Subject: Paying for PrEP
CMS – Covering HIV PrEP Under Medicare
FAQs regarding covering HIV PrEP under Medicare from CMS (the Centers for Medicare and Medicaid Services).
USPHS – 2021 PrEP Guidelines, Clinical Providers’ Supplement
The clinical providers' supplement to the 2021 PrEP guidelines from the USPHS (United States Public Health Service).
NASTAD – Billing and Coding Guides for HIV Prevention
Billing and coding guides for HIV prevention from NASTAD (the National Alliance of State and Territorial AIDS Directors).
DOL, HHS, and UST – FAQs About the Affordable Care Act Implementation
FAQs regarding the Affordable Care Act's implementation from the US Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (UST).
EBGTZ – Same-day Oral PrEP Guide
A same-day oral PrEP guide from East Bay Getting to Zero.
Your Guide to HIV PrEP Coverage and Insurance Rights
An expanded guide to understanding HIV PrEP coverage and your rights.
Covering Costs of PrEP Job Aid
Tips and Resources for Covering Costs of HIV PrEP from HealthHIV.
NeedyMeds
NeedyMeds is a 501(c)(3) national non-profit that connects people to programs that will help them afford their medications and other healthcare costs.
Gilead Advancing Access Copay Coupon Program
- 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 does not use public charge as an eligibility determination
ViiVConnect Savings Program (Injectable PrEP)
- Covers cost of Apretude and injection support services
- Copay assistance: no income limit;
Medication assistance: income at or below 500% FPL - Copay assistance: commercial insurance;
Medication assistance: ineligible for Medicaid/Mi Salud Health AND no prescription drug coverage OR have a Medicare Part B or D or Advantage Plan OR limited commercial insurance plan - Resident of the U.S. or its territories; Social Security Number (SSN) not required
- Check to see if ViiVConnect is used as a determination for public charge