Zejula (niraparib)
Patient Assistance Program Guide — GSK For You Patient Assistance Program
Do You Qualify?
Income
Up to $90,360 for a single person
Insurance
Must be uninsured or have Medicare Part D; commercially insured patients are typically eligible for the co-pay savings program instead of the PAP.
Residency
U.S. resident or Puerto Rico with valid address
Income Limits (600% FPL)
Calculated at 600% FPL which is typical for GSK oncology specialty products; based on 2025 HHS guidelines.
Based on 2025 HHS Federal Poverty Level guidelines.
# A Patient Guide to Getting Zejula (Niraparib) Through the GSK For You Patient Assistance Program
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Who Qualifies for the GSK For You Patient Assistance Program?
If you have been prescribed Zejula (niraparib) and cannot afford it, you may be able to get it at no cost through the GSK For You Patient Assistance Program. This program is run directly by GlaxoSmithKline, the maker of Zejula, and is designed to help patients who meet specific income and insurance requirements.
To give you a quick sense of the income limits: if you live alone, your annual household income must be at or below $90,360 to potentially qualify. Limits are higher for larger households.
On the insurance side, this program is generally open to patients who are uninsured or who have Medicare Part D. If you have private commercial insurance, you are typically directed to a separate co-pay savings program rather than this patient assistance program.
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About Zejula (Niraparib)
Zejula (niraparib) is a prescription medication approved by the U.S. Food and Drug Administration (FDA) to treat ovarian cancer, fallopian tube cancer, and primary peritoneal cancer. It belongs to a drug class called PARP inhibitors, which work by targeting certain proteins involved in cancer cell repair.
Zejula is an oral medication, meaning it is taken by mouth rather than given by infusion. Like many targeted cancer therapies, its list price can be very high — often tens of thousands of dollars per month — placing it out of reach for many patients without insurance coverage or financial assistance. There are currently no FDA-approved biosimilar or generic versions of niraparib available, which means the brand-name drug is the only option at this time.
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Income Eligibility: Full Breakdown
The GSK For You Patient Assistance Program uses your household size and annual income to determine whether you qualify. The income limits below are set at approximately 600% of the Federal Poverty Level (FPL), based on 2025 federal guidelines:
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $90,360 |
| 2 persons | $122,640 |
| 3 persons | $154,920 |
| 4 persons | $187,200 |
If your household has more than four people, the limit increases for each additional member. If your income is above these thresholds, you may not qualify for the free medication program, but you should still explore the co-pay savings card and other options described later in this guide.
Income is typically verified using your most recent federal tax return, W-2 form, or three months of recent pay stubs. If your income has changed significantly since last year — for example, due to job loss or a change in employment — you may be able to explain your current financial situation during the application process. GSK reviews each application individually, so it is worth applying even if you are unsure whether your income falls within range.
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Insurance Requirements Explained
Your insurance status plays a major role in which program you can use. Here is a simple breakdown:
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Step-by-Step: How to Apply
Follow these steps to apply for the GSK For You Patient Assistance Program:
1. Gather your documents. You will need: a valid prescription signed by your healthcare provider, proof of income (most recent tax return, W-2, or three months of pay stubs), and a completed and signed application form.
2. Get the application form. Download or complete the application online at https://www.gskforyou.com/. You can also call (866) 728-4368 to request a paper form be mailed or faxed to you.
3. Have your doctor sign the application. Your prescribing healthcare provider must sign the application form in addition to providing a valid prescription. Coordinate with their office early, as this step can take a few days.
4. Submit your application. You may apply:
- Online at https://www.gskforyou.com/
- By fax to (855) 830-1486
- By phone at (866) 728-4368
5. Wait for a determination. Processing typically takes 7 to 10 business days after GSK receives your complete application.
6. Confirm your approval. GSK or a program representative will contact you or your provider's office with the decision. Make sure your provider's office is aware they may receive communication as well.
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What to Expect: Timeline and Delivery
Once your application is submitted with all required documents, expect a decision within 7 to 10 business days. If approved, your Zejula will be shipped directly to your home address — you do not need to pick it up at a pharmacy or your doctor's office. Make sure someone is available to receive the shipment, as specialty medications may require a signature.
Your approval is not permanent. The GSK For You Patient Assistance Program requires annual reauthorization, meaning you will need to reapply and reconfirm your eligibility once per year. GSK or the program coordinator will typically notify you and your provider when it is time to renew. Plan ahead so you do not experience a gap in your medication supply.
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Alternatives If You Don't Qualify
If you do not qualify for the patient assistance program, you still have options worth exploring:
1. Biosimilars: There are currently no FDA-approved biosimilar or generic versions of Zejula (niraparib). This means alternative versions of this specific drug are not yet available.
2. Manufacturer co-pay savings card: If you have commercial (private) insurance, GSK offers a savings card that may significantly reduce your out-of-pocket costs. You can enroll at https://www.zejula.com/patient-savings.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own drug assistance programs, particularly for Medicare beneficiaries. Eligibility and benefits vary by state. Contact your State Health Insurance Assistance Program (SHIP) or your state's department of health to learn what is available where you live.
4. NeedyMeds.org: This free, independent database lists hundreds of patient assistance programs, co-pay programs, and disease-specific funds. Visit www.needymeds.org to search by drug name or condition.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by GlaxoSmithKline. Program terms may change — verify current requirements at [https://www.zejula.com/support](https://www.zejula.com/support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
GlaxoSmithKline offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Yes. Unlike many manufacturer assistance programs that exclude Medicare patients, the GSK For You Patient Assistance Program does allow Medicare Part D enrollees to apply, provided they meet the income and other eligibility requirements. Call (866) 728-4368 to confirm your specific situation before applying.
Once your application is reviewed and approved — a process that typically takes 7 to 10 business days — your medication will be shipped directly to your home. Shipping time may add a few additional days, so it is important to apply as early as possible and not wait until you run out of medication.
If your income is above the listed thresholds, you may not qualify for the free medication program. However, you should still contact GSK directly at (866) 728-4368 or visit https://www.gskforyou.com/ to discuss your situation. If you have commercial insurance, the Zejula co-pay savings card at https://www.zejula.com/patient-savings may help reduce your costs instead.
Yes. The GSK For You Patient Assistance Program requires annual reauthorization. You and your healthcare provider will need to reconfirm your eligibility once per year to continue receiving Zejula through the program. GSK typically sends reminders when it is time to renew, but it is a good idea to keep track of your renewal date yourself to avoid any gaps in coverage.
Yes. Many healthcare providers and their office staff are familiar with patient assistance programs and can help complete and submit the application on your behalf. Your provider must sign both the prescription and the application form regardless of who submits it, so involving their office early in the process is highly recommended.
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