ViiV Healthcare Patient Assistance Program is sponsored by ViiV Healthcare and makes necessary HIV treatments available to more patients. ViiV Healthcare is committed to advancing the treatment and care of people living with HIV and to broadening access to medicines for people who require life-saving treatment.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to PPA.

Product(s) Covered by Program

  • C

    • Combivir®
  • E

    • Epzicom®
  • L

    • Lexiva®
  • R

    • Rescriptor®
    • Retrovir®
  • S

    • Selzentry®
  • T

    • Tivicay®
    • Trizivir®
  • Z

    • Ziagen®