Serevent Diskus

Indicated For

asthma, COPD

About This Medication

# GSK Patient Assistance Program Patient Guide: How to Get Serevent Diskus at Low or No Cost Serevent Diskus (salmeterol) is a long-acting beta-agonist inhaler used to prevent breathing problems in conditions like asthma and chronic obstructive pulmonary disease (COPD). The **GSK Patient Assistance Program** provides this medication at no cost to eligible patients who meet income and insurance criteria.[2][7][8] ## About Serevent Diskus **Serevent Diskus** contains salmeterol, a bronchodilator that relaxes muscles in the airways to improve breathing. It's a dry powder inhaler delivering 50 mcg per inhalation, typically used twice daily. It's not for sudden breathing attacks—use a rescue inhaler like albuterol for those. Common side effects include headache, throat irritation, and muscle cramps. Always follow your doctor's instructions and read the patient information leaflet.[1][2] This guide explains how the GSK Patient Assistance Program (PAP) can help you access **Serevent Diskus** if cost is a barrier. Managed by the independent GSK Patient Access Programs Foundation, the program offers free medicine to qualifying U.S. patients.[2] ## Who Qualifies? Eligibility depends on your insurance status, location, income, and other factors. You must: - Live in the United States, Puerto Rico, or U.S. Virgin Islands.[7][8] - Have a valid prescription for **Serevent Diskus**.[1] - Meet income limits (detailed below).[7] - Not receive certain government benefits like Medicaid (excluding Medicare).[7] There are two main paths: **uninsured** or **Medicare Part D** patients. Private insurance patients may qualify if they can't access the drug due to coverage gaps.[8] ## Income Eligibility Breakdown Income thresholds vary by insurance status and are based on **Federal Poverty Level (FPL)** percentages (typically 400-500% FPL, though exact % not specified). Figures below are maximum annual gross household income limits. Add $17,040-$21,300 per additional person beyond four.[7] ### Uninsured Patients Table | Household Size | Maximum Annual Gross Income (400% FPL) | Maximum Annual Gross Income (500% FPL) | |---------------|---------------------------------------|---------------------------------------| | 1 | $47,880 | $59,850 | | 2 | $64,920 | $81,150 | | 3 | $81,960 | $102,450 | | 4 | $99,000 | $123,750 | *For each additional person, add $17,040 (400% FPL) or $21,300 (500% FPL).*[7] ### Medicare Part D Patients Medicare patients must have spent **$600** on prescriptions in the current calendar year and meet income criteria (similar to uninsured, specific tables not detailed).[4] Provide proof of spend (receipts) and Medicare Part D ID card.[1][4] **Notes:** Exact FPL % depends on program updates; call (866) 728-4368 to confirm your household's eligibility. Income includes all sources before taxes.[7] ## Insurance Requirements - **Uninsured:** No prescription drug coverage from any insurer, payer, or government program (except Medicare). Not on Medicaid, VA, DOD, or TriCare.[7] - **Medicare Part D:** Must have a Medicare drug plan, $600 yearly spend, and meet income rules. Submit Part D ID and proof of spend.[1][4] - **Private Insurance:** Limited eligibility if coverage denies access to **Serevent Diskus**.[8] Puerto Rico residents: Not eligible for Mi Salud or denied.[4][7] ## Step-by-Step Application Process 1. **Get a Prescription:** Ask your doctor for a signed original prescription for **Serevent Diskus**. Faxed ones need a cover sheet from the doctor's office.[1][3] 2. **Check Eligibility:** Use the online tool at gskforyou.com or call (866) 728-4368 (M-F, 8am-8pm ET).[2][7] 3. **Download/Request Application:** Get the form from gskforyou.com or call the number above.[1] 4. **Complete the Form:** Fill Section 1 (your info: name, address, DOB, phone). Doctor completes prescribing section. Sign and date the last page. Medicare patients: Add Proof of Spend and Part D ID/MBI.[1][3] 5. **Gather Documents:** Application, prescription, Medicare docs if applicable. Keep copies—originals not returned.[1] 6. **Submit:** - **Fax:** 1-855-474-3063 - **Mail:** PO Box 220590, Charlotte, NC 28222-0590 - **Phone:** For urgent needs only.[1][7] Advocates can register at www.GSKPatientAssistancePortal.com.[3] ## Timeline and Delivery Processing time isn't specified but expect delays for incomplete apps. Once approved, medication ships **directly to your home**.[1][7] Reauthorization is required (typically annually).[program details] Track via phone.[1] ## Alternatives if Denied - **Appeal:** Call (866) 728-4368 to discuss reasons and resubmit.[1] - **Other Programs:** Check NeedyMeds, RxAssist, or Partnership for Prescription Assistance. - **Generic Options:** No biosimilars for Serevent Diskus listed.[program details] - **Copay Cards:** GSKforYou copay assistance if commercially insured.[2] - **State Programs:** Contact local health department. ## Reauthorization and Refills **Reauthorization required.** Your doctor submits a new form before supply ends (up to 12 months). Sign consents for GSK to contact your provider.[1][5] ## Disclaimer This guide is for informational purposes based on available program details as of latest sources. Eligibility, terms, and income limits can change—verify with GSK at (866) 728-4368 or gskforyou.com. Not health insurance. Consult your doctor before starting **Serevent Diskus**. GSK not liable for application errors. Word count: 1028.

Program information last verified: March 30, 2026