![]() Gilead’s Co-Payment Assistance Program covers up to $7,200 of Truvada® copays per calendar year. Search for a California PrEP-AP provider or enrollment site near you. To be eligible for the assistance, you must receive all PrEP-related medical services at approved locations within the California Department of Public Health’s Office of AIDS PrEP-AP Provider Network. California’s PrEP-AP will also provide financial assistance with all other medications on the PrEP-AP formulary for HIV prevention and treatment of sexually transmitted infections (STIs) and the following PrEP-related medical services: You can receive Truvada®, one of the two FDA-approved PrEP medications, free of charge through Gilead’s Advancing Access® Program. The State of California’s PrEP Assistance Program (PrEP-AP) helps cover PrEP-related medical expenses, with different benefits for individuals without insurance, those with private insurance, and those with Medicare. Here’s a breakdown of how to apply for state-funded PrEP drug assistance programs - also referred to as PrEP-DAP or PrEP-AP programs - in four of the states that Alto serves. In addition, many states have patient assistance programs to help people with a variety of insurance statuses access PrEP and related medical services at little to no cost. Fortunately, the HIV prevention landscape is rapidly evolving, and PrEP is now more accessible than ever.Īs of this January, most private insurance plans must cover PrEP for HIV prevention without charging any out-of-pocket costs. For replacement cards and support for pharmacists, please visit is often a barrier to starting PrEP, a medication that can lower your risk of sexual transmission of HIV by 99% when taken daily. Patients seeking co-pay assistance for specific drugs should visit the manufacturer’s website. With each claim, the provider receives an EOB that clearly communicates the patient’s program status and remaining benefits.Īre you a patient looking for co-pay assistance?. ![]() The medical co-pay program provides prompt payment to the provider by check or direct deposit.(This step ensures only eligible providers and patients receive reimbursement for covered products.) Each claim gets reviewed for compliance with the program rules.The provider faxes a claim form, along with the patient’s commercial insurance evidence of benefits (EOB), to bill the program.Our medical co-pay program is a simple process that follows these steps: We also provide ongoing adherence coaching for patients to help them overcome barriers, set expectations and deter drop off. We engage and educate provider staff in the processes of enrollment, claims submission and Our team of experts will work to understand your financial support needs, building an integrated co-pay solution to help you serve patients and promote loyalty. Depending on a patient’s product portfolioĪnd provider coverage, brands may offer medical or pharmacy benefit support-or both. Specialty brands often require medical benefit co-pay programs, particularly for infused and in-office administered products. Operational integration to hub services for applicable brandsĬustomized medical benefit co-pay assistance programs.Print, including program materials, direct mail, and ongoing fulfillment.Interactive Voice Response (IVR) and live support. ![]() ![]()
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