Access and acquisition

Determine the prescribing pathway that works best for your practice

Choose the level of support you need

ViiVConnect Supported

Your office administers CABENUVA 
with support from ViiV as needed

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Comprehensive support includes benefits verification, financial programs, and access to Field Reimbursement Managers for patient-specific questions.

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Independently Managed Acquisition of CABENUVA

Your office manages the entire process

Your patient's insurance may mandate acquisition based on coverage.

Your Field Reimbursement Manager can provide general support but cannot answer patient-specific questions.

Alternate Site of Care (ASOC):

Your patients may go to a location other than your office for injections, sometimes also referred to as an Alternative Site for Administration (ASA).

You provide patient care, and the ASOC can manage everything from benefits verification to administering injections to reimbursement.

Find an ASOC

Determine how you will acquire CABENUVA

The patient's benefits verification will show if CABENUVA is covered under the patient's medical and/or pharmacy benefit.

  • Medical Benefit

    Your office acquires, administers, and seeks reimbursement for CABENUVA.

    How it works

    • You purchase CABENUVA from a specialty distributor (SD) and store it at your practice
    • Your practice bills the patient's insurance for acquisition of CABENUVA after you administer it to your patient (J Code J0741)

    Getting started

    1. Ensure up-to-date payer contracts with SDs are in place
    2. Order CABENUVA
    3. Prepare sufficient refrigerator space; familiarize your practice with cold-chain shipment processes
    4. Develop a process for tracking/receiving medication in the clinic

  • Medical Benefit

    If the patient's medical benefit allows AOB, your office submits the prescription to a specialty pharmacy (SP), 
which will dispense CABENUVA and deliver it to the location where the medicines will be administered.

    How it works

    • You order individual doses of CABENUVA from an SP, which may be mandated by patient's insurance
    • The patient pays administration costs to you and any drug-related cost share directly to the SP

    Getting started

    1. Choose an SP, which may be mandated by patient's insurance
    2. Schedule the patient’s injection
      • Remind your patient to answer or return calls from the SP
    3. Submit a prescription to the SP
    4. Work with the SP to coordinate shipments to arrive in advance of the injection appointment

  • Pharmacy Benefit

    Your office submits the prescription to a specialty pharmacy (SP), which dispenses CABENUVA and delivers it to the location where the medicines will be administered.

    How it works

    • You order individual doses of CABENUVA from an SP, which may be mandated by patient's insurance
    • The patient pays administration costs to you and any drug-related cost share directly to the SP

    Getting started

    1. Choose an SP, which may be mandated by patient's insurance
    2. Schedule the patient’s injection
      • Remind your patient to answer or return calls from the SP
    3. Submit a prescription to the SP
    4. Work with the SP to coordinate shipments to arrive in advance of the injection appointment

Patient access and affordability

ViiV Healthcare can provide your office with access support for CABENUVA

Explore resources

CBRWCNT230043