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viiv patient assistance application

by Mr. Blaze Swift Published 2 years ago Updated 1 year ago
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What is the ViiV Healthcare Patient Assistance Program?

The ViiV Healthcare Patient Assistance Program offers prescribed ViiV Healthcare medications at no cost to patients who qualify.* Subject to eligibility and program terms and conditions; ViiVConnect programs do not constitute health insurance. Models, not actual patients.

How can I save on my ViiV Healthcare medications?

We offer a variety of programs to help eligible patients save on prescribed ViiV Healthcare medications. Check your eligibility by answering the questions below, or speak with an Access Coordinator about savings or assistance programs that may be available by calling 1-844-588-3288 (toll free). Subject to eligibility, program terms, and conditions.

What is patient enrollment form viivconnect?

Patient Enrollment Form ViiVConnect is an assistance program that provides access to ViiV Healthcare medicines to eligible patients. Completion of this form can assist with information on coverage and access. There are 3 ways to enroll a patient:

How do I contact a ViiV Healthcare Access Coordinator?

You can reach an Access Coordinator by calling 1-844-588-3288 (toll-free) Monday-Friday, 8AM-11PM (ET). With the ViiVConnect Savings Card, eligible patients may pay as little as $0 copay per fill on select prescribed ViiV Healthcare medications.

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What to ask VO about?from cabenuva.com

VO: When they call you, be sure to ask about your medication coverage, copays for injection appointments, and savings programs you might be eligible for.

What to do after CABENUVA form is submitted?from cabenuva.com

After the form is submitted, your doctor’s office or a ViiVConnect coordinator will call in a few days to help determine your insurance coverage and any out-of-pocket costs for CABENUVA.

Are you a Provider?from viivconnect.com

ViiVConnect offers tools, resources, and individual assistance to healthcare professionals, pharmacists, and patient representatives. Connect with an Access Coordinator for help with benefits verification, prior authorizations, or medication reimbursement.

How many injections are given for cabenova?from cabenuva.com

During your appointment, a trained healthcare professional will give you 2 injections, 1 in each side of your buttocks. Each injection contains 1 of the 2 medicines in CABENUVA.

How many injections do you get for a buttock infection?from cabenuva.com

VO: During your treatment appointment, a trained healthcare professional gives you two injections, one in each side of your buttocks.

What do you get with a cabenova welcome pack?from cabenuva.com

VO: Before beginning your monthly injections, you will receive the CABENUVA Welcome Pack—which includes your starter pills. This will be delivered to you or your doctor’s office. Inside, you’ll find a guide with information and next steps.

How long after a VO can you go back to work?from cabenuva.com

VO: Following your injections, you may be asked to wait 10 minutes. After that, you should be able to resume your daily activities, but always check with your doctor.

Are you a Provider?

ViiVConnect offers tools, resources, and individual assistance to healthcare professionals, pharmacists, and patient representatives. Connect with an Access Coordinator for help with benefits verification, prior authorizations, or medication reimbursement.

Are you a Patient?

Whether you’re insured, underinsured, or uninsured, find the information you need on your prescribed ViiV Healthcare medications.

Benefits of ViiVConnect for Patients

ViiVConnect helps patients explore ways to afford prescribed ViiV Healthcare medications no matter if they’re insured, underinsured, or uninsured.

Need Help?

Our Access Coordinators may be able to help you appeal a claim denial of prescribed ViiV Healthcare medications and answer other questions

How Do I Enroll?

Find out how to enroll in ViiVConnect to help you access, pay for, and receive your prescribed ViiV Healthcare medications*

How Can I Save?

Discover what savings or assistance programs may be available to help you afford your prescribed ViiV medications*

What is the FDA number for Viiv?from myviivcard.com

1-800-FDA-1088. The ViiVConnect Savings Card is not all that is offered at ViiVConnect. Comprehensive information on access & coverage to help you get your prescribed ViiV Healthcare medicines. A program to help eligible patients who are:

Is ViivConnect a health insurance?from myviivcard.com

The ViiVConnect Savings Card is not health insurance. For complete eligibility rules, click here. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit fda.gov/medwatch or call. 1-800-FDA-1088. The ViiVConnect Savings Card is not all that is offered at ViiVConnect.

Are you a Provider?from viivconnect.com

ViiVConnect offers tools, resources, and individual assistance to healthcare professionals, pharmacists, and patient representatives. Connect with an Access Coordinator for help with benefits verification, prior authorizations, or medication reimbursement.

Is ViivConnect a savings card?from myviivcard.com

The ViiVConnect Savings Card is not all that is offered at ViiVConnect. Comprehensive information on access & coverage to help you get your prescribed ViiV Healthcare medicines

Is there an activation fee for a nda card?from myviivcard.com

TO THE PATIENT: No activation fee. This card is not valid if there are two or more A/B generic drugs available via NDA or ANDA owners (exclude repackagers). Use must be consistent with terms of your health insurer drug benefit plan. You must report your use of this card to your health insurer if required.

Are you a Patient?from viivconnect.com

Whether you’re insured, underinsured, or uninsured, find the information you need on your prescribed ViiV Healthcare medications.

Are you a Provider?from viivconnect.com

ViiVConnect offers tools, resources, and individual assistance to healthcare professionals, pharmacists, and patient representatives. Connect with an Access Coordinator for help with benefits verification, prior authorizations, or medication reimbursement.

Are you a Patient?from viivconnect.com

Whether you’re insured, underinsured, or uninsured, find the information you need on your prescribed ViiV Healthcare medications.

Are you a Provider?from viivconnect.com

ViiVConnect offers tools, resources, and individual assistance to healthcare professionals, pharmacists, and patient representatives. Connect with an Access Coordinator for help with benefits verification, prior authorizations, or medication reimbursement.

Are you a Patient?from viivconnect.com

Whether you’re insured, underinsured, or uninsured, find the information you need on your prescribed ViiV Healthcare medications.

What is the FDA number for Viiv?

1-800-FDA-1088. The ViiVConnect Savings Card is not all that is offered at ViiVConnect. Comprehensive information on access & coverage to help you get your prescribed ViiV Healthcare medicines. A program to help eligible patients who are:

Is ViivConnect a health insurance?

The ViiVConnect Savings Card is not health insurance. For complete eligibility rules, click here. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit fda.gov/medwatch or call. 1-800-FDA-1088. The ViiVConnect Savings Card is not all that is offered at ViiVConnect.

Is there an activation fee for a nda card?

TO THE PATIENT: No activation fee. This card is not valid if there are two or more A/B generic drugs available via NDA or ANDA owners (exclude repackagers). Use must be consistent with terms of your health insurer drug benefit plan. You must report your use of this card to your health insurer if required.

What is a ViivConnect card?from dovato.com

The ViiVConnect Savings Card* offers eligible patients savings on additional costs (such as out-of-pocketcosts) not covered by insurance.

What to tell your healthcare provider about Dovato?from dovato.com

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Some medicines interact with DOVATO. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine.

What to tell your doctor before taking Dovato?from dovato.com

Before you take DOVATO, tell your healthcare provider about all of your medical conditions, including if you: have or have had liver problems, including hepatitis B or C infection. have kidney problems. are pregnant or plan to become pregnant. One of the medicines in DOVATO (dolutegravir) may harm your unborn baby.

How much does Dovato cost?from drugs.com

The cost for Dovato oral tablet (50 mg-300 mg) is around $2,648 for a supply of 30 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Can you breastfeed if you take Dovato?from dovato.com

Do not breastfeed if you take DOVATO. You should not breastfeed if you have HIV-1 because of the risk of passing HIV-1 to your baby. One of the medicines in DOVATO (lamivudine) passes into your breast milk. Talk with your healthcare provider about the best way to feed your baby.

Can you take Dovato with Dofetilide?from dovato.com

take dofetilide. Taking DOVATO and dofetilide can cause side effects that may be serious or life-threatening.

Does Dovato test for HBV?from dovato.com

Resistant HBV. Your healthcare provider will test you for HBV infection before you start treatment with DOVATO. If you have HIV-1 and

ViiVConnect Portal

Register and use this centralized online tool for healthcare professionals and patient representatives to obtain real-time information on enrolled patients' coverage status and case history.

Access Coordinators

An Access Coordinator will work with you and your patients to answer questions about patients' coverage and access to their prescribed ViiV Healthcare medications. You can reach an Access Coordinator by calling 1-844-588-3288 (toll free) Monday - Friday, 8AM - 11PM (ET).

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