Life happens. When it does, you may need help with your medicine or co-pay costs. Many drug manufactor provide drug coupon to help with medication.
Juluca Coupon Details
Juluca ViiVConnect Rebate: Eligible commercially insured patients may be eligible for a rebate for the amount paid out of pocket per prescription if the pharmacy does not accept the savings card; rebate may be completed online or by downloading and mailing in the rebate form; for additional information contact the program at 866-747-1170.
Benefits :
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 866-747-1170
Contact Details :
Free Discount Drug Coupon
All patients are eligible to receive a discount by using this free Juluca coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.
Free Prescription Discount Card
- No registration required.
- Everyone is eligible.
- Get discount up to 80%.
- Card can be used for person with Insurance or without insurance for discount.
- Never expires.
- Ready for immediate.
- No activation required.
- Prescription Coupon
Juluca Cost
How much does Juluca cost near you?
It may varies based on the pharmacy you fill you prescription from.
Juluca Copay Assistance
Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.
Elligibility requirements:
- 1. Must be uninsured.
- 2. At or below 400% of FPL.
- 3. Must reside and receive treatment in US.
- 4. Juluca Copay assistance, and patient assistance programs are available for eligible patients.
Programs
ViiV Healthcare Patient Assistance Program
This program provides brand name medications at no or low cost
Provider: ViiV Healthcare
Medication :
- Juluca tablet (dolutegravir/rilpivirine)
Additional Info for Coupon
*Contact ViiV Connect for additional information at 844-588-3288 or www.viivconnect.com
Medicare Part B, Part D and Medicare Advantage plan patients who need medicine that same day should ask their Patient Representative (ie, anyone involved in the delivery of the patient's healthcare and is not a family member or friend) to enroll them in ViiV Healthcare PAP by phone. Patients enrolled in a Medicare Part B, Part D and Medicare Advantage prescription drug plan must apply via mail or fax and be found eligible before medicine can be shipped.
This Program participates in the CPAPA. This single common application allows uninsured HIV-positive individuals with low incomes to use one application to apply for multiple assistance programs.
IMPORTANT: Send completed CPAPA to the corresponding addresses listed for each company.
Coupon Eligibility
Insurance: *Contact program for details.
Income: At or below 500% of FPL
US Residency: Must live in US, DC or Puerto Rico
Part D: Yes
Diagnosis: Medically appropriate condition/diagnosis
Good Days Program
This is a copay assistance program
Provider: Good Days from CDF
Medication :
- Juluca tablet (dolutegravir/rilpivirine)
Additional Info for Coupon
Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Coupon Eligibility
Insurance: Must have insurance
Income: At or below 500% of FPL
US Residency: Yes and have social security number
Part D: Not specified
Diagnosis: FDA-approved diagnosis
Patient Access Network Foundation (PAN)
This is a copay assistance program
Provider: Patient Access Network Foundation
Medication :
- Juluca tablet (dolutegravir/rilpivirine)
Additional Info for Coupon
*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.
Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Coupon Eligibility
Insurance: *See Additional Information section below
Income: Between 400-500% of FPL
US Residency: Must reside and receive treatment in US
Part D: Determined case by case
Diagnosis: FDA Approved Diagnosis - See Program Website for Details
HarborPath ADAP Waiting List Program
<font color="#CC0000">For Healthcare Professionals Only</font>
Provider: HarborPath, Inc.
Medication :
- Juluca tablet (dolutegravir/rilpivirine)
Additional Info for Coupon
Resources for HEALTHCARE PROFESSIONALS ONLY.
Patients are eligible for the HarborPath ADAP Waiting List Program if they: Meet eligibility for the ADAP Waiting List Program in their state of residency; and have a confirmation letter from their state ADAP indicating patient is on the ADAP waiting list.
Typical eligibility requirements do not apply to the ADAP Waiting List Program.
Coupon Eligibility
Insurance: Must be uninsured
Income: Determined case by case
US Residency: Yes
Part D: No
Diagnosis: Medically appropriate condition/diagnosis
What is Juluca
Juluca contains a combination of dolutegravir and rilpivirine. Dolutegravir and rilpivirine are antiviral medicines that prevents human immunodeficiency virus (HIV) from multiplying in your body.
Juluca is used to treat HIV, the virus that can cause the acquired immunodeficiency syndrome (AIDS).
Juluca is not a cure for HIV or AIDS.
Juluca is for use only in people who have been successfully treated with other antiviral medications for at least 6 months.
Warnings
Taking Juluca during the first trimester of pregnancy may cause birth defects. Use effective birth control to prevent pregnancy while you are using dolutegravir.
Before taking this medicine
You should not use Juluca if you are allergic to dolutegravir or rilpivirine.
Some medicines can cause unwanted or dangerous effects when used with Juluca. Your doctor may need to change your treatment plan if you also use:
dofetilide (can cause serious medical problems or death when taken with Juluca);
St John's wort;
more than one dose of dexamethasone;
carbamazepine, oxcarbazepine, phenobarbital, phenytoin;
rifampin, rifapentine; or
esomeprazole, lansoprazole, omeprazole, pantoprazole, rabeprazole.
To make sure Juluca is safe for you, tell your doctor if you have ever had:
liver problems;
mental illness;
a severe skin rash or allergic reaction to dolutegravir or rilpivirine; or
if you also take rifabutin.
You may need to have a negative pregnancy test before starting this treatment.
Juluca may harm an unborn baby if you take the medicine at the time of conception or during the first 12 weeks of pregnancy. Use effective birth control to prevent pregnancy, and tell your doctor if you become pregnant.
HIV can be passed to your baby if the virus is not controlled during pregnancy. If you are pregnant, your name may be listed on a registry to track any effects of antiviral medicine on the baby. Use your medications properly to control HIV.
Women with HIV or AIDS should not breast feed a baby. Even if your baby is born without HIV, the virus may be passed to the baby in your breast milk.
How should I take Juluca?
Take Juluca exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.
Always take this medicine with food, not with a meal replacement drink.
You will need frequent blood tests.
Do not change your doses or medication schedule without your doctor's advice. Every person with HIV or AIDS should remain under the care of a doctor.
Get your prescription refilled before you run out of medicine completely.
Store at room temperature away from moisture and heat. Keep the tablets in their original container, along with any packet or canister of moisture-absorbing preservative.
Juluca Side Effects
Stop taking this medicine and get emergency medical help if you have signs of an allergic reaction to Juluca: fever, general ill feeling, trouble breathing, extreme tiredness; mouth sores, redness or swelling in your eyes; blistering or peeling skin; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:
thoughts about suicide or hurting yourself;
anxiety, sadness, feeling hopeless; or
liver problems - nausea, vomiting, loss of appetite, right-sided upper stomach pain, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
Dolutegravir and rilpivirine affects your immune system, which may cause certain side effects (even weeks or months after you've taken this medicine). Tell your doctor if you have:
signs of a new infection - fever, night sweats, swollen glands, cold sores, cough, wheezing, diarrhea, weight loss;
trouble speaking or swallowing, problems with balance or eye movement, weakness or prickly feeling; or
swelling in your neck or throat (enlarged thyroid), menstrual changes, impotence.
Common Juluca side effects may include:
headache; or
diarrhea.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Free Discount Drug Coupon
All patients are eligible to receive a discount by using this free Juluca coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.
Free Prescription Discount Card
- No registration required.
- Everyone is eligible.
- Get discount up to 80%.
- Card can be used for person with Insurance or without insurance for discount.
- Never expires.
- Ready for immediate.
- No activation required.
- Prescription Coupon