Does Texas Medicaid
Cover Cabenuva?
Cabenuva (Cabotegravir/Rilpivirine) coverage, costs, and how to get it in Texas.
Coverage Status
Cabenuva coverage details for Texas residents.
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 Texas.
Talk to your doctor
Ask your doctor to prescribe Cabenuva and confirm it's appropriate for your condition.
Fill your prescription
Take your prescription to any in-network pharmacy. Texas Medicaid should cover it.
Check patient assistance
If coverage is denied, check ViiV Healthcare's patient assistance program for free or reduced-cost options.
Appeal if needed
You can appeal a coverage denial through Texas Medicaid. Your doctor can provide supporting documentation.
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Cabenuva Side Effects
Common and serious side effects to discuss with your doctor.
⚡ Common Side Effects
- Injection site reactionscommon
- Fevercommon
- Fatiguecommon
- Headachecommon
⚠️ Serious Side Effects
- Liver problemsrare
Seek immediate medical attention if you experience any serious side effects.
Frequently Asked Questions
Does Texas Medicaid cover Cabenuva?
Texas 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 Texas?
Without insurance, Cabenuva costs approximately $5,400/month. With Texas Medicaid, your copay may be $0-$0.
How do I get Cabenuva covered in Texas?
Contact your Texas Medicaid office or insurance provider to check coverage. A prescription from your doctor is typically sufficient.
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