Resources for Covering the Costs of PrEP and PEP

Paying for PrEP

Most health plans cover the costs of PrEP care. For many people, it’s as routine as paying any other prescription. If you’re uninsured or your out-of-pocket costs are too high, patient assistance programs may be able to help.

Click on the links below to learn more about each program.

In California:

California PrEP Assistance Program (PrEP-AP)PrEP-AP infographic

In order to qualify, you must:

  • Be 18 years or older
  • Be a California resident
  • Have an annual Modified Adjusted Gross Income that does not exceed 500% of the Federal Poverty Level (FPL) based on family size and household income
  • Not be fully covered by Medi-Cal or other health insurance

 

More information on enrollment and eligibility.

In the U.S.:

Gilead Patient Support Program: 800-226-2056 

  • Covers cost of Truvada or Descovy
  • Must be a U.S. resident, Social Security Number (SSN) not required, undocumented residents eligible
  • Must be uninsured or insurance denies coverage, or have Medicare with no Part D benefits
  • Income at or below 500% FPL ($62,450, household of 1) but above 138% FPL (Medi-Cal eligible)

 

Gilead Copay Coupon Program: 800-226-2056 

  • Provides $7,200 per year for prescription copays
  • U.S. resident, SSN not required
  • Must be commercially insured, or have Medicare with no Part D benefits
  • Any income level is eligible, no lifetime limit

 

Patient Advocate Foundation: 800-532-5274

  • Provides $7,500 per year for prescription copays
  • U.S. resident, valid SSN required
  • Must have health insurance (includes Medicare)
  • Income at or below 400% FPL ($49,960, household of 1) plus cost of living index

 

PAN Foundation: 866-316-7263

  • Provides $3,600 per year for prescription copays
  • U.S. resident
  • Medicare only
  • Income at or below 500% FPL ($62,450, household of 1)

 

Good Days: 214-570-3621

  • Provides $7,500 per year for prescription copays
  • U.S. resident, valid SSN required
  • Medicare, TRICARE, CHAMPVA, and Blue Cross/Blue Shield Federal
  • Income at or below 500% FPL ($62,450, household of 1)

 

If you are uninsured, or insured and looking for a new health plan: PrEPcost.org

Learn more about understanding different insurance plans. 

Download: step-by-step flowchart (PDF) on How to Pay for PrEP.

 

Paying for PEP

Most health insurance plans will cover the medical costs related to getting PEP.

If the cost of PEP is more than you can afford, various drug company patient assistance programs may be able to help, especially if you’re uninsured. (You may need to apply to more than one, depending on the meds you’re prescribed.)

Find a list of patient assistance programs at NASTAD.

Find PrEP/PEP resources and assistance programs in your state.

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