Trelegy Ellipta

Indicated For

COPD, asthma

About This Medication

# GSK Patient Assistance Program Patient Guide: How to Get Trelegy Ellipta at Low or No Cost Trelegy Ellipta (fluticasone furoate, umeclidinium, vilanterol) is a once-daily inhaled **triple therapy** for **chronic obstructive pulmonary disease (COPD)** and **asthma** in adults. The **GSK Patient Assistance Program** provides this medication **at no cost** to eligible patients who are uninsured or on Medicare and meet income criteria.[1][4] ## About Trelegy Ellipta **Trelegy Ellipta** combines three active ingredients: - **Fluticasone furoate**: An inhaled corticosteroid (ICS) that reduces inflammation in the airways. - **Umeclidinium**: A long-acting muscarinic antagonist (LAMA) that relaxes airway muscles. - **Vilanterol**: A long-acting beta2-adrenergic agonist (LABA) that opens airways for easier breathing. This combination helps control symptoms, prevent exacerbations, and improve lung function. It's used when an ICS/LABA or LAMA/LABA alone isn't enough. Always use as prescribed by your healthcare provider; common side effects include thrush, pneumonia risk, and heart effects. Consult your doctor for personalized advice.[1] ## Who Qualifies for the Program? The program targets patients struggling to afford GSK medications like Trelegy Ellipta. Key requirements: - **Residency**: Live in the US, Puerto Rico, or US Virgin Islands (for certain products).[4] - **Insurance status**: Uninsured or enrolled in Medicare (with specifics below).[4][7] - **Income**: Household income must meet financial criteria (details not publicly specified; based on household size).[1][3] - **Treatment**: Prescribed by a US-licensed healthcare provider.[4] - **No alternatives**: Not eligible for other funding programs.[1] The program is run by the independent **GSK Patient Access Programs Foundation**, a 501(c)(3) charity—not health insurance.[1] ## Income Eligibility Breakdown Specific income thresholds (e.g., Federal Poverty Level percentages) are **not detailed publicly** and vary by household size, location, and year. Eligibility is determined during application review based on **proof of income**. Call **(866) 728-4368** for pre-screening.[3][7] | Household Size | Estimated Threshold Example* | Notes | |---------------|-----------------------------|-------| | **Individual** | Not specified | Based on total household income | | **Couple** | Not specified | Includes all household members | | **Family of 3** | Not specified | Proof required (e.g., tax returns, pay stubs) | | **Family of 4** | Not specified | Adjustments for high-cost areas possible | *Examples are illustrative; actual limits confirmed via application. No FPL% listed.[3][10] ## Insurance Requirements - **Uninsured**: Fully qualify if income-eligible.[4] - **Medicare Part D**: Eligible if you've spent **$600+** on prescriptions in the current calendar year. Provide proof of spend and Medicare Beneficiary Identifier (MBI). Not eligible for Puerto Rico's Mi Salud if denied.[7][10] - **Exclusions**: Cannot be enrolled in private/government insurance with drug coverage (except qualifying Medicare), or other assistance programs.[4][10] ## Step-by-Step Application Process Applications can be submitted **multiple ways**: mail, fax, or with advocate help. Processing requires complete info to avoid delays.[2][3][9] 1. **Check eligibility**: Visit gskforyou.com or call **(866) 728-4368** (Mon-Fri 8am-8pm ET) for quick questions.[1][3] 2. **Get prescription**: Ask your doctor for a **signed original prescription** for Trelegy Ellipta (faxed OK if from doctor's office with cover sheet).[2] 3. **Gather documents**: - Completed, signed application (download from GSK site).[2][3] - **Proof of income** (e.g., pay stubs, tax returns, SSI award letters). - **Proof of residency** (e.g., utility bill, lease). - **Healthcare provider prescription**.[1] - Medicare Part D: Proof of $600 spend + ID card/MBI.[7] 4. **Complete form**: Fill Sections 1 (patient info), sign consents for GSK to contact providers/insurers.[2][3] 5. **Submit**: - Mail: PO Box 220590, Charlotte, NC 28222-0590 - Fax: 1-855-474-3063 - Phone help: (866) 728-4368[8] 6. **Track status**: Use patient portal (register at www.GSKPatientAssistancePortal.com) or call.[3] **Tip**: Keep copies; originals not returned. Advocates can assist (register for ID).[3][9] ## Timeline and Delivery **Processing time**: Not specified; complete apps process faster (days to weeks). Expect **12-month approval** initially, with reauthorization needed.[1][2] **Delivery**: Medication ships **to your healthcare provider or retail pharmacy**—not directly to you. Pick up there.[1] ## Alternatives if Denied - **Appeal**: Contact program for reasons and resubmit missing info.[3] - **Copay programs**: Check GSKForYou for insured patients (separate from PAP).[1] - **Other assistance**: NeedyMeds.org, Simplefill (877-386-0206), or state programs.[9][10] - **Generic options**: No biosimilars listed for Trelegy.[1] - **Provider samples** or pharmacy discounts. ## Reauthorization **Reauthorization required** annually or as supply ends. Resubmit updated income proof, new prescription. Program monitors compliance.[1][2] ## Disclaimer This guide summarizes publicly available info as of latest sources. **Program details can change**; always verify with GSK at (866) 728-4368 or gskforyou.com. Not medical/financial advice—consult your doctor and advisor. Eligibility not guaranteed. GSK PAP is charitable aid, not insurance.[1][4]

Program information last verified: March 30, 2026