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DOVATO Bridge Program Enrollment Form PATIENT INFORMATION (REQUIRED) First Name:MI:Preferred Phone: ( DOB:/)Last Name:Street:/City:State:ZIP:Sex:q Maleq FemaleINSURANCE INFORMATION INSURED PATIENTS.

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The GSK Patient Assistance Program provides certain GSK medicines at no cost to eligible applicants. Eligibility is based on household income and insurance status. Residents of the United States, District of Columbia, and Puerto Rico may be eligible to receive medicines through this program.

APRETUDE (cabotegravir) Savings Program* The program offers up to $7500 in assistance every calendar year for eligible patients. The APRETUDE Savings Program is for eligible patients to assist with certain out-of-pocket costs for prescribed APRETUDE, including: Deductibles. Prescription drug copays or coinsurance.

The cost for Dovato oral tablet (50 mg-300 mg) is around $2,968 for a supply of 30 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Generic Name: dolutegravir- This lowers your chance of getting HIV complications (such as new infections, cancer) and improves your quality of life. belongs to a class of drugs known as nucleoside reverse transcriptase inhibitors (NRTIs).

About 84% of DOVATO prescriptions cost less than $10 per month. The majority of remaining prescriptions above $10 have an average cost of $32 per month.

Biktarvy has an average rating of 6.9 out of 10 from a total of 179 ratings on Drugs.com. 55% of reviewers reported a positive effect, while 23% reported a negative effect. Dovato has an average rating of 6.0 out of 10 from a total of 33 ratings on Drugs.com.

If you are a part of the Extra Help Program, you can expect to pay between $4 and $9 per month. If you are unsure whether you qualify for the Extra Help Program and would like more information, click here. The list price of BIKTARVY is $3,795 per month. The list price is not typically the price a patient pays.

DOVATO is indicated for the treatment of HIV-1 in adults and adolescents above 12 years weighing at least 40 kg, with no known or suspected resistance to the integrase inhibitor class, or .

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232