Apretude

Indicated For

HIV PrEP

About This Medication

# ViiV Healthcare Patient Assistance Program Patient Guide: How to Get Apretude (cabotegravir) at Low or No Cost ## About This Program The **ViiV Healthcare Patient Assistance Program (PAP)** helps eligible patients access **Apretude (cabotegravir)**, an injectable HIV prevention medication, at no cost. This program is designed for uninsured patients and those with Medicare who meet specific financial criteria. If you qualify, you can receive your medication shipped directly to your home or healthcare provider's office. ## Who Can Qualify for This Program? You may be eligible for the ViiV Healthcare Patient Assistance Program if you meet ALL of the following requirements: - You reside in one of the 50 U.S. states, the District of Columbia, or Puerto Rico[1] - You are **uninsured**, OR you have Medicare Part A, B, D, or Medicare Advantage and meet additional program requirements[1] - You meet the program's financial income eligibility criteria (see Income Eligibility section below)[1] - You are **not** currently enrolled in AIDS Drug Assistance Program (ADAP)[1] - You are **not** enrolled in Medicaid or any other federal or state government-funded health plan (except Medicare)[1] - You are **not** enrolled in an Alternate Funding Program[1] - You have a medically appropriate diagnosis/condition[6] If you are under 18 years old, your parent or legal guardian must sign your application.[1] ## About Apretude (Cabotegravir) Apretude is an injectable HIV prevention medication administered by healthcare providers. It is used as part of a comprehensive HIV prevention strategy. The ViiV Healthcare Patient Assistance Program can help you access this medication if cost is a barrier to treatment. ## Income Eligibility Requirements To qualify for this program, your household income must be **at or below 500% of the Federal Poverty Level (FPL)**.[6] The specific income limits depend on your household size and state of residence. If your income exceeds the maximum threshold, you may still qualify by demonstrating that your eligible medical expenses bring you within the income eligibility criteria. Contact the program directly to discuss your situation.[5] **Note:** The program uses a sliding scale based on household size. For the most current income thresholds specific to your state and family size, call the program at **1-844-588-3288** (Monday–Friday, 8 AM–8 PM ET).[1] ## Insurance Requirements **Uninsured Patients:** You must have no prescription drug coverage to qualify for the full patient assistance program.[6] **Medicare Patients:** If you have Medicare Part D, you must have spent at least $600 on prescription drugs in the current year to be eligible.[6] Medicare Part A, B, or Medicare Advantage patients may also qualify if they meet other program requirements.[1] **Commercially Insured Patients:** If you have commercial insurance, you may not qualify for the free patient assistance program. However, ViiV Healthcare offers separate **ViiVConnect savings programs** for insured patients that can help reduce your out-of-pocket costs.[2] ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before you apply, collect the following: - A valid prescription for Apretude from your healthcare provider[6] - Proof of income (recent pay stubs, tax returns, or benefit statements)[6] - Proof of residency (utility bill, lease agreement, or government-issued ID)[5] - Information about your current health insurance status (if applicable) ### Step 2: Contact the Program Call the ViiV Healthcare Patient Assistance Program at **1-844-588-3288** to request an application or to enroll by phone.[1] The program is available **Monday through Friday, 8 AM to 8 PM (ET)**. Language options are available.[1] Non-Medicare Part D patients who need medicine urgently can ask their healthcare advocate (anyone involved in their healthcare delivery who is not a family member or friend) to enroll them by phone for faster processing.[6] ### Step 3: Complete the Application You can complete your application in one of these ways: - **By phone:** An Access Coordinator will walk you through the process[3] - **By mail or fax:** Download the Patient Enrollment/Authorization Form from ViiVConnect.com, complete it, and submit it to: - **Email:** info@viivconnectportal.com - **Fax:** 1-844-208-7676[3] Both you and your healthcare provider must sign and date the form.[5] ### Step 4: Submit Proof of Income Attach copies of your proof of income documents to your application.[6] ### Step 5: Wait for Approval After you submit your application, an Access Coordinator may reach out to you within a few days to answer questions and confirm your eligibility.[3] ## Timeline and Medication Delivery **Processing Time:** The program does not specify an exact approval timeline, but Access Coordinators typically contact applicants within a few days of submission.[3] **Medication Supply:** Once approved, you will receive up to a 90-day supply of Apretude.[6] **Delivery Method:** Your medication will be shipped directly to your home or your healthcare provider's office.[6] **Important Note:** Medicare Part D patients must be found eligible through mail or fax application before medication can be shipped. Same-day delivery is not available for Medicare Part D patients.[6] ## What If Your Application Is Denied? If you are denied enrollment in the patient assistance program, ask the program about alternative options: - **ViiVConnect Savings Programs:** If you have commercial insurance, you may qualify for copay assistance or other savings programs[2] - **Other Assistance Programs:** The program can help you research alternative insurance coverage options and refer you to other advocacy resources[3] - **CPAPA (Common Application):** If you are uninsured and HIV-positive with low income, you can use a single common application to apply for multiple assistance programs through different manufacturers[6] Contact the program at **1-844-588-3288** to discuss your options. ## Reauthorization and Refills Your enrollment in the patient assistance program requires **reauthorization**. This means you will need to periodically verify your continued eligibility. The program will contact you when reauthorization is needed. Be prepared to provide updated proof of income and confirm that your circumstances have not changed. ## Important Disclaimers - This program is subject to eligibility requirements, program terms, and conditions, which are subject to change.[1] - Patient assistance and savings programs do not constitute health insurance.[1] - This information is current as of March 2026 but may change. Always verify current eligibility requirements by calling the program directly. - This guide is for informational purposes only and should not replace professional medical or financial advice. ## Questions? For more information or to apply, contact the ViiV Healthcare Patient Assistance Program: **Phone:** 1-844-588-3288 (Toll-free) **Hours:** Monday–Friday, 8 AM–8 PM (ET) **Language Options:** Available **Website:** ViiVConnect.com **Fax:** 1-844-208-7676 **Email:** info@viivconnectportal.com

Program information last verified: March 29, 2026