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Patient Assistance Information

 
 
 
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