Enrollment by Mail

For Patients Who Want to Self-Enroll

If you would like to enroll yourself in Bridges to Access, you can do so. Here's how it works:

1. Complete the Application

  • Complete, print, and sign the Bridges to Access enrollment application.
  • For help completing the application, call Bridges to Access at 1-866-PATIENT (1-866-728-4368).

Need Medicine Right Away?

If you need medicine right away, you can be enrolled in Bridges to Access through an Advocate by phone.

2. Gather Income Documentation

3. Mail Your Paperwork to Bridges to Access

  • Send your completed and signed application, income documentation, and prescription(s) for your GlaxoSmithKline medicines to:
    Bridges to Access
     P.O. Box 29038
     Phoenix , AZ 85038-9038
  • Once your application is received and processed, you will receive a letter that lets you know whether or not you have been enrolled in Bridges to Access.

How to Re-enroll

For details on how to re-enroll in Bridges to Access, click here.

How to Receive Medication

To find out how to receive medication and refills, click here.

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