Resources for Covering the Costs of PrEP and PEP


Jump to: Paying for 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 have trouble paying your out-of-pocket costs, the following 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 12 years old or older
  • Be a California resident
  • Have an annual Modified Adjusted Gross Income that does not exceed 500% of the 2019 Federal Poverty Level (FPL) based on family size and household income (12–17yo have no income requirements)
  • Not be fully covered by Medi-Cal or other health insurance
  • Are on another person's insurance policy and worry about confidentiality (you can apply as an uninsured client, with no income requirements)
  • Because PrEP-AP is funded only with state funds, it is not used as a determination for public charge

 

More information on enrollment and eligibility.

In the U.S.:

Federal Ready, Set, PrEP program: 855-447-8410

  • Covers cost of Truvada or Descovy only
  • Must be uninsured, no age restrictions
  • U.S. resident or resident of its territories, Social Security Number (SSN) not required
  • No income limit
  • Although Ready, Set, PrEP is a federal program, it is not used as a determination for public charge

 

Gilead Patient Support Program: 800-226-2056 

  • Covers cost of Truvada or Descovy
  • U.S. resident, or resident of its territories, 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 but above 138% FPL (Medi-Cal eligible)
  • Because this is a pharmaceutical program, it is not used as a determination for public charge

 

Gilead Copay Coupon Program: 800-226-2056 

  • Provides $7,200 per year for prescription copays
  • U.S. resident, or resident of its territories, SSN not required
  • Must be commercially insured, or have Medicare with no Part D benefits
  • Any income level is eligible, no lifetime limit
  • Because this is a pharmaceutical program, it is not used as a determination for public charge

 

Patient Advocate Foundation: 800-532-5274

  • Provides $7,500 per year for prescription copays
  • U.S. resident, SSN or alien registration number required
  • Must have health insurance (includes Medicare)
  • Income at or below 400% FPL plus cost of living index
  • Because this is a charitable program, it is not used as a determination for public charge

 

PAN Foundation: 866-316-7263

  • Provides $3,400 per year for prescription copays
  • U.S. resident, or resident of its territories, SSN not required but accepted
  • Medicare recipients only
  • Income at or below 500% FPL
  • Because this is a charitable program, it is not used as a determination for public charge

 

Good Days: 877-968-7263

  • 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
  • Because this is a charitable program, it is not used as a determination for public charge

 

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.