Free Information Kit

Request Yours Today

With tips, tools, and facts, your Information Kit can help you learn more about living with lupus and treatment with BENLYSTA. Use these educational resources as you and your doctor consider adding BENLYSTA to your current lupus treatment.

Simply fill in the information below to request your own Information Kit. We'll send it to you shortly – along with more support and helpful news about BENLYSTA.

Please note that all information is required.

First Name

Last Name

Re-Enter E-Mail Address

Mailing Address




Please tell us a little more about yourself so we can customize the materials we will be sending to you.

Which of the following statements best describes you?

I have been diagnosed with lupus (systemic lupus erythematosus or SLE)

I think I may have lupus

I am a family member or friend of someone diagnosed with lupus

None of the above statements describes me

Have you been prescribed BENLYSTA?


Which form of BENLYSTA did your rheumatologist prescribe?

The self-injected form
The infused form
I'm not sure

When was your first injection of BENLYSTA?

I have not yet had my first injection of BENLYSTA

Please check the box that best describes how you feel about each of the following statements:

Agree nor

"Thinking about injecting myself with BENLYSTA makes me nervous"

"I avoid talking too much about my lupus with family/friends"

"Unless it's important, I just let things go rather than asking my family/friends for help"

How many infusions of BENLYSTA have you already received?

When is your next infusion scheduled?

Thank you for requesting additional information about BENLYSTA. Please click “Submit” below to process your request.

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For additional information regarding how GSK handles your information, please see our privacy statement.