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Cabenuva

Generic: cabotegravir; rilpivirine

Manufacturer: ViiV Healthcare  ·  Program: ViiV Healthcare Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured or underinsured patients who qualify

Residency

US resident

Individual Income Limit

$60,000/year

For each additional person, add $12,000. 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.

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to patient

Application Method

Phone

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • proof of income
  • proof of residency
  • prescription

Indicated For

HIV-1 infection

About This Medication

# ViiV Healthcare Patient Assistance Program Guide: How to Get Cabenuva at Low or No Cost ## About This Program If you've been prescribed Cabenuva (cabotegravir and rilpivirine) to treat HIV-1 infection but are concerned about the cost, the ViiV Healthcare Patient Assistance Program may be able to help. This program provides Cabenuva at no cost or reduced cost to eligible patients who cannot afford their medication. ## What is Cabenuva? Cabenuva is a prescription injection medication used to treat HIV-1 infection in adults. It combines two active ingredients: - **Cabotegravir**: an integrase strand transfer inhibitor (INSTI) - **Rilpivirine**: a non-nucleoside reverse transcriptase inhibitor (NNRTI) Unlike daily pills, Cabenuva is given as an injection once a month (after a starting dose period), making it easier for many patients to stay on their treatment plan. ## Who Qualifies? You may qualify for the ViiV Healthcare Patient Assistance Program if you meet these criteria: - You have a valid prescription for Cabenuva from your doctor - You are a U.S. resident - You are uninsured or underinsured (have insurance that doesn't adequately cover Cabenuva) - Your household income falls within the program's limits ## Income Eligibility Income limits vary based on your household size. Here are the general guidelines: | Household Size | Maximum Annual Income | |---|---| | 1 person | $60,000 | | 2 people | $80,850 | | 3 people | $101,700 | | 4 people | $122,550 | | 5 people | $143,400 | | 6 people | $164,250 | | 7 people | $185,100 | | 8+ people | $205,950 | **Note:** These income thresholds are estimates and may be adjusted. The program considers your specific financial situation. Even if your income is slightly above these limits, you may still qualify—contact the program to discuss your circumstances. ## Insurance Requirements This program is designed for patients who are: - **Completely uninsured** (no health insurance at all), OR - **Underinsured** (have insurance but it doesn't cover Cabenuva adequately, or your out-of-pocket costs are too high) If you have Medicare or Medicaid, you may still qualify if your coverage doesn't adequately pay for Cabenuva. The program can work alongside your insurance. ## What Documents You'll Need Before calling, gather these items: 1. **Proof of Income**: Recent pay stubs, tax returns, or a letter from your employer showing your income 2. **Proof of Residency**: A utility bill, lease agreement, or government-issued ID showing your current address 3. **Your Prescription**: Have your doctor's Cabenuva prescription ready (your doctor may need to submit additional information) 4. **Insurance Information** (if applicable): Your insurance card details 5. **Identification**: A valid government-issued ID ## Step-by-Step Application Instructions ### Step 1: Call the Program Contact the ViiV Healthcare Patient Assistance Program by phone: **Phone: (844) 588-3288** The program is available during regular business hours. Have all your documents nearby when you call. ### Step 2: Speak with a Representative A program representative will: - Verify your eligibility based on income and insurance status - Explain what documents you need to submit - Answer any questions you have about the program - Explain next steps for your application ### Step 3: Submit Your Documents You'll be instructed on how to submit your required documents. Make sure to include: - Completed application form (the representative will provide this) - Proof of income - Proof of residency - Your valid prescription ### Step 4: Wait for Approval The program typically processes applications within **4-8 weeks**. This timeframe allows them to verify your information and determine your eligibility. ### Step 5: Receive Your Medication Once approved, Cabenuva will be **shipped directly to you** or to your healthcare provider's office, depending on what works best for you. Your shipping is covered by the program. ## Timeline and What to Expect - **Application Call**: Same day or within 1-2 business days - **Document Submission**: Usually due within 10 days of your call - **Processing Time**: 4-8 weeks typical - **Notification**: You'll be contacted when your application is approved or if more information is needed - **Delivery**: Medication ships once approved If your application is taking longer than expected, don't hesitate to call the program to ask for an update. ## Reauthorization This is important: **Your assistance requires annual reauthorization.** This means once a year, you'll need to: - Confirm you still meet the income and insurance requirements - Submit updated proof of income and residency - Provide your current prescription The program will contact you when it's time to reauthorize. Make sure to respond promptly to avoid any gaps in receiving your medication. ## Additional Savings Resources In addition to the patient assistance program, ViiV Healthcare offers: **ViiV Connect Savings Card**: https://www.viivconnect.com/ This savings card may help reduce your out-of-pocket costs if you have insurance. You can use it in addition to your insurance coverage. ## What If Your Application Is Denied? If you don't qualify for the patient assistance program, don't give up. Other options include: - **Talk to your doctor** about treatment alternatives - **Contact your insurance company** to appeal coverage decisions or understand your benefits - **Look into state assistance programs** that may help with HIV medication costs - **Visit NeedyMeds.org** for a comprehensive list of other medication assistance resources - **Call your local health department** for information about community health resources ## Important Notes - Keep the program's phone number handy: **(844) 588-3288** - Be honest about your financial situation—the program is designed to help people who need it - If your financial circumstances change during the year, contact the program to update your information - Never stop taking Cabenuva without talking to your doctor first - The program staff are trained to help—don't be shy about asking questions ## Legal Disclaimer This guide is for informational purposes only and is not a substitute for official program information. Program eligibility requirements, income limits, and application procedures are subject to change. For the most current and accurate information, please contact the ViiV Healthcare Patient Assistance Program directly at **(844) 588-3288** or visit **https://gskpaf.org/viiv/prescription-medicine-patient-assistance/cabenuva/**. Always follow your healthcare provider's instructions regarding your medication.

Program information last verified: March 25, 2026

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