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Get a Card
Let’s get started!
Answer the questions below to see if you are eligible for savings.
Step 1:
*Required Field
*Is this savings card for you (the patient) or someone else? If you click “Someone Else,” you are confirming that you have permission to request a card on their behalf.
This field is required.
*Do you (the patient) have health insurance that is the sole or primary coverage for your (the patient’s) medicine?
This field is required.
*Are you (the patient) eligible to enroll in any state, federal, or government-funded medical or prescription benefit programs, including but not limited to Medicare, Medicaid, Medigap, the Veterans Administration (VA), the Department of Defense (DoD), TRICARE, or the AIDS Drug Assistance Program (ADAP)?
This field is required.
Are you (the patient) enrolled in the Ryan White ADAP?
This field is required.
*Does the Ryan White ADAP purchase insurance on your (the patient’s) behalf?
This field is required.
TRICARE is a registered trademark of the Department of Defense (DoD), Defense Health Agency (DHA).
Things to know about the
ViiVConnect Savings Card:
Subject to eligibility and program terms and conditions. ViiVConnect programs do not constitute health insurance.
This savings card is only available for those living in the United States and US territories and is NOT for people receiving primary benefits from government-funded plans.
Read the full Eligibility Requirements and Restrictions.
Our ViiVConnect Access Coordinators are here to assist you. In addition to addressing any questions and needs you may have about the ViiVConnect Savings Card, they can also provide comprehensive information on access and coverage for your prescribed ViiV Healthcare medicine.
1‐844‐588‐3288 (toll free)
Multilingual options available.
Monday–Friday,
8 AM–8 PM (ET)
