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UNDERSTAND

COSTS & COVERAGE

After coverage and assistance options, most people pay $0 per dose. In fact, 9 out of 10 people pay less than $10 out of pocket per dose.

Individuals may be responsible for varying out-of-pocket costs based on an individual’s plan and its benefits design. Additional costs may be incurred for product administration. Based on December 2024 to November 2025 data only from Specialty Pharmacies.

Select your coverage type:

  • I have commercial insurance
    • Unlike daily HIV pills, which may be covered by your pharmacy benefits, CABENUVA may also be covered* by your medical benefits
      • Make sure you check both and ask your providers to verify your benefits for both types of coverage
      • Remember: Have both your pharmacy and your medical benefit cards handy at your next doctor’s appointment
    • Check if an Alternative Site of Care (ASOC) is an option for you:
      • If your insurance doesn’t cover CABENUVA when administered at your doctor’s office, ask if your insurance covers CABENUVA when administered at an ASOC
        Learn more about this
    • In addition to your insurance, check the ViiVConnect Copay Program†
      • You could pay as little as a $0 copay for prescribed CABENUVA. (A copay is the out-of-pocket amount you will pay based on insurance coverage. If you’re eligible, be sure to give your copay Savings Program details to your healthcare provider and/or Specialty Pharmacy.)
        See if you’re eligible
    • Additional Support:
      • You may also qualify for additional support for your prescription. Check ViiVConnect.com or call 1-844-588-3288 (toll-free) today to find out

    *Covered means any potential for reimbursement from a health plan and may include step edits, prior authorizations and other restrictions. Consumers may be responsible for varying out-of-pocket costs based on an individual’s plan and its benefits design.

    †Subject to eligibility and program terms and conditions. The ViiVConnect Copay Program does not constitute health insurance. Restrictions apply.

  • I have Medicare or Medicaid
    • Unlike daily HIV pills, which may be covered by your pharmacy benefits, CABENUVA may also be covered* by your medical benefits.
      • Make sure you check both and ask your providers to verify your benefits for both types of coverage
      • Remember: Have both your pharmacy and your medical benefit cards handy at your next doctor’s appointment
    • Check if an Alternative Site of Care (ASOC) is an option for you:
      • If your insurance doesn’t cover CABENUVA when administered at your doctor’s office, ask if your insurance covers CABENUVA when administered at an ASOC
        Learn more about this
    • Additional Support:
      • You may also qualify for additional support for your prescription. Check ViiVConnect.com or call 1-844-588-3288 (toll-free) today to find out

    *Covered means any potential for reimbursement from a health plan and may include step edits, prior authorizations and other restrictions. Consumers may be responsible for varying out-of-pocket costs based on an individual’s plan and its benefits design.

  • I am uninsured
    • Even if you are uninsured, ViiVConnect is committed to helping you explore ways to afford your prescribed CABENUVA. Call ViiVConnect at 1-844-588-3288 to talk one-on-one with a live coordinator or visit ViiVConnect.com to learn more
    • You can also contact a Case Manager at your local ASO/CBO for assistance and look into the Ryan White HIV/AIDS Drug Assistance Program or ADAP, among others

    ASO=AIDS Service Organization
    CBO=Community-Based Organization

ASOCs

ALTERNATIVE SITES OF CARE

HELPFUL

RESOURCES

Patient brochure

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