| |
Truvada for PrEP
|
PO Box 13185
La Jolla, CA 92039
Phone
:
(800)226-2056
Fax:
|
|
Eligibility
|
| > |
This program is intended for patients that are uninsured. Medicare Part D patients are not eligible for this program. Income based on FPL. Not intended for HIV+ applicants (for preventative purposes only). Must be a US resident. |
| Who Can Apply
|
| > |
Call to have application faxed, mailed or download from website. Patient and Doctor notified of decision in writing within 3-5 business days. |
|
Required
|
| > |
Doctor must complete and sign application. Patient must complete application, sign and attach proof of income. |
|
Supply
|
| > |
Up to 1 month supply. Patient contacts pharmacy fro refills. Refill limit not specified. New application must be completed every 6 months. |
|
Ship To
|
| > |
Shipping to location varies, is received within 2 business days. |
|
Note
|
| > |
Truvada for PrEP is now covered under the Gilead Sciences, Advancing Access Program. |
| |
Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
|
| Truvada tablet |
| |
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
|
| Download printable Form Truvada for PrEP |
(Requires Acrobat Reader) 
|
| |
|
|