ViiV Healthcare Patient Assistance Program (PAP)*

ViiV Healthcare PAP offers our medicines at no cost to patients who qualify.

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Eligibility

You might be eligible for the ViiV Healthcare PAP for CABENUVA (cabotegravir; rilpivirine) if:

  • You reside in one of the 50 states, the District of Columbia, or Puerto Rico
  • You are uninsured
  • You meet financial income eligibility criteria
  • You have Medicare Part A, B, D or Medicare Advantage and meet other program requirements
  • You have private commercial insurance but no medical nor pharmacy coverage for any HIV treatment
  • You are not enrolled in AIDS Drug Assistance Program (ADAP)
  • You are not enrolled in an Alternate Funding Program (details below)
  • You are not enrolled in Medicaid or Puerto Rico Government Health Plan (Reform, Mi Salud), or in any other federal or state government funded health plan, except Medicare

You must also meet certain income eligibility requirements as outlined below:

Patients whose income exceeds program eligibility maximum will be provided the opportunity to demonstrate that their eligible medical expenses bring them within the income eligibility criteria (please contact program for details).

48 States and DC
Household SizeMaximum Annual Gross Income
1$60,240
2$81,760
3$103,280
4$124,800
For each additional person, add$21,520
Calculate your annual income limit if you have more than 4 people living in your household, including yourself.
Alaska
Household SizeMaximum Annual Gross Income
1$75,240
2$102,160
3$129,080
4$156,000
For each additional person, add$26,920
Calculate your annual income limit if you have more than 4 people living in your household, including yourself.
Hawaii
Household SizeMaximum Annual Gross Income
1$69,240
2$94,000
3$118,760
4$143,520
For each additional person, add$24,760
Calculate your annual income limit if you have more than 4 people living in your household, including yourself.
Puerto Rico
Household SizeMaximum Annual Gross Income
1$48,000
2$60,000
3$72,000
4$84,000
For each additional person, add$12,000
Calculate your annual income limit if you have more than 4 people living in your household, including yourself.
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Enrollment

For healthcare professionals only

  1. Complete the applicable enrollment form below based on the prescribed medicine:
  2. Sign the form
    • Both the patient and the provider must sign and date the form
  3. Follow the instructions on the downloadable enrollment form to submit by fax or mail.
Phone icon

For more information on this program

Please call the ViiV Healthcare Patient Assistance Program at 1-844-588-3288.

Toll free. Monday through Friday, 8 AM to 8 PM (ET).

Language options are available.

  • *

    Subject to eligibility, program terms, and conditions, which are subject to change. Programs do not constitute health insurance.

  • Any application for a patient under the age of 18 must be signed by the patient’s parent or legal guardian.

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Have private insurance?

See access and copay assistance programs.

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Have questions about patient assistance?

Please take a look at our FAQs.

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Prescription refills

For APRETUDE (cabotegravir) and CABENUVA (cabotegravir; rilpivirine), call 1-844-588-3288. For oral medications, call 1-888-434-8111.