Resources for Covering the Costs of PrEP and PEP


Jump to: Paying for PEP

Paying for PrEP

Most health plans cover most PrEP care costs. For many people, it’s as routine as paying for any other prescription. However, if you’re uninsured or cannot afford your out-of-pocket costs, the patient assistance programs below could help. Each program uses the Federal Poverty Level (FPL) to determine a person’s income.

For California Residents:

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

In order to qualify, you must:

  • Be 12 years old or older
  • Have an annual adjusted household ncome that does not exceed 500% of the 2019 FPL (12–17yo have no income requirements)
  • Not be fully covered by Medi-Cal or other health insurance
  • Be on another person's insurance policy and worry about your confidentiality (apply as if you're an uninsured client, with no income requirements)
  • PrEP-AP is not used as a determination for public charge because it's funded only with state funds

 

More information on enrollment and eligibility.

In the U.S.:

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

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

 

Gilead Patient Support Program: 800-226-2056 

  • Covers cost of Truvada or Descovy
  • Income at or below 500% FPL but above 138% FPL (Medicaid eligible)
  • Resident of the U.S. or its territories; SSN not required; undocumented residents eligible
  • Must be uninsured or insurance denies coverage, or have Medicare with no Part D benefits
  • This program is not used as a determination for public charge

 

Gilead Copay Coupon Program: 800-226-2056 

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

 

Patient Advocate Foundation: 800-532-5274

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

 

PAN Foundation: 866-316-7263

  • Provides up to $3,400 per year for prescription copays
  • Income at or below 500% FPL
  • Resident of the U.S. or its territories; SSN not required but accepted
  • Medicare recipients only
  • This program is not used as a determination for public charge

 

Good Days: 877-968-7263

  • Provides up to $7,500 per year for prescription copays
  • U.S. resident, valid SSN required
  • Income at or below 500% FPL
  • Medicare, TRICARE, CHAMPVA, and Blue Cross/Blue Shield Federal
  • This program 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. 

 

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 PrEP/PEP resources and assistance programs in your state.