This service is available if you have been enrolled by an Advocate so that you can have immediate access to your ViiV Healthcare medicine.

What should I bring to the pharmacy?

• ViiV Healthcare Patient Assistance Program voucher, provided by your Advocate upon completion of successful enrollment phone call.
• Prescription for up to two 30 day supplies of medicine, if appropriate.
• $10 co-pay per prescription per fill.

Once your application and supporting documentation have been received and approved, you will receive medicine through the mail order pharmacy and will no longer be eligible to obtain medicine via a retail pharmacy.

Receiving Medication by Mail

• All ViiV Healthcare Patient Assistance Program medicines are mailed to your prescriber or to you directly.
• In order to receive medicine by mail, ViiV Healthcare Patient Assistance Program must receive and approve your application, income documentation, and a prescription for ViiV Healthcare medicine. Medicare Part D applicants must also send in their proof of $600 out of pocket spend and a copy of the Medicare Part D card for the current calendar year.

To Order Refills

• Refills are sent at no cost for up to 12 months after your enrollment in ViiV Healthcare Patient Assistance Program.
• Refills can be ordered here or by calling 1-877-7ViiVHC (1-877-784-4842). Each refill must be requested at least 3 weeks before the patient's existing supply of medicine is completed.
• The prescription number is required each time a refill is requested. The prescription number can be found on the packing slip that comes with each shipment.
• Non Medicare Part D Patients who enrolled by phone with the help of their Advocate and who require prescription assistance past the initial 30-day period of the phone enrollment will receive refills for medicines through mail order when requested.