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Answer the questions below to see if you are eligible for savings.

Step 1:

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*Is this savings card for you or someone else? If you click Someone Else, you are confirming you have permission to request a card on their behalf.

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*Do you or the patient have health insurance that is the sole or primary coverage for your prescription medicines?

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*Are you or the patient enrolled in any state, federal, or government-funded medical or prescription benefit program, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, TRICARE, or ADAP?

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Based on your answers, you may be eligible for the ViiVConnect Savings Card.

Based on your answers, you are not eligible for the ViiVConnect Savings Card.

Call 1‐844‐588‐3288 (toll free) for live support, Monday‐Friday, 8AM‐11PM (ET), or visit ViiVConnect.com to find out about other support programs.

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