SHINGRIX

Indicated For

Shingles prevention

About This Medication

# GSK Vaccines Patient Assistance Program Patient Guide: How to Get SHINGRIX (Zoster Vaccine Recombinant, Adjuvanted) at Low or No Cost SHINGRIX is a recombinant vaccine that protects adults against shingles (herpes zoster), a painful rash caused by reactivation of the chickenpox virus. The **GSK Vaccines Patient Assistance Program** provides this vaccine at no cost to eligible uninsured adults in the US who meet financial need criteria, helping prevent shingles and its complications like postherpetic neuralgia. ## About SHINGRIX **SHINGRIX** is a two-dose vaccine recommended by the CDC for adults aged 50 and older, and for adults 19+ with weakened immune systems. Each dose is given 2-6 months apart. It is over 90% effective at preventing shingles and related pain, even in older adults. Unlike older vaccines, SHINGRIX uses a recombinant protein and adjuvant for stronger, longer-lasting protection. Common side effects include arm pain, fatigue, headache, muscle pain, chills, fever, and nausea, usually lasting 2-3 days. Always consult your doctor to confirm if it's right for you.[1][2] ## Who Qualifies? To qualify for free SHINGRIX through this program, you must: - Be **18 years or older** (some sources note 19+ for vaccines).[2][7][9] - Live in the **United States or Puerto Rico** (not eligible if enrolled in Puerto Rico's Mi Salud plan or denied).[2] - Have **no third-party coverage** for vaccines, meaning **uninsured** or **Medicare patients without Part D coverage** for vaccines (Medicare Part D patients are ineligible).[2][4] - Meet **financial income eligibility** based on household income (specific Federal Poverty Level (FPL) thresholds not publicly detailed; program reviews proof of income).[1] The program is managed by the independent GSK Patient Access Programs Foundation, not GSK directly, and does not count as health insurance.[1][2] ## Income Eligibility Breakdown Exact income thresholds (e.g., % of FPL) are not specified in program details, as eligibility is determined case-by-case with proof of income. Common patient assistance programs use 400-500% FPL, but confirm via application. Provide recent proof like tax returns, pay stubs (last 30 days), or benefit letters (e.g., SSI, unemployment).[2][3] | Household Size | Estimated Max Income (400% FPL example, 2026)* | Notes | |---------------|------------------------------------------------|-------| | 1 (Individual) | ~$60,000 | Proof required; exact limits verified by program | | 2 (Couple) | ~$81,000 | Includes all household income | | 3 | ~$102,000 | Spouses/dependents counted | | 4 | ~$123,000 | Add ~$21,000 per additional person | *Estimates for illustration; actual thresholds may vary. Call 1-866-728-4368 for details. Do not rely solely on estimates.[1][3] ## Insurance Requirements You must be **uninsured for vaccines** or a **Medicare patient without Part D coverage** that pays for vaccines. Private insurance, Medicaid, or other coverage disqualifies you. Medicare Part D explicitly excludes eligibility for vaccine medicines. The program checks insurance status during review.[2][4] ## Step-by-Step Application Process **Your healthcare provider (doctor or clinic) handles enrollment**—you cannot apply alone. Here's how: 1. **Discuss with your provider**: Confirm SHINGRIX is medically appropriate. Ask them to register at [GSK Patient Assistance Program Portal](https://www.gskpatientassistanceprogramportal.com).[2][3] 2. **Gather documents**: - Completed **Vaccines Application** (English/Spanish; download or request by phone).[2] - **Proof of income** (e.g., pay stubs, tax return, W-2, SSI letter). - **Proof of residency** (e.g., utility bill, lease). - **Patient Health and Allergy Information Form**.[2] - Prescriber's signature and shipping info.[3] 3. **Submit via provider**: They fax to 1-855-474-3063 or upload to portal. Phone option: 1-866-728-4368 (Spanish available).[2] 4. **Approval**: Once approved, eligible for up to **12 months** of vaccine doses.[2][3] Keep copies of everything—originals not returned.[4] ## Timeline and Delivery Processing time varies (not specified; typically 1-2 weeks based on similar programs). Call 1-866-728-4368 (M-F, 8am-8pm ET) for status. **Vaccines ship free to your provider's site** (replenishment to prescriber). Administer only after approval. For second dose, submit **Vaccine Dose Authorization Request Form**.[2][9] **Reauthorization**: Required annually or for additional doses; reapply as needed.[2][7] ## Alternatives if Denied - **GSKForYou Value Cards**: Check gskforyou.com for copay assistance if insured (not for uninsured).[1] - **Vaccines for Adults Program**: Free vaccines via health departments for uninsured/underinsured (cdc.gov/vaccines). - **State/local health clinics**: Low-cost SHINGRIX. - **NeedyMeds or RxAssist**: Search other aid. - **Medicare Extra Help**: If Part D eligible. - Appeal denial by calling program or resubmitting with more docs.[1][5] ## Important Disclaimer This guide is for informational purposes only and based on publicly available program details as of latest sources. Eligibility, terms, and forms can change; always verify with GSK at 1-866-728-4368 or portal. Not health/insurance advice—consult your doctor. Program not guaranteed; GSK/GSKPAF reserves rights to modify/terminate.[1][2][3]

Program information last verified: March 30, 2026