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*Subject to eligibility and program terms and conditions. ViiVConnect programs do not constitute health insurance.

Acquisition options
J Code J0741

  • Medical Benefit: Buy-and-Bill Acquisition

    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: AOB to Specialty Pharmacy Acquisition

    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 appointment
        • Remind your patients 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: Specialty Pharmacy Acquisition

    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 appointment
        • Develop a process for tracking/receiving medication in clinic
    3. Submit a prescription to the SP
    4. Work with the SP to coordinate shipments to arrive in advance of the injection appointment

Explore Resources

PMUS-CBRWCNT250027