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What payment assistance programs are available for PrEP?

Whether or not you have insurance, you can access payment assistance programs that make PrEP affordable. In fact, 99% of Nurx PrEP patients wind up paying nothing for Truvada. Once you’ve submitted a request for PrEP through Nurx our team can guide you through applying for assistance. Here are the three payment assistance programs available:

Gilead’s Co-Pay Card

If you have private insurance, this card is available to cover up to $7,000 per year towards the cost of Truvada, with no monthly limit. It can be used for copays, coinsurance, or high deductibles. For specific questions regarding Gilead’s Co-Pay Card, please call (800) 226-2056.

Gilead’s Advancing Access Program

Advancing Access is a program that assists uninsured, underinsured, and some Medicare patients by covering the costs (or gaps in cost) for Truvada. Patients must have income equal to or below 500% of the Federal Poverty Level ($60,300 in 2017) to qualify. For specific questions regarding Advancing Access, please call (800) 226-2056 or visit Gilead’s Advancing Access website. In order to apply you will need your social security number and proof of income (W2, 1040 tax return, 2 most recent pay stubs, or a notarized letter with monthly income/expenses/savings listed).

After you apply the program will require more information and a signature from providers here at Nurx. Please send us the application, in pdf form, completed as much as you’re able and we’ll be in touch shortly.

Patient Advocate Foundation (PAF)

As long as insurance covers some portion of the medication and you earn up to 400% of the Federal Poverty Level (2017: $48,240/year), this group will provide up to $7,500 for co-pay and coinsurance assistance. For specific questions regarding PAF, please call (866) 512-3861 or apply online here. In order to apply you will need your social security number, your annual household income, and your insurance/Medicaid information.

Once you submit the application, refresh the page after a couple of minutes for links to important documents to appear. Your award letter and amount will be found here. Make sure to download and send the Diagnosis Verification form to Nurx for a provider to complete as soon as possible.

Important Information: A claim must be made on PAF funds within the first 30 days after the award, or the funds are forfeited. If the patient is using a Gilead copay card in combination with a PAF grant to eliminate their high deductible, please bill the PAF grant first and use the money there before going to the copay card.

Patients will receive a PAF packet in the mail. Sometimes, PAF asks patients to prove their income. If required, patients will need to submit income verification documents within 30 days or forfeit funds. Periodically check this in the provider portal. For specific questions regarding PAF, please call (866) 512-3861.

The Bottom Line

Once you request a PrEP prescription through Nurx our team can explain all of the payment options, and will help you access assistance.

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