List of HIV Drug Co-Pay and Assistance Programs

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While access to treatment has increased for people living with HIV since the implementation of the Affordable Care Act (AC) in 2014, the cost of antiretroviral therapy remains a challenge—even a barrier—for many. According to the non-profit Fair Pricing Coalition (FPC), some insurers have tried to skirt the law by making HIV drugs either unavailable or more expensive than other chronic medications prescribed as essential by the ACA.

In some cases, insurers have excluded first-line antiretrovirals from their formularies, while others required patients to pay a percentage of the drug’s cost rather than the standard flat fee.  As a result, therapies that are meant to be accessible and affordable are hitting some patients hard in the pocketbook.

Co-Pay and Patient Assistance Program (PAP) Eligibility

In the effort to ensure affordable access, the FDC has negotiated co-pay and patient assistance programs (PAPs) with most every HIV drug manufacturers. Both programs provide assistance to patients who meet eligibility criteria based on the annually updated Federal Poverty Level (or FPL). The criteria for inclusion varies by program, with some PAPs, for example, providing access to those with incomes twice the FPL while allowing membership at 950% of the FPL. Additionally, the FPL is adjusted by family or household size. The FPL Guidelines are available here for the 2016 calendar year.

While co-pay programs assist with the insurance co-payment of each individual drug, PAPs work to provide qualified low-cost to free medications. In most cases, verification of income is required, usually in the form of a federal income tax return.

A more recent development has been the establishment of the Common PAP Application, an initiative coordinated through the U.S. Department of Health and Human Services to streamline the application process. (Please note, however, that while the application helps reduce the amount of paperwork associated with registration, the form does still need be sent to each drug manufacturer individually.)

Drug Company Contact Program Type Program Details
Aptivus Boehringer Ingelheim 800-556-8317 or apply online at www.pparx.org PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Atripla Gilead Sciences 877-505-6986 or product website Co-Pay Covers first $400 per month of the patient's co-pay.
Gilead Sciences

866-290-4767 or product website

PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford ​co-pay, deductibles, or out-of-pocket drug payment.​
Atripla Bristol-Myers Squibb 866-784-3431 or product website​ Co-Pay Benefit equals an amount up to $6,800 annually.
Bristol-Myers Squibb 866-290-4767 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Combivir ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Complera Gilead Sciences 877-505-6986 or product website Co-Pay Covers first $400 per month of the patient's co-pay.
Gilead US Advancing Access Program 800-226-2056 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Crixivan Merck & Co. 800-850-3430 or Isentress website PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL.
Edurant Janssen Therapeutics 866-961-7169 or product website Co-Pay Coverage up to 100% of co-pay up to $7,500 maximum benefit.
Johnson & Johnson Patient Assistant Foundation 800-652-6227 PAP Covers people not qualified for other assistance with incomes up to 200% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Emtriva Gilead Sciences 877-505-6986 or Truvada website Co-Pay Covers first $200 per month of the patient's co-pay.
Gilead US Advancing Access Program 800-226-2056 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Epivir ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Epzicom ViiV Healthcare 888-281-8981 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Evotaz Bristol-Myers Squibb 888-281-8981or product website Co-Pay Benefit equals an amount up to $6,800 annually.
Bristol-Myers Squibb 888-281-8981 or apply online PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Fuzeon Genentech Access Solutions 877-757-6243 PAP Covers people not qualified for other assistance with incomes up to 950% of the FPL.
Genvoya Gilead Sciences 877-505-6986 or product website Co-Pay Covers first $400 per month of the patient's co-pay.
Gilead US Advancing Access Program 800-226-2056 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Intelence Janssen Therapeutics 866-961-7169 or product website Co-Pay Coverage up to 100% of co-pay up to $7,500 maximum benefit.
Johnson & Johnson Patient Assistant Foundation 800-652-6227 PAP Covers people not qualified for other assistance with incomes up to 200% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Isentress Merck & Co. 855-834-3467 or product website Co-Pay Covers first $400 per month of the patient's co-pay.
Merck & Co. 800-850-3430 or product website PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL.
Kaletra Abbvie 800-222-6885 or product website Co-Pay Covers first $200 per month of the patient's co-pay.
Abbott Patient Assistant Foundation 800-222-6885 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Lexiva ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Norvir AbbVie 800-222-6885 or product website Co-Pay Covers first $50 per month of the patient's co-pay.
Abbott Patient Assistant Foundation 800-222-6885 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Prezista Janssen Therapeutics 866-961-7169 or product website Co-Pay Patient covers first $5 of co-pay and Janssen covers the rest.
Johnson & Johnson Patient Assistant Foundation 800-652-6227 PAP Covers people not qualified for other assistance with incomes up to 200% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Prezcobix Janssen Therapeutics 866-961-7169 or ​product website​ Co-Pay Coverage up to 100% of co-pay up to $7,500 maximum benefit.
Johnson & Johnson Patient Assistant Foundation 800-652-6227 PAP Covers people not qualified for other assistance with incomes up to 200% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Rescriptor ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Retrovir ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Reyataz Bristol-Myers Squibb 888-281-8981 or product website Co-Pay Benefit equals an amount up to $6,800 annually.
Bristol-Myers Squibb 888-281-8981 or apply online PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Selzentry ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Stribild Gilead Sciences 877-505-6986 or product website Co-Pay Covers first $400 per month of the patient's co-pay.
Gilead US Advancing Access Program 800-226-2056 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Sustiva Bristol-Myers Squibb 888-281-8981 or product website Co-Pay Benefit equals an amount up to $6,800 annually.
Bristol-Myers Squibb 888-281-8981 or apply online PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Tivicay ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Triumeq ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Trizivir ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Truvada Gilead Sciences 877-505-6986 or Truvada website Co-Pay Covers first $200 per month of the patient's co-pay.
Gilead US Advancing Access Program 800-226-2056 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Truvada for PrEP Medication Assistance Program 855-330-5479 Co-Pay Covers up to $200 per month of the patient's co-pay for HIV-negative individuals using Truvada for preventive pre-exposure prophylaxis (PrEP)
Viracept ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Viramune Boehringer Ingelheim 800-556-8317 or apply online at www.pparx.org PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Viread Gilead Sciences 877-505-6986 or Truvada website Co-Pay Covers first $200 per month of the patient's co-pay.
Gilead US Advancing Access Program 800-226-2056 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
Ziagen ViiV Healthcare 877-844-8872 Co-Pay Covers first $200 per month of the patient's co-pay.
ViiV Healthcare Patient Assistance Program 877-784-4842 PAP Covers people not qualified for other assistance with incomes up to 500% of the FPL, but will make exceptions for some patients who are Medicare Part D clients, or under-insured people unable to afford co-pay, deductibles, or out-of-pocket drug payment.
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