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Form from www.needymeds.org Reset Form GSK Co-Pay Assistance Program PO Box 220725 Charlotte, NC 28222-0725 Phone: 1-866-265-6491 Fax: 1.866.272.9439 www.gskcta.com Commitment to Access includes the

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What is commitment to access co-pay?

Commitment to access co-pay is a program that assists individuals in accessing necessary medications by providing financial assistance to cover their co-payment costs.

Who is required to file commitment to access co-pay?

Pharmaceutical companies are required to file commitment to access co-pay.

How to fill out commitment to access co-pay?

To fill out commitment to access co-pay, pharmaceutical companies need to provide the required information such as the name of the medication, the eligible patient population, and the co-payment assistance amount.

What is the purpose of commitment to access co-pay?

The purpose of commitment to access co-pay is to ensure that individuals have affordable access to necessary medications, particularly for those who may face financial barriers.

What information must be reported on commitment to access co-pay?

Commitment to access co-pay must include information such as the name and details of the medication, the eligible patient population, the co-payment assistance amount, and any specific requirements or restrictions.

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