Eligibility Rules and Regulations

Subject to eligibility and restrictions. Limited to 1 per person. Only original accepted. This card is nontransferable & not valid if reproduced. This card is not health insurance.

THIS CARD MAY BE USED FOR OTHER VIIV MEDICINES. Please see ViiVConnect.com/medicines for the full list of eligible medicines, including corresponding Prescribing Information.

  • Savings not to exceed $7500 per year on products containing dolutegravir, and for other eligible ViiV Healthcare medicines not to exceed $4800 per year. Total savings not to exceed $7500 per year.
  • Present this card and, if applicable, your insurance card with your valid prescription at any participating pharmacy.

Patients who are enrolled in government healthcare prescription medicine programs are not eligible, including, without limitation, Medicare Part D, Medicaid, VA, DOD, ADAP, state pharmaceutical assistance plan, CHAMPUS or TRICARE®. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

If you don't have prescription coverage, have questions about insurance coverage, or can't afford your medicines, visit ViiVConnect.com or call 1-844-588-3288 for more information about financial support programs.