![]() Descovy® (emtricitabine/tenofovir alafenamide).Complera® (emtricitabine/rilpivirine/tenofovir disoproxil fumarate).Biktarvy® (bictegravir/emtricitabine/tenofovir alafenamide).The Advancing Access program supports the following medicines: Click here if you are a participating pharmacy and need to submit an appeal for claim reimbursement.To find a participating retail pharmacy for HIV Treatment or HIV Prevention medications, click here.Advancing Access patient assistance program, provides Gilead medicines at no cost for qualified patients who meet the program’s eligibility criteria.The co-pay coupon program is not available for people enrolled in government healthcare prescription drug programs, such as Medicare and Medicaid. The program also provides Veklury (remdesivir) co-pay support for eligible people with commercial insurance who need help paying for their out-of-pocket medicine costs for treatment in the outpatient setting. Eligible patients could pay as little as $0 per month. Advancing Access co-pay coupon program, which provides co-pay support for eligible people on HIV treatment and HIV prevention medication with commercial insurance who need help paying for their out-of-pocket medicine costs.Access to program specialists who can help answer insurance-related questions and provide information regarding coverage options.Gilead’s Advancing Access program helps patients understand their coverage and identify financial support options to access their Gilead HIV treatment, HIV prevention medication and COVID-19 medication. Any concerns about potential fraudulent activity involving patient support programs can be reported here. The integrity of our patient support programs is critical to their sustainability. Gilead Pulmonary Arterial Hypertension (PAH) Gilead HIV Treatment, HIV Prevention and COVID-19 Treatment patient support programs help make prescribed Gilead therapies accessible for individuals who need information regarding insurance and financial support. ![]() Note: All new enrollment is now done electronically or over the phone. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Patient presents voucher/card to pharmacy for each refill Patient is sent savings card to be used at pharmacy *See Additional Information section belowįDA Approved Diagnosis - See Program Website for DetailsĬall for information or inform doctor that he/she is in need Patient Access Network Foundation (PAN) Application: Contact program Provided by: Patient Access Network FoundationĮnglish, Spanish, Others By Translation Service Patient Access Network Foundation (PAN) This is a copay assistance program Good Days Program Enrollment Information Pages (pages 1 & 2) (Spanish)Ĭall for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Good Days Program Patient Enrollment Application (pages 3-5) (Spanish) Good Days Program Enrollment Information Pages (pages 1 & 2) Good Days Program Patient Enrollment Application (pages 3-5) Good Days Program This is a copay assistance program *IMPORTANT: Send completed CPAPA to the corresponding addresses listed for each company. This single common application allows uninsured HIV-positive individuals with low incomes to use one application to apply for multiple assistance programs. Must be residing in the US or Puerto RicoĬomplete section, sign, attach required documentsĬo-payment assistance, reimbursement support, and patient assistance programs are available for eligible patients. Medically appropriate condition/diagnosis Genvoya tablet (elvitegravir-cobicistat-emtricitabine-tenofovir alafenamide).HIV Common Application: Gilead Sciences Advancing Access Gilead Advancing Access Enrollment Form (Spanish)Īdvancing Access Uninsured 24/7 Support: Contact program Advancing Access Program This program provides brand name medications at no or low cost
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