Contact info
- Phone
- 1-844-588-3288
- Fax
- 1-844-208-7676
- Mailing address
- PO Box 5490Louisville, KY 40255
Eligibility
- Contact program for details.
- Patient may be enrolled in a Medicare Part D Prescription Drug Plan, but must spend $600 or more on prescriptions medicines within the current calendar year.
- Income limit, single
- 500% of the federal poverty level
- Income limit, couple
- 500% of the federal poverty level
- Medical expenses can be deducted
- Not published
- Social Security number asked for
- No
- US citizenship or residency required
- Yes
Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).
Application process
- Documents to attach
- Not published
- Prescriber license number
- NPI number
- State license number
- Who can sign
- Physician
- Application can be faxed
- Yes
- Decision letter sent to
- Provider and patient
Getting the medication
- Patient receives
- Medication
- Shipped to
- Provider
- Supply per shipment
- Not published
- Time to first delivery
- Not published
- Refills
- Not published
- Staying enrolled
- Not published
Medications covered
- Cabenuva (cabotegravir; rilpivirine)