Gilead Advancing Access Program

Gilead Advancing Access Program is sponsored by Gilead. The Gilead Advancing Access Program is one of several patient assistance programs for medications that can help people with the costs of prescription medications.

Gilead Advancing Access® Program Gilead Advancing Access® Program Helping you access your prescribed medication Whether you have insurance or not, we can explore potential coverage and financial support options that might be right for you. Get started with Advancing Access® Patient support begins with enrollment.

If eligible, we can help with… Enrollment in the Patient Assistance Program/ Medication Assistance Program (PAP/MAP) for the uninsured Co-pay Savings Program for the commercially insured Understanding how insurance may cover your Gilead medication through benefits investigations Researching prior authorization requirements so you and your healthcare provider know what is needed to start on your medication Advancing Access Program Enrollment Form (English) Advancing Access Program Enrollment Form (Spanish) SUNLENCA® (lenacapavir) Program Enrollment Form (English) If eligible, you may be able to save on your out-of-pocket (OOP) costs We keep every individual in mind Choose your insurance type to see how Advancing Access may help you I do not have health insurance You may be able to receive your Gilead medication free of charge through the Patient Assistance Program/Medication Assistance Program (PAP/MAP).

Enroll in Advancing Access to see if you qualify Advancing Access Program Enrollment Form (English) Advancing Access Program Enrollment Form (Spanish) SUNLENCA® (lenacapavir) Program Enrollment Form (English) Do I need to be residing in the United States to be eligible for PAP or MAP? Yes. You must be a resident of the United States, Puerto Rico, or US Territories.

You must also meet other criteria as well. Proof of residency may be required. How long does PAP/MAP enrollment last?

PAP/MAP enrollment is for up to 12 months. During this time, there are ongoing eligibility checks to make sure you still qualify. If you get insured while enrolled, or no longer need free medication support, please call 1-800-226-2056 to let us know.

What if I need to stay on PAP/MAP after my year of enrollment expires? If you still need PAP/MAP after enrollment ends, you may be able to re-enroll. If you are eligible for Medicaid or the AIDS Drug Assistance Program (ADAP), you may not be eligible to re-enroll in PAP/MAP.

Please speak with your doctor or call Advancing Access to see if you may be able to re-enroll in PAP/MAP. For more answers about enrollment, as well as filling your prescription, head to our Frequently Asked Questions (FAQs) . Click here to visit HIV.

gov and learn how the Affordable Care Act impacts patients living with HIV/AIDS. I have commercial or private insurance through my employer or directly from a health insurance company If you have commercial or private insurance through your employer or directly from a health insurance company, the Gilead Advancing Access ® Co-pay Savings Program helps eligible patients who need financial assistance with their co-pays.

You may be able to lower your out-of-pocket costs with the Gilead Advancing Access Co-pay Savings Program. Find out if you are eligible and get more information How much does the co-pay savings card cover? The amount is based on your medication.

For information about the amount covered, view Co-pay Savings Program benefits and terms and conditions . Does my co-pay savings card expire? No. You keep the same card for your whole enrollment.

It auto-renews January 1 each year. For information about the amount covered, go to the Co-pay Savings Program page. If I change medications, can I still use my same co-pay savings card?

If you are prescribed a different Gilead HIV treatment or HIV prevention oral medication, you can still use your same card. However, SUNLENCA® (lenacapavir) and YEZTUGO® (lenacapavir) have their own co-pay cards. You must enroll for them separately.

Visit our Frequently Asked Questions (FAQs) for more answers about how the Co-pay Savings Program works. I have government-sponsored insurance such as Medicaid, Medicare, VA, or another federal or state healthcare program There are many different types of government insurance and programs, and we can help you understand what your coverage is.

If you have government insurance, you may be eligible to receive financial assistance through independent co-pay foundations. Independent co-pay foundations are charitable nonprofit organizations that have their own eligibility criteria and application process.

These foundations may give additional support for help with out-of-pocket (OOP) costs including: Government insurance includes: Medicare Parts A & B: considered Original Medicare. Gives coverage for most standard hospital and medical expenses Medicare Part C (also known as Medicare Advantage). Only offered through private insurers as supplemental coverage for expensive deductibles, copayments, and coinsurance.

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I’m not sure what insurance I have or my insurance situation recently changed If you are not sure if you have insurance or what type of insurance you have, visit our Frequently Asked Questions (FAQs) to learn more about insurance types or call 1-800-226-2056 to speak with a program specialist. We know your journey has twists and turns.

If your insurance situation changes, we can help you: Understand if your new plan covers your Gilead medication Determine next steps for covering your Gilead medication Find out why you were denied insurance coverage Identify programs that may help you pay for your medications Provide information about appeals processes if your claim is denied Enroll online in Advancing Access to learn how insurance may cover your Gilead medication.

Frequently Asked Questions Need help? Head over to our Frequently Asked Questions (FAQs) for answers to the most common questions about enrollment, the Co-pay Savings Program, and how to obtain your Gilead medication.

Co-pay Savings Program Benefits Subject to the Gilead Advancing Access® Co-pay Coupon (“Savings Program”) Terms and Conditions, this program provides the following financial assistance for the out-of-pocket costs for eligible commercially insured patients with a valid Up to $8,000 in cost-sharing assistance per calendar year including up to $100 per visit for injection administration with no monthly limit for the following product: Up to $9,600 in cost-sharing assistance per calendar year with no monthly limit for the following product: Up to $7,200 in cost-sharing assistance per calendar year with no monthly limit for the following products: BIKTARVY® (bictegravir/emtricitabine/tenofovir alafenamide) DESCOVY® (emtricitabine/tenofovir alafenamide) GENVOYA® (elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide) TRUVADA® (emtricitabine/tenofovir disoproxil fumarate) Up to $6,000 in cost-sharing assistance per calendar year with no monthly limit for the following products: ODEFSEY® (emtricitabine/rilpivirine/tenofovir alafenamide) STRIBILD® (elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate) COMPLERA® (emtricitabine/rilpivirine/tenofovir disoproxil fumarate) Up to $3,600 in cost-sharing assistance per calendar year, with a monthly maximum of $300 in cost-sharing assistance, for the following product: Up to $600 in cost-sharing assistance per calendar year, with a monthly maximum of $50 in cost-sharing assistance, for the following product: As described in the Savings Program Terms and Conditions, Gilead may reduce or discontinue the financial assistance available under the Savings Program if it determines the patient is subject to an “accumulator adjustment” or “co-pay maximizer” If Gilead determines that a patient’s insurer (or its agent) has implemented a program that adjusts patient cost-sharing obligations based on the availability of support under the Savings Program (sometimes called a “co-pay maximizer program”), unless prohibited by law, Gilead may discontinue or reduce the cost-sharing assistance available under the Savings Program.

If Gilead determines that a patient’s insurer (or its agent) has implemented a program that excludes the financial assistance provided under the Savings Program from counting towards the patient’s deductible or out-of-pocket cost limitations (sometimes called an “accumulator adjustment program”), unless prohibited by law, Gilead may reduce the cost-sharing assistance available under the Savings Program to a per claim maximum of $25.

Please contact Advancing Access ® at 1-800-226-2056 to determine if additional cost-sharing assistance is available. These Savings Program benefits are subject to change for any reason at any time without notice.

Gilead Advancing Access® Co-pay Savings Program Terms and Conditions: The Gilead Advancing Access® Co-pay Savings Program (“Savings Program”) provides financial assistance for the out-of-pocket costs for eligible commercially insured patients as described in the Savings Program Benefits above.

Savings Program benefits are limited to financial assistance for patient cost-sharing for the applicable Gilead product and product administration (administration financial assistance only available for certain products). The Savings Program can be used only by eligible residents of the US, Puerto Rico, or US territories at participating eligible pharmacies in the US, Puerto Rico, or US territories.

Product must be dispensed in the US, Puerto Rico, or US territories. Individuals must be at least 18 years old to use the Savings Program themselves or to enroll in the Savings Program on behalf of a minor. To use the Savings Program, the patient (or the authorized representative under federal or state law enrolling on behalf of the patient, as applicable) must personally complete the enrollment process for the Savings Program.

Third-party payers, pharmacy benefit managers, or the agents of either, are prohibited from assisting patients with enrolling in the Savings Program. Any decision to enroll in the Savings Program must be made voluntarily by the patient. The Savings Program is not insurance and is not intended to substitute for insurance.

Uninsured and cash-paying patients are not eligible to use the Savings Program.

The Savings Program is valid only for prescriptions that are reimbursed by commercial insurance and is not valid for prescriptions that are eligible to be reimbursed: in whole or in part by Medicare or a Medicare Part D plan, Medicaid, TRICARE, VA, DOD, Puerto Rico Government Health Insurance Plan, or any other state or federally funded healthcare benefit program (collectively, “Government Programs”); or by commercial plans or other health or pharmacy benefit programs that reimburse for the entire cost of prescription drugs or prohibit the use of the savings card.

Patients who begin receiving prescription benefits from Government Programs at any time must notify Gilead of this fact by contacting Advancing Access at 1-800-226-2056 and will no longer be eligible to use the Savings Program. The Savings Program is limited to one per person and is not transferable. No substitutions are permitted.

This Savings Program is offered to, and intended for the sole benefit of, eligible patients and may not be utilized for the benefit of third parties, including, without limitation, third-party payers, pharmacy benefit managers, or the agents of either.

If Gilead determines that a patient’s insurer has implemented a program that adjusts patient cost-sharing obligations based on the availability of support under the Savings Program (sometimes called a “co-pay maximizer program”), unless prohibited by law, Gilead may discontinue or reduce the cost-sharing assistance available under the Savings Program.

If Gilead determines that a patient’s insurer has implemented a program that excludes the financial assistance provided under the Savings Program from counting towards the patient’s deductible or out-of-pocket cost limitations (sometimes called an “accumulator adjustment program”), unless prohibited by law, Gilead may reduce the cost-sharing assistance available under the Savings Program to a per claim maximum of $25.

Patients may contact Advancing Access ® at 1-800-226-2056 to determine if additional cost-sharing assistance is available. The Savings Program is only available with a valid prescription. No other purchase is necessary to redeem this offer.

The Savings Program cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer (including, without limitation, any program offered by a third-party payer or pharmacy benefit manager, or an agent of either, that adjusts patient cost-sharing obligations).

Patients are not eligible to use the Savings Program for a product if they are currently receiving free drug assistance through Gilead Sciences, Inc. (“Gilead”)’s patient assistance program for that product. The Savings Program will not reimburse any payments made by Flexible Spending Account (FSA), Health Savings Account (HSA), Health Reimbursement Account (HRA), or any other payor, discount/co-pay program, or other offer.

Void where prohibited by law, taxed, or restricted. Residents of Massachusetts, Minnesota, and Rhode Island are not eligible for financial assistance with injection administration out-of-pocket costs for YEZTUGO. Patient, pharmacist, and prescriber agree not to seek reimbursement for all, or any part of the benefit received by the patient through the Savings Program.

Both patient and pharmacist are each individually responsible for reporting receipt of the Savings Program benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the Savings Program, as may be required. It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the Savings Program.

Certain information pertaining to your use of the Savings Program will be shared with Gilead, the sponsor of the Savings Program, and its affiliates. The information disclosed will include the patient co-pay ID, pharmacy demographics, prescriber Gilead Sciences reserves the right to terminate, rescind, revoke, or modify the Savings Program for any reason at any time without notice.

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Gilead is not responsible for their content or your use of them. This website is intended for US healthcare professionals Go to healthcare professionals site Still need help? Call 1-800-226-2056 to speak with a program specialist.

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