on **household income and insurance status**.[3] While specific income thresholds for all applicants are not publicly disclosed, the program does publish income limits for **Medicare Part D patients**: | Household Size | Maximum Annual Gross Income (Continental US) | Maximum Annual Gross Income (Alaska) | |---|---|---| | 1 person | $47,880 | $59,850 | | 2 people | $64,920 | $81,150 | | 3 people | $81,960 | $102,450 | | 4 people | $99,000 | $123,750 | | Each additional person | Add $17,040 | Add $21,300 |[8] If you are uninsured or have private insurance, income limits may differ. **Contact the program directly at 1-866-728-4368** to determine your specific eligibility based on your household income and insurance type. ## Insurance Requirements You are eligible if you meet one of these insurance situations:[4] - **Uninsured**: You have no health insurance coverage - **Medicare**: You have Medicare prescription drug coverage (Part D) and have paid at least $600 out-of-pocket for prescriptions in the current calendar year - **Other requirements**: The program may have additional requirements depending on your specific insurance situation If you have private insurance, you may also qualify for **copay assistance programs** for certain GSK products.[1] ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before starting your application, collect the following:[2][3] - A **valid, signed prescription** for Lamictal XR from your doctor (faxed prescriptions are only accepted if sent directly from your physician's office with a fax cover sheet) - **Proof of income** (such as recent pay stubs, tax returns, or benefit statements) - **Proof of insurance status** (insurance card, Medicare card, or documentation of being uninsured) - For **Medicare Part D applicants**: Your Medicare Beneficiary Identifier (MBI) and a copy of your Part D ID card - A copy of any documentation showing your out-of-pocket prescription spending (for Medicare applicants) ### Step 2: Complete the Application You have multiple ways to apply: **Online**: Visit the GSK Patient Assistance Program portal at https://gskpaf.org/gsk/prescription-medicine-patient-assistance/ to start your application online. **By Phone**: Call **1-866-728-4368** (Monday–Friday, 8am–8pm ET) to request an application form or to apply with assistance. **By Mail or Fax**: Request a paper application and submit it with all required documents. **Important**: Complete **all required sections** of the application and sign and date the last page. An incomplete application will delay processing.[2] ### Step 3: Submit Your Application Submit your completed, signed application along with all required documents by: - **Fax**: 1-855-474-3063 - **Mail**: PO Box 220590, Charlotte, NC 28222-0590 - **Online portal**: https://gskpaf.org/gsk/prescription-medicine-patient-assistance/ **Keep a copy** of your application and all documents for your records. Do not send original documents as they will not be returned.[2] ## Timeline and Delivery While specific processing times are not published in available program materials, the program emphasizes that **incomplete applications will result in processing delays**.[2] Once approved, your Lamictal XR will be **shipped directly to you**.[4] For **prescription refills**, you can request them by calling 1-866-728-4368 or through the program website.[4] ## What If Your Application Is Denied? If you are denied assistance, the program may help you explore other options:[7] - The program may contact your insurer or other potential funding sources on your behalf - They may help you determine if you are eligible for health insurance coverage - They may connect you with social workers or patient advocacy organizations - You may be able to reapply if your circumstances change Contact the program at 1-866-728-4368 to discuss your options if your application is denied. ## Reauthorization Your eligibility for the program must be **reauthorized periodically**. The program will contact you when reauthorization is needed. Be prepared to provide updated income and insurance information to continue receiving assistance. ## Important Disclaimers - This program does **not constitute health insurance**.[1] - Availability varies for each patient and GSK product. - You must be a US resident (United States, Puerto Rico, or US Virgin Islands for certain specialty medicines) to qualify. - The program is managed by an independent charitable foundation separate from GSK. - Income limits and eligibility requirements may change. Always verify current requirements with the program. ## Contact Information **GSK Patient Assistance Program** - **Phone**: 1-866-728-4368 (Monday–Friday, 8am–8pm ET) - **Fax**: 1-855-474-3063 - **Mail**: PO Box 220590, Charlotte, NC 28222-0590 - **Website**: https://gskpaf.org/gsk/prescription-medicine-patient-assistance/ - **Online Portal**: https://www.gskpatientassistanceprogramportal.com For additional customer service support, visit the GSK Help Center website.

Program information last verified: March 30, 2026