Have a negative HIV test dated within six months of the PrEP-AP application.To be eligible for California’s PrEP-AP, you must: However, you must see a provider in your plan’s network. In addition, California’s PrEP-AP will provide assistance with all other medications on the PrEP-AP formulary.Īnyone who has outpatient coverage through Medicare is also eligible to receive assistance from California’s PrEP-AP for PrEP-related medical services.
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If you do not have prescription medication coverage through Medicare, you are eligible to enroll in Gilead’s Patient Assistance Program and receive Truvada® free of charge. If you have prescription medication coverage through Medicare, you are not eligible for financial assistance from Gilead, but California’s PrEP-AP offers financial assistance with copays for all medications on the PrEP-AP formulary including Truvada®. To be eligible for assistance with PrEP-related medical services, you must see a provider in your insurance plan’s network. Once you’ve met this threshold, California’s PrEP-AP will cover any remaining PrEP copays for the rest of the calendar year, in addition to assistance for out-of-pocket costs for PrEP-related medical services and all other medication on the PrEP-AP formulary for HIV prevention and STI treatment. Gilead’s Co-Payment Assistance Program covers up to $7,200 of Truvada® copays per calendar year. Search for a California PrEP-AP provider or enrollment site near you. To be eligible for the assistance, you must receive all PrEP-related medical services at approved locations within the California Department of Public Health’s Office of AIDS PrEP-AP Provider Network. California’s PrEP-AP will also provide financial assistance with all other medications on the PrEP-AP formulary for HIV prevention and treatment of sexually transmitted infections (STIs) and the following PrEP-related medical services: You can receive Truvada®, one of the two FDA-approved PrEP medications, free of charge through Gilead’s Advancing Access® Program.
The State of California’s PrEP Assistance Program (PrEP-AP) helps cover PrEP-related medical expenses, with different benefits for individuals without insurance, those with private insurance, and those with Medicare.
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Here’s a breakdown of how to apply for state-funded PrEP drug assistance programs - also referred to as PrEP-DAP or PrEP-AP programs - in four of the states that Alto serves.
In addition, many states have patient assistance programs to help people with a variety of insurance statuses access PrEP and related medical services at little to no cost. Fortunately, the HIV prevention landscape is rapidly evolving, and PrEP is now more accessible than ever.Īs of this January, most private insurance plans must cover PrEP for HIV prevention without charging any out-of-pocket costs.
They also assist patients with insurance denials and access to care issues.Cost is often a barrier to starting PrEP, a medication that can lower your risk of sexual transmission of HIV by 99% when taken daily.
Has an HBV-specific program, and can offer up to $4000 in co-pay assistance for eligible individuals. Has an HCV-specific program, and can offer up to $4,500 in financial assistance for eligible individuals.
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They also have a directory of over 10,000 free or low-cost clinics that can be searched by ZIP code. Offers a co-pay assistance program can provide up to $10,000 to eligible patients who are insured and have an annual household income of up to 400% of the federal poverty level.Ī one-stop site for patient assistance programs and other discount opportunities for a variety of pharmaceuticals also has a very useful database to find free and low-cost medical clinics that can be searched by ZIP code.Ī free, confidential program offered by the pharmaceutical industry, this serves as a one-stop shopping site for over 475 public and private patient assistance programs, including around 200 offered by the drug companies themselves. These programs have different eligibility requirements, and some have limited funds each year. The following organizations can help you find low-cost medical care, navigate the health care access and insurance field, or provide financial assistance to help with HBV costs and related healthcare expenses. Additional financial assistance and access advocacy programs
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