Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  

AbbVie Patient Assistance Program for Viekira and Technivie

This program provides brand name medications at no or low cost

Provided by: AbbVie

PO Box 4280
Gaithersburg, MD 20885

TEL: 855-765-0504

ALT PHONE: 855-687-7503
FAX: 855-886-2481
Languages Spoken:


Program Website


Patient Assistance Applications

AbbVie Patient Assistance for Viekira XR Application

AbbVie Patient Assistance for Technivie: Contact program


Brand Name Medications Covered

  • Technivie
  • Viekira XR

Generic Name

  • dasabuvir/ombitasvir/paritaprevir/ritonavir
  • ribavirin
  • ombitasvir-paritaprevir-ritonavir

Eligibility Requirements   

Insurance Status Must be uninsured
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria FDA-approved diagnosis
US Residency Required? Must be treated by US Doctor


Obtaining Call or download
Receiving Faxed or downloaded from website
Returning Fax
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Complete section, sign, attach required documents
Decision Communicated Not specified
Decision Timeframe Not specified


Amount/Supply 28 day supply
Sent To Doctor's office or patient's home
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application Not specified

Additional Information

Contact the program for more details (1-855-765-0504).

This program also provides copay assistance.

ProCeed assists with resources and tools for TECHNIVIE. ProCeed is a personalized program.

Updated January 03, 2018