Does New Jersey Medicaid
Cover Cabenuva?

Cabenuva (Cabotegravir/Rilpivirine) coverage, costs, and how to get it in New Jersey.

Covered
Medicaid Status
Covered
Medicare Status
$5,400
Retail/Month

Coverage Status

Cabenuva coverage details for New Jersey residents.

Medicaid
Covered
Medicare Part D
Covered
Prior Authorization
Not Required
Cost with Coverage
$0โ€“$100/mo
๐Ÿ’ก

PrEP is covered at $0 cost under ACA preventive services. The Ready, Set, PrEP program provides free PrEP for the uninsured.

How to Get Cabenuva Covered

Steps to get Cabenuva covered by your insurance in New Jersey.

1

Talk to your doctor

Ask your doctor to prescribe Cabenuva and confirm it's appropriate for your condition.

2

Fill your prescription

Take your prescription to any in-network pharmacy. New Jersey Medicaid should cover it.

3

Check patient assistance

If coverage is denied, check ViiV Healthcare's patient assistance program for free or reduced-cost options.

4

Appeal if needed

You can appeal a coverage denial through New Jersey Medicaid. Your doctor can provide supporting documentation.

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Cabenuva Side Effects

Common and serious side effects to discuss with your doctor.

โšก Common Side Effects

  • Injection site reactionscommon
  • Fevercommon
  • Fatiguecommon
  • Headachecommon

โš ๏ธ Serious Side Effects

  • Liver problemsrare

Seek immediate medical attention if you experience any serious side effects.

Frequently Asked Questions

Does New Jersey Medicaid cover Cabenuva?

New Jersey Medicaid covered Cabenuva. No prior authorization is needed. PrEP is covered at $0 cost under ACA preventive services. The Ready, Set, PrEP program provides free PrEP for the uninsured.

How much does Cabenuva cost in New Jersey?

Without insurance, Cabenuva costs approximately $5,400/month. With New Jersey Medicaid, your copay may be $0-$0.

How do I get Cabenuva covered in New Jersey?

Contact your New Jersey Medicaid office or insurance provider to check coverage. A prescription from your doctor is typically sufficient.

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