Juluca(dolutegravir / rilpivirine)
Juluca 50 MG / 25 MG Oral Tablet
NO BOXED WARNING

Dosage & Administration

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Juluca Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Complete Letter of Medical Necessity

Benefits investigation

ViiVConnect Enrollment Form

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Juluca Financial Assistance Options

Copay savings program

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Foundation programs

ViiVConnect Enrollment Form
Common Patient Assistance Program Application (CPAPA)
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Juluca PubMed™ News

Juluca Patient Education

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1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

About Juluca
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Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
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Scan QR Code & Tap Link
Doctor Discussion Guide
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Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories
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Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Juluca FAQs

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