Rukobia

Indicated For

HIV-1 infection in treatment-experienced adults with multidrug-resistant virus

About This Medication

# ViiVConnect Patient Assistance Program Guide: Getting Rukobia at Low Cost ## Overview Rukobia (fostemsavir tromethamine) is a prescription medication for HIV-1 infection in treatment-experienced adults with multidrug-resistant virus. If you struggle to afford this medication, the ViiVConnect Patient Assistance Program can help you access it at reduced or no cost. ## Who Can Apply? You may qualify for assistance if you are: - A U.S. resident with a valid prescription for Rukobia - Uninsured, underinsured, or on Medicare/Medicaid - Commercially insured but with high out-of-pocket costs - Below the program's income limit (which varies by household size) ## Income Eligibility Income limits vary depending on your household size and family status. The ViiVConnect program uses flexible guidelines—contact them at **(844) 588-3288** to confirm your specific eligibility based on your income. Generally, if your annual household income falls within 200-400% of the federal poverty level, you have a reasonable chance of qualifying. Don't assume you're ineligible without checking first. ## Insurance Coverage The program works with: - **Uninsured patients**: Full assistance available - **Underinsured patients**: Help with copays and deductibles - **Medicare beneficiaries**: Assistance with Part D copays - **Medicaid beneficiaries**: Support with state-specific coverage gaps - **Commercially insured patients**: Copay assistance and coinsurance support Your existing insurance will be verified during the application process. If you have insurance, the program typically works alongside your plan rather than replacing it. ## What You'll Need Before applying, gather these documents: 1. **Proof of income**: Recent tax return, pay stubs, W-2 form, or Social Security statement 2. **Valid prescription**: From your healthcare provider for Rukobia 3. **Insurance information** (if applicable): Insurance card or policy number 4. **Proof of residency**: Utility bill or lease agreement (optional but helpful) Having these ready speeds up your application process. ## How to Apply **Step 1: Contact the Program** Call ViiVConnect at **(844) 588-3288** or visit **https://www.viivconnect.com/patient/orals/**. You can apply online, by phone, or through your healthcare provider. **Step 2: Complete Your Application** Provide basic information about your household, income, and insurance status. Be honest and thorough—incomplete applications may be delayed. **Step 3: Submit Documentation** Send your income proof and prescription. You can mail, fax, or upload documents online through the portal. **Step 4: Receive Your Benefits** Once approved, you'll receive assistance instructions. Many patients get their medication within 1-2 weeks of approval. ## Savings Card Option The ViiVConnect program also offers a **savings card** for eligible patients. This card can reduce your out-of-pocket costs when filling prescriptions at participating pharmacies, even if you don't qualify for full assistance. Ask about this option during your application. ## Timeline - **Application processing**: 5-10 business days (longer if documents are missing) - **Initial approval**: You'll receive written confirmation - **First medication delivery**: Usually within 1-2 weeks after approval - **Ongoing refills**: Automatic once enrolled, typically monthly ## Annual Reauthorization Your assistance is valid for **one year**. You'll need to reapply annually to continue receiving benefits. ViiVConnect will remind you when reauthorization is due. ## What Happens Next? Once approved, your medication will be delivered to your home or your pharmacy, depending on your preference. There are no surprise billing or hidden fees. The program covers the cost difference between what you can afford and the actual medication price. ## Need Help? If you have questions or your application is denied, call **(844) 588-3288** to speak with a patient advocate. They can answer questions about eligibility, help you gather documents, or discuss next steps if assistance is denied. ## Important Notes - This program is free to use—never pay to apply - Your information is confidential and protected - You can apply even while waiting for insurance approval - Assistance is available regardless of immigration status (U.S. residents only) Rukobia can be expensive, but you don't have to pay full price. Take the first step today by calling or visiting the ViiVConnect website.

Program information last verified: March 25, 2026