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Patient Name: Date of Birth: for Pre-Exposure Prophylaxis (PrEP) Medication Assistance Program Page 1 of 4 Application to be used for ( 200 mg/ disoproxil fumarate 300.

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The Gilead Advancing Access co-pay coupon card might help you save. If you are eligible, the co-pay coupon card covers up to $7,200 in co-pays per year with no monthly limit for for PrEP. For some people, that could mean paying as little as a $0 co-pay.

Visit GetYourPrEP.com or call the toll-free number 855-447-8410 to see whether you qualify. The two meds currently approved for use as PrEP are and an updated version called Descovy. Both are manufactured by Gilead Sciences.

A month's supply of is nearly $2,000 without insurance. Most private health insurance companies, Medicare, and Medicaid will cover the cost. But private insurers may charge high copayments -- the amount you have to pay out of pocket for the drug.

Online, go to GetYourPrep.com. Those interested can also visit health providers such as community health centers to enroll. To find the nearest location, visit locator.hiv.gov/. The phone number for information is 855-447-8410.

PrEP is only available by prescription. Any health care provider licensed to write prescriptions can prescribe PrEP; specialization in infectious diseases or HIV medicine is not required. If you don't have a doctor, you can use the HIV Services Locator to find a PrEP provider and other HIV services near you.

A month's supply of is nearly $2,000 without insurance. Most private health insurance companies, Medicare, and Medicaid will cover the cost. But private insurers may charge high copayments -- the amount you have to pay out of pocket for the drug.

The cost of PrEP is covered by nearly all health insurance plans. Check with your health insurance company about coverage for the medication and about co-pay costs. ... If you do not have health insurance, you may be able to get PrEP at no or low cost. Gilead has a medication assistance program for PrEP.

The Centers for Disease Control and Prevention estimated that in 2015 there were 1.1 million people in the United States who could benefit from PrEP. With a monthly price tag approaching $2,000, many private health plans have put the drug in a specialty drug tier with high copayments or coinsurance.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232