Cabenuva

Indicated For

HIV-1 infection

About This Medication

# ViiV Healthcare Patient Assistance Program: How to Get CABENUVA at Low or No Cost ## About CABENUVA CABENUVA (cabotegravir; rilpivirine) is a complete prescription regimen used to treat HIV-1 infection in people 12 years and older who weigh at least 35 kg (77 lbs)[8]. Unlike daily pills, CABENUVA is administered as injections, typically given at a healthcare provider's office or clinic. The ViiV Healthcare Patient Assistance Program helps eligible patients access this medication at reduced or no cost, removing financial barriers to treatment. ## Who Qualifies for This Program You may be eligible for the ViiV Healthcare Patient Assistance Program if you meet these criteria[7]: - You reside in one of the 50 U.S. states, the District of Columbia, or Puerto Rico - Your household income is at or below 500% of the federal poverty level (FPL) - You are uninsured, underinsured, or have Medicare Part A, B, D, or Medicare Advantage - You are not currently enrolled in Medicaid, ADAP (AIDS Drug Assistance Program), or other federal/state government health plans (except Medicare) - You are not enrolled in an Alternate Funding Program ## Income Eligibility The program serves patients with household incomes up to **500% of the federal poverty level**[9]. For reference, here are 2026 federal poverty level guidelines: | Household Size | 100% FPL | 500% FPL | |---|---|---| | 1 person | $15,060 | $75,300 | | 2 people | $20,440 | $102,200 | | 3 people | $25,820 | $129,100 | | 4 people | $31,200 | $156,000 | If your income exceeds these thresholds, you may still qualify for other assistance programs. Contact ViiVConnect to explore additional options. ## Insurance Requirements The program is designed for patients in different insurance situations[6]: **Uninsured patients**: You can receive CABENUVA at no cost if you meet income requirements. **Underinsured patients**: If you have insurance but face high out-of-pocket costs, you may qualify for copay assistance up to $13,000 per year, including up to $100 per treatment for administration fees[6]. **Medicare patients**: You may be eligible if you have Medicare Part A, B, D, or Medicare Advantage and meet other program requirements. The program can help cover cost-sharing obligations. **Medicaid patients**: If you are enrolled in Medicaid or state government health plans, you are not eligible for this program. However, your state Medicaid program must cover CABENUVA, and you may qualify for cost-sharing assistance through other programs. ## How to Apply ### Step 1: Gather Required Documents Before starting your application, collect the following[3]: - Completed CABENUVA Enrollment Form (available from ViiVConnect) - Valid prescription for CABENUVA from your healthcare provider - Proof of residency (utility bill, lease, or government ID) - Proof of income (recent tax return, pay stubs, or benefit statements) - Insurance information (if applicable) - Member Benefit ID (MBI) if you have Medicare ### Step 2: Complete the Enrollment Form The CABENUVA Enrollment Form collects information about your: - Medical history and HIV diagnosis - Household income and family size - Current insurance coverage - Healthcare provider details Your healthcare provider's signature is required on the form. ### Step 3: Submit Your Application You have multiple options for submitting your completed application[4]: - **Online**: Upload your form and documents to the ViiVConnect Provider Portal at ViiVConnectPortal.com - **By fax**: Send to 844-208-7676 - **By phone**: Call ViiVConnect at 844-588-3288 (toll-free) Monday through Friday, 8 AM to 11 PM ET to speak with a live Access Coordinator ### Step 4: Verification and Approval ViiVConnect will verify your eligibility, including: - Income verification against federal poverty guidelines - Insurance coverage status - Residency confirmation - Enrollment status in other assistance programs Once approved, your medication will be shipped to your healthcare provider's office or directly to you via a specialty pharmacy. ## Timeline and Medication Delivery While specific processing times are not published, ViiVConnect aims to process applications efficiently. Once approved, CABENUVA is delivered through a specialty pharmacy network to ensure proper handling and administration support[1]. Your healthcare provider will coordinate with the specialty pharmacy to schedule your injections. You may receive your first dose as a starter sample while your application is being processed[2]. ## Copay Assistance and Additional Savings Even if you have insurance, you may qualify for additional savings[1]: - **ViiVConnect Copay Program**: You could pay as little as a $0 copay per injection - **Copay Assistance**: Up to $13,000 per year in cost-sharing assistance for insured patients - **Administration Fee Assistance**: Up to $100 per treatment to help cover injection administration costs Visit viivsavingsprogram.com or call 844-588-3288 to check your eligibility. ## What If Your Application Is Denied If you are denied assistance, you have options[1]: - **Contact a Case Manager**: Reach out to your local AIDS Service Organization (ASO) or Community-Based Organization (CBO) for additional support - **Explore ADAP**: The Ryan White HIV/AIDS Drug Assistance Program (ADAP) may cover CABENUVA if you don't qualify for ViiV's program - **Appeal**: Ask ViiVConnect about the appeals process if your circumstances have changed - **Alternative Programs**: ViiVConnect can help you explore other insurance coverage options ## Reauthorization and Ongoing Support Your assistance may require periodic reauthorization to confirm continued eligibility. ViiVConnect will contact you when reauthorization is needed. Keep your income and insurance information current to avoid interruptions in your medication supply. ## Important Disclaimer This guide provides general information about the ViiV Healthcare Patient Assistance Program as of March 2026. Program eligibility, benefits, and requirements may change. For the most current and accurate information, contact ViiVConnect directly at 844-588-3288 or visit ViiVConnectPortal.com. Always work with your healthcare provider and the program coordinator to ensure you receive the most appropriate assistance for your situation.

Program information last verified: March 30, 2026