Welcome to the GSK Coupon Activation Site
Thank you for your interest in our coupons. GSK has eligibility requirements for coupons and the following questions should take no more than three (3) minutes to complete.
This program is only available to residents of the United States and US territories, where specified. Individuals who are enrolled in a government program and/or eligible for Medicare are not eligible for coupons. If your insurance changes, you may no longer be eligible
to use this coupon.
To activate your coupon, please answer the following questions:

  • Is the person who will use this coupon enrolled in any state-, federal-, or government-funded medical or prescription benefit program, including but
    not limited to Medicare, Medicaid, Medigap, VA, DOD, Tricare, or CHAMPUS?

  • Are you under 65 years of age?

  • Please enter the 5-digit ZIP code of the person who will use this coupon.

  • Re-enter the 5-digit ZIP code of the person who will use this coupon.

  • Please enter the 9-digit Member ID number from the coupon received

  • Re-enter the 9-digit Member ID number from the coupon received

  • Please enter the 8-digit RxGroup number from the coupon received

  • Re-enter the 8-digit RxGroup number from the coupon received


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