ORALS
ViiVConnect financial assistance options for your patients
ViiVConnect Copay Program*†
Eligible patients could pay as little as $0 copay for their oral medication‡
Visit the ViiVConnect Copay Program site to check your patient's eligibility and to help them request a card.
If a patient paid out of pocket for an eligible, prescribed ViiV Healthcare medication(s) and did not use the ViiVConnect Copay Program, they can use this form to request reimbursement.
eVoucherRx™
At participating pharmacies, an eVoucher will be automatically applied to qualifying claims without the need for patients to apply for savings cards or coupons. The eVoucherRx™ program is operated by CoverMyMeds®.
ViiV Healthcare Patient Assistance Program (PAP)*§
ViiV Healthcare PAP offers our medications at no cost to patients who qualify
For eligibility criteria, visit viivpap.org or call a ViiV Healthcare Patient Assistance Program representative at 1-844-588-3288, toll free. Monday–Friday, 8 am–8 pm (ET). Language options are available.
Request immediate access to an oral medication for your patient
Patients who are uninsured and require urgent access to a ViiV Healthcare oral medication may qualify for a presumptive fill at no cost.¶ ViiVConnect Access Coordinators can assist in determining eligibility, and if approved, the prescription can be picked up at a retail pharmacy.#
*All ViiV Healthcare patient assistance and savings programs are subject to program-specific eligibility and terms and conditions. Savings and assistance programs do not constitute health insurance.
†The ViiVConnect Copay Program is subject to patient and prescription eligibility and is not health insurance. Read the full Eligibility Requirements and Restrictions.
‡The ViiVConnect Copay Program helps eligible, enrolled consumers with their out-of-pocket costs.
§The ViiV Healthcare Patient Assistance Program is operated by the GSK Patient Access Programs Foundation, an independent, non-profit organization separate from ViiV Healthcare.
¶Terms and conditions apply.
#Patients who are uninsured may receive three 30-day supplies in their lifetime.