ViiVConnect Quick Start

ViiVConnect Enrollment Form

Download the enrollment form:

Fax it to:

1-844-208-7676 (toll free)

Mail it to:

ViiVConnect Enrollment
PO Box 220100
Charlotte, NC 28222-0100

Upon receipt of enrollment form, a dedicated Access Coordinator will contact you.

ViiVConnect Portal

For Healthcare Professionals and Patient Representatives:

Enroll patients 24/7 to verify and track coverage with our secure online resource tool.

Learn more about the portal


Welcome to ViiVConnect

About the Portal*

How to Enroll Patients*

*For Healthcare Professionals and Patient Representatives