Get ViiVConnect Patient Enrollment/Authorization Form 2023-2024

What is CABENUVA? CABENUVA is a complete prescription regimen used to treat HIV-1 infection in people 12 years and older who weigh at least 77 lbs (35 kg), to replace their current HIV-1 medicines when their healthcare provider determines they meet certain requirements.

CABENUVA Savings Program helps eligible enrolled patients with their out-of-pocket costs for CABENUVA for up to $13,000 every calendar year. Medicare-eligible patients and patients enrolled in government-funded programs are not eligible for the CABENUVA Savings Program.

What Is ViiVConnect? ViiVConnect provides comprehensive information to help healthcare professionals, pharmacists, patient representatives, and patients explore ways to access prescribed ViiV Healthcare medications.

CABENUVA may be covered under Medicare Parts B, C, or D, depending on your Medicare plan. With Medicare Part B, you may be responsible for 20% of the Medicare-approved amount. Secondary payers often help cover this coinsurance payment.

CABENUVA is used to treat Human Immunodeficiency Virus (HIV) infection in adults aged 18 years and over. CABENUVA does not cure HIV infection; it keeps the amount of virus in your body at a low level. This helps maintain the number of CD4+ cells in your blood.

To get started, call ViiVConnect.com now at 1-844-588-3288 (toll-free), Monday-Friday, 8AM-11PM (ET) or visit ViiVConnect.com.

Complete, sign, and electronically submit all pages of this form and applicable corresponding documents (including the prescription) through the portal, or fax to 1-844-208-7676 (toll-free). For assistance, please call 1-844-588-3288 (toll-free), Monday through Friday, 8am to 11pm (et).

The bottom line Apretude is an injectable medication that you receive every 2 months to help prevent HIV. Cabenuva is a combination medication that's used for HIV treatment, and it consists of two back-to-back injections on the same day every 1 to 2 months.