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CABENUVA (cabotegravir 200 mg/mL; rilpivirine 300 mg/mL) extended-release injectable suspensions
ViiVConnect helps healthcare providers and patients get started with prescribed CABENUVA. We have programs for insured, underinsured, and uninsured patients.

Photography is being used for illustrative purposes only. Stock photo. Posed by model.

For Healthcare Providers
When CABENUVA has been prescribed, healthcare providers may take the initial step to enroll patients in ViiVConnect to help them get their prescribed ViiV Healthcare medicines. Once the enrollment process has been initiated, a ViiVConnect Access Coordinator may contact you. Note: Enrollment in ViiVConnect is not required to access prescribed CABENUVA.

HOW TO ENROLL IN ViiVCONNECT

Complete, Sign, and Submit the CABENUVA Enrollment Form

To enroll patients in ViiVConnect, complete and submit the CABENUVA Enrollment Form. Use the ViiVConnect Portal to submit the CABENUVA Enrollment Form or submit a downloadable form if you prefer to fax the enrollment form to ViiVConnect. Fax enrollment forms to 1-844-208-7676. 

For guidance, an annotated version of the enrollment form is available to assist you.

To enroll patients for ViiVConnect, complete and submit the CABENUVA Enrollment Form. Use the ViiVConnect Portal to submit the CABENUVA Enrollment Form or submit a downloadable form if you prefer to fax the enrollment form to ViiVConnect. Fax enrollment forms to 1-844-208-7676.

 

For guidance, an annotated version of the enrollment form is available to assist you.

Enroll patients online

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DOWNLOAD CABENUVA ENROLLMENT FORM

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View Annotated CABENUVA Enrollment form

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For assistance, please call to speak live with an Access Coordinator at 1-844-588-3288 (toll free), or access secure click-to-chat messaging on the ViiVConnect Portal, Monday - Friday, 8AM - 11PM (ET).

Connect to Services and Support

Once the enrollment form has been received, an Access Coordinator will contact you to review patient benefits and program eligibility for prescribed ViiV medicine, offer prior authorization support, and schedule delivery of medication.

Once the enrollment form has been received, an Access Coordinator may contact you to review patient benefits and program eligibility for prescribed ViiV medicine, offer prior authorization support, and schedule delivery of medication.

Acquisition Guide

Once the enrollment form has been processed, ViiVConnect may contact providers and patients to confirm patient eligibility for ViiVConnect programs and schedule shipment of medication. Providers can choose one of two pathways to obtain medication from ViiV Healthcare: ordering through select specialty pharmacies or ordering through a specialty distributor using the Buy and Bill method.*

Specialty Pharmacies (SPs)

ViiV Healthcare has partnered with several SPs in the US that are experienced with injectable medications and are ready to handle CABENUVA. Practices using SPs will have injectable suspension dosing kits shipped to their office. Patients pay any drug-related copays or coinsurance directly to the SP.

Buy and Bill

Practices can also choose to purchase CABENUVA directly from a Specialty Distributor and store the medication on their premises until it's prescribed and administered. Buy and Bill allows practices to manage the entire acquisition process, including submitting reimbursement claims. Patients pay copays or coinsurance to their healthcare provider.

Download Specialty Pharmacy/ Distributor Card

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DOWNLOAD THE ACQUISITION GUIDE 

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*For patients enrolled in the Patient Assistance Program (PAP), ViiVConnect will schedule shipments of injectable medications and providers will not need to choose an acquisition method.

Reimbursement

ViiVConnect provides one-on-one Access Coordinator assistance and resources to help healthcare practices file accurate reimbursement and access claims. Find detailed information in the reimbursement resources below, or connect with an Access Coordinator for answers to questions regarding reimbursement for extended-release injectable suspensions.

DOWNLOAD THE REIMBURSEMENT GUIDE 

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DOWNLOAD THE BILLING AND
CODING GUIDE

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ViiVConnect Programs

ViiVConnect has programs for eligible patients who are insured, underinsured, and uninsured.

The CABENUVA Patient Savings Programs† help eligible, enrolled patients with their out-of-pocket costs for prescribed CABENUVA.

SEE HOW TO GET STARTED

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The Patient Assistance Program† (PAP) offers our medicines at no cost to patients who qualify.

LEARN MORE ABOUT PAP

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†Subject to eligibility, program terms and conditions. ViiVConnect programs do not constitute health insurance.

For Patients
Patients may enroll in ViiVConnect when CABENUVA has been prescribed. Once patients fill out the CABENUVA Enrollment Form with their provider and the provider submits the form to ViiVConnect, an Access Coordinator can help patients navigate the insurance process for prescribed ViiV medicine and connect eligible patients to ViiVConnect program support. Note: Enrollment in ViiVConnect is not required to access prescribed CABENUVA.

HOW TO ENROLL IN ViiVCONNECT

Complete and sign the CABENUVA Enrollment Form with your healthcare provider to connect with an Access Coordinator and see if you are eligible to save on prescribed medication from ViiV Healthcare. 

Once you’re enrolled, an Access Coordinator can verify your insurance coverage for prescribed ViiV medicine, determine your eligibility for ViiVConnect programs, and answer any questions you have about getting started with CABENUVA.

A patient signature is required to enroll in ViiVConnect programs. If you are unable to manually sign, use this link to authorize an electronic signature if an enrollment form was submitted previously without one.

ADD PATIENT eSIGNATURE

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Patient Assistance Program

Model representation. Not actual patients.

Patient Assistance Program† offers our medicines at no cost to patients who qualify. If you don’t have insurance and need help paying for your prescribed ViiV Healthcare medications, fill out the Patient Assistance Program (PAP) section when you complete the CABENUVA Enrollment Form. Eligibility will be determined thereafter.

LEARN MORE ABOUT PAP

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†Subject to eligibility, program terms and conditions. ViiVConnect programs do not constitute health insurance.

CABENUVA Patient Savings Programs

The CABENUVA Patient Savings Programs† can help eligible patients with out-of-pocket costs for CABENUVA, including deductibles and prescription drug copays or coinsurance.

SEE HOW TO GET STARTED

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†Subject to eligibility, program terms and conditions. ViiVConnect programs do not constitute health insurance.

NEED HELP? TALK ONE-ON-ONE LIVE WITH OUR ACCESS COORDINATORS   
1-844-588-3288 (toll free)

We have programs for eligible patients who are insured, underinsured, and uninsured. 
Monday - Friday, 8AM - 11PM (ET).
Multilingual options available.

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