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 for the other prescriptions they get. However, if your out-of-pocket costs (such as prescription copays) are more than you can afford—and sometimes this can be hundreds or even thousands of dollars, then patient assistance programs may help. Even if you’re uninsured, you can find 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
  • Be HIV negative
  • 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 another third-party payer

 

More information on enrollment and eligibility.

In the U.S.:

Gilead Patient Support Program: 800-226-2056 

  • Covers cost of Truvada or Descovy
  • US resident, SSN not required, undocumented residents eligible
  • Eligible health care: Must be uninsured, Medicare with no Part D benefits, or insurance denies coverage
  • Eligible 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 

  • $7,200 per year for prescription copays
  • US resident, SSN not required
  • Eligible health care: Commercially insured, Medicare with no Part D benefits
  • Eligible income: any income level, no lifetime limit

 

Patient Advocate Foundation: 800-532-5274

  • $7,500 per year for prescription copays
  • US resident, valid SSN required
  • Eligible health care: Must have health insurance (includes Medicare)
  • Eligible income: At or below 400% FPL ($49,960, household of 1) plus cost of living index

 

PAN Foundation: 866-316-7263

  • $3,600 per year for prescription copays
  • US resident
  • Eligible health care: Medicare only
  • Eligible income: At or below 500% FPL ($62,450, household of 1)

 

Good Days: 214-570-3621

  • $7,500 per year for prescription copays
  • US resident, valid SSN required
  • Eligible health care: Medicare, TRICARE, CHAMPVA, and Blue Cross/Blue Shield Federal
  • Eligible 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

Paying for PEP

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

If the cost of PEP medications are more than you can afford, then seek whether you’re eligible for various drug company patient assistance programs, especially if you’re uninsured. (You may need to apply to more than one depending upon the meds you’re prescribed.)

Find a list of patient assistance programs at Fair Pricing Coalition.

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

Got questions? Click the chat bubble on the right to chat with us!