Cabenuva Enrollment PDF 2016-2024 Form
What makes the apretude enrollment form legally valid?
Because the world ditches in-office working conditions, the completion of paperwork more and more happens online. The viiv cabenuva enrollment form isn’t an exception. Working with it using electronic tools differs from doing this in the physical world.
An eDocument can be viewed as legally binding given that specific requirements are fulfilled. They are especially vital when it comes to stipulations and signatures related to them. Entering your initials or full name alone will not ensure that the organization requesting the form or a court would consider it executed. You need a trustworthy tool, like airSlate SignNow that provides a signer with a electronic certificate. In addition to that, airSlate SignNow maintains compliance with ESIGN, UETA, and eIDAS - major legal frameworks for eSignatures.
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Completing the viiv cabenuva enrollment form apretude with airSlate SignNow will give better confidence that the output form will be legally binding and safeguarded.
Handy tips for filling out Cabenuva enrollment form pdf online
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People also ask
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What is the apretude patient assistance program?
The APRETUDE Savings Program* helps eligible, enrolled patients with their out-of-pocket costs for prescribed APRETUDE. The program offers up to $7500 in product assistance and up to $350 in administrative out-of-pocket expenses every calendar year for eligible patients. -
What is the phone number for cabenuva copay assistance provider?
To get started, call ViiVConnect.com now at 1-844-588-3288 (toll-free), Monday-Friday, 8AM-11PM (ET) or visit ViiVConnect.com. -
What is the fax number for ViiVConnect?
Complete, sign, and electronically submit all pages of this form and applicable corresponding documents (including the prescription) through the portal, or fax to 1-844-208-7676 (toll-free). For assistance, please call 1-844-588-3288 (toll-free), Monday through Friday, 8am to 11pm (et). -
What class of drug is apretude?
Apretude belongs to a class of drugs called HIV, Integrase Inhibitors. It is not known if Apretude is safe and effective in children weighing less than 77 lbs (35 kg). -
What are the indications for apretude?
INDICATIONS AND USAGE APRETUDE is indicated in at-risk adults and adolescents weighingat least 35 kgfor pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 infection. -
Where is the apretude injection given?
Injectable cabotegravir alone, sold as Apretude, was approved last year as the first long-acting PrEP option. Cabenuva currently involves two separate intramuscular injections in the buttocks administered by a health care provider either every month or every two months. -
What does apretude cost?
The cost for Apretude intramuscular suspension, extended release (600 mg/3 mL) is around $3,964 for a supply of 3 milliliters, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. -
How do I contact VIIV connect?
Our Access Coordinators are here to assist you with your questions and needs. Call 1-844-588-3288 (toll free), Monday–Friday, 8AM–11PM (ET). Multilingual options are available.
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