CABENUVA (cabotegravir 200 mg/mL; rilpivirine 300 mg/mL) EXTENDED-RELEASE INJECTABLE SUSPENSIONS: PATIENT SAVINGS PROGRAMS*

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For commercially insured patients prescribed CABENUVA

The CABENUVA Patient Savings Programs* help eligible, enrolled patients with their out-of-pocket costs for prescribed CABENUVA.
The programs offer up to $13,000 in assistance for eligible patients for up to 12 months.

The CABENUVA Patient Savings Programs are for eligible patients to assist with certain out-of-pocket costs for prescribed CABENUVA, including:

  • Deductibles
  • Prescription drug co-pays or coinsurance

The CABENUVA Patient Savings Programs cannot cover doctor’s fees for office visits.

Eligibility for CABENUVA Patient Savings Programs

If approved, patients could pay as little as $0 for CABENUVA.

Patients may be eligible if:

  • They have a commercial insurance plan that provides coverage for CABENUVA under either the medical or pharmacy benefit, and 
  • They are a resident of the US (including the District of Columbia and Puerto Rico)

Patients are not eligible if: 

  • They are enrolled in a state or federal government-funded medical or prescription insurance plan such as Medicare, Medicaid, VA, or TRICARE

CABENUVA Patient Savings Programs are card-free

Patients will not receive a physical card. Patient Savings Programs numbers will be stored on a virtual card and sent directly to any provider who needs them. Numbers can also be accessed, if needed, by calling ViiVConnect at 1-844-588-3288 (toll free).

CABENUVA Patient Savings Programs are subject to eligibility and are not health insurance.

CABENUVA Patient Savings Programs help eligible enrolled patients with their out-of-pocket costs for CABENUVA for up to $13,000 for up to 12 months. Medicare-eligible patients and patients enrolled in government-funded programs are not eligible for CABENUVA Patient Savings Programs. Patients must submit a CABENUVA Enrollment Form so their eligibility can be determined.

How to get started

For Healthcare Providers

ViiVConnect enrollment is the first step to finding patient savings programs for which your patient may be eligible. Once the patient is enrolled, a ViiVConnect Access Coordinator can inform you and/or your patient of their eligibility.

How to use the CABENUVA Patient Savings Programs for commercially insured patients

The process of using the CABENUVA Patient Savings Programs will depend on whether CABENUVA is acquired through a specialty pharmacy in the CABENUVA network or through Buy and Bill.

When using specialty pharmacy

  • ViiVConnect will send your patient’s program numbers directly to the specialty pharmacy for CABENUVA
  • The specialty pharmacy will process the prescription through the patient’s insurance and apply their CABENUVA Patient Savings Programs assistance to their portion of the costs

When using Buy and Bill

  • The CABENUVA Patient Savings Programs can help your eligible, enrolled patients with certain costs for CABENUVA
  • An Explanation of Benefits (EOB) must be submitted to the program for each date of service
  • ViiVConnect will review the EOB, and if it meets the criteria for payment, a check will be sent to your patient
  • Make sure your patient understands that they will receive a check that they should use for their costs for CABENUVA
  • It is your responsibility to collect payment from your patient

For Patients

To find out if you are eligible for the CABENUVA Patient Savings Programs, talk to your doctor and get enrolled in ViiVConnect.

If your CABENUVA is ordered through a specialty pharmacy:

  • ViiVConnect will provide you and your specialty pharmacy with your CABENUVA Patient Savings Programs numbers
  • The specialty pharmacy will process the prescription through your insurance and apply your CABENUVA Patient Savings Programs assistance to your portion of the costs
    • If the specialty pharmacy does not have the CABENUVA Patient Savings Programs numbers available, you may provide them with the numbers over the phone

If your doctor does not order CABENUVA through a specialty pharmacy:

  • You will need to submit documentation of your costs for CABENUVA to ViiVConnect
  • ViiVConnect will send you a letter with detailed instructions on how to complete this process. Please carefully follow the instructions in your letter

If your pharmacy does not participate in ViiVConnect Patient Savings Programs, you may still be eligible for savings.

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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