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Rebate Form Information

  • The Rebate program is available to patients only
  • If a patient pays out-of-pocket for an eligible, prescribed ViiV Healthcare medication(s) and does not utilize the ViiVConnect Savings Card, the patient can use the Rebate Form to obtain savings
  • A patient is not eligible to utilize this program if they have capped out (fully utilized the maximum benefit amount) of their ViiVConnect Savings Card eligibility

Have questions? Call McKesson Corporation (McKesson), the ViiVConnect Savings Card administrator, at 1-866-279-4705, Monday–Friday, 8 AM–8 PM (ET), to speak live to an agent.

Rebate Form Instructions

You may be eligible for reimbursement of your out-of-pocket costs if your retail or mail order pharmacy does not accept the ViiVConnect Savings Card.

When and How Will I Get My Rebate?

Once you submit the Rebate Form, medication receipt, medication label, and insurance card (via online submission), if you are eligible, you will receive a Rebate Check in the postal mail. McKesson will mail a check to the patient within 2-4 weeks.


After receiving your first Rebate Check, you will have the option to register for Electronic Funds Transfer (Rebate funds directly deposited into your bank account) for future Rebates. If you choose Electronic Funds Transfer, McKesson will transfer the Rebate amount to your bank account within 2-4 weeks of each submission.

Have Questions?

Call McKesson at 1-866-279-4705, Monday–Friday, 8 AM–8 PM (ET), to speak to a live agent.

Sample Rebate Check and Letter

Sample Rebate Check Image
Sample Letter Image

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