ViiV Healthcare Medicines

ViiVConnect is available to help you with questions on our ViiVConnect Savings Card, our Patient Assistance Program, or other topics relating to paying for your prescribed ViiV Healthcare medications.

 
ViiVConnect Savings Card*

With this program, eligible patients may pay as little as $0 co-pay per fill on eligible ViiV Healthcare medications as listed below.

Patient Assistance Program (PAP)*

This program offers ViiV Healthcare medicines at no cost to patients who qualify.

JULUCA (dolutegravir and rilpivirine)
ViiVConnect Savings Card*

Tablets 50 mg/25 mg

Up to $6250 per year
with no monthly limit

Patient Assistance Program (PAP)*

Tablets 50 mg/25 mg

LEXIVA (fosamprenavir calcium)
ViiVConnect Savings Card*

Tablets 700 mg

Oral Suspension 50 mg/mL

Up to $4800 per year
with no monthly limit

Patient Assistance Program (PAP)*

Tablets 700 mg

Oral Suspension 50 mg/mL

RESCRIPTOR (delavirdine mesylate)
ViiVConnect Savings Card*

Tablets 200 mg

Up to $4800 per year
with no monthly limit

ViiVConnect Savings Card*



Injection, for Intravenous Use 10 mg/20 mL

Up to $4800 per year
with no monthly limit

Patient Assistance Program (PAP)*

Capsules 100 mg

Syrup 10 mg/mL

Injection, for Intravenous Use 10 mg/20 mL

SELZENTRY (maraviroc)
ViiVConnect Savings Card*

Tablets 25 mg

Tablets 75 mg

Tablets 150 mg

Tablets 300 mg

Oral Solution 20 mg/mL

Up to $4800 per year
with no monthly limit

Patient Assistance Program (PAP)*

Tablets 25 mg

Tablets 75 mg

Tablets 150 mg

Tablets 300 mg

Oral Solution 20 mg/mL

TIVICAY (dolutegravir)
ViiVConnect Savings Card*

Tablets 10 mg

Tablets 25 mg

Tablets 50 mg

Up to $5000 per year
with no monthly limit

Patient Assistance Program (PAP)*

Tablets 10 mg

Tablets 25 mg

Tablets 50 mg

TRIUMEQ (abacavir, dolutegravir,
and lamivudine)
ViiVConnect Savings Card*

Tablets

600 mg/​50 mg/​300 mg

Up to $7500 per year
with no monthly limit

Patient Assistance Program (PAP)*

Tablets

600 mg/​50 mg/​300 mg

TRIZIVIR (abacavir, lamivudine, and zidovudine)
ViiVConnect Savings Card*

Tablets

300 mg/​150 mg/​300 mg

Up to $4800 per year
with no monthly limit

Patient Assistance Program (PAP)*

Tablets

300 mg/​150 mg/​300 mg

VIRACEPT (nelfinavir mesylate)
ViiVConnect Savings Card*

Tablets 250 mg

Tablets 625 mg

Up to $4800 per year
with no monthly limit

Patient Assistance Program (PAP)*

Tablets 250 mg

Tablets 625 mg

ViiVConnect Savings Card*


Oral Solution 20 mg/mL

Up to $4800 per year
with no monthly limit

Patient Assistance Program (PAP)*

Tablets 300 mg

Oral Solution 20 mg/mL

*Subject to eligibility, program terms and conditions.

Total savings not to exceed $7500 per year. Restrictions apply. Offer limited to 1 per person.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.