Frequently Asked Questions | Gilead Advancing Access® Program

Advancing Access is a patient support program. It can help you find financial support options and understand coverage information for your prescribed Gilead HIV treatment or HIV prevention.

• Co-pay Savings Program
• Patient Assistance Program/Medication Assistance Program (PAP/MAP)
• Learn how insurance may cover your medication
• Help with prior authorization and appeals process information
• Information on additional support and coverage options

When a new medication is approved by the FDA, your insurance plan may still be deciding if it will cover it. During that time, the medication may show as not covered or nonformulary. “Nonformulary” means it is not on your plan’s list of covered drugs. This does not always mean you cannot get the medication. Your healthcare provider may need to send more information to your insurance plan.

Your healthcare provider may need to send more information to your insurance plan so it can review the request. Depending on your plan, this may include a medical exception request, a letter of medical necessity, or other medical records. Advancing Access can help your healthcare provider understand what may be needed.

Coverage timing is different for every insurance plan. Some plans make decisions faster than others. If you have questions about your coverage or next steps, Advancing Access may be able to help by reviewing your benefits information with your healthcare provider.

Ways to get started:

• Enroll online
• Download an enrollment form. Fax it to the number on the form. Choose your enrollment form:
  • Advancing Access Program Enrollment Form (English)
  • Advancing Access Program Enrollment Form (Spanish)
• Call Advancing Access at 1-800-226-2056

• Fill out all required parts of the form
• Sign where indicated
• Have your doctor sign where indicated

Normally 2 business days. Be sure to enter your phone number on the enrollment form as Advancing Access will call you to discuss.

If you are eligible, you may be able to receive your prescribed Gilead HIV treatment medication free of charge through the Patient Assistance Program (PAP) or your prescribed Gilead HIV prevention (PrEP) medication free of charge through the Medication Assistance Program (MAP).

• Enroll online. You may receive an immediate decision. If not, you will be asked to call Advancing Access
• Fax a completed enrollment form to the number on the form. It will be reviewed in 2 business days. Choose your enrollment form:
  • Advancing Access Program Enrollment Form (English)
  • Advancing Access Program Enrollment Form (Spanish)
• Call Advancing Access at 1-800-226-2056

Yes. You must be a resident of the United States, Puerto Rico, or US Territories. You must meet other criteria as well. Proof of residency may be needed.

Advancing Access will tell you through the preferred communication method you chose on the form. We will let your doctor know as well.

PAP/MAP enrollment is for up to 12 months. During this time, there are eligibility checks to make sure you still qualify. If you get insured while enrolled, or no longer need free medication support, call 1-800-226-2056 to let us know.

Yes, Advancing Access will reach out to you and your doctor 60 days before enrollment ends.

If you still need PAP/MAP after enrollment ends, you may be eligible to re-enroll. If you are eligible for Medicaid or the AIDS Drug Assistance Program (ADAP), you may not be eligible to re-enroll in PAP/MAP. Please speak with your doctor or call Advancing Access to see if you may be able to re-enroll in PAP/MAP.

If you still need PAP/MAP after your enrollment ends, you may be able to re-enroll. If you are eligible for Medicaid or the AIDS Drug Assistance Program (ADAP), you may not be eligible to re-enroll in PAP/MAP.

To re-enroll, fill out a new enrollment form and fax it to Advancing Access. You can also talk with your doctor or call Advancing Access at 1-800-226-2056 to learn if you may be able to re-enroll.

Choose your enrollment form:

• Advancing Access Program Enrollment Form (English)
• Advancing Access Program Enrollment Form (Spanish)

Anyone enrolled in the Advancing Access free drug program can receive their prescribed Gilead medicines via mail. Once a shipment address is confirmed, prescriptions will be mailed as soon as one business day via FedEx overnight delivery to an enrollee’s location of choice to address any privacy concerns—either their home; an alternate address such as a shelter, clinic, FedEx pick-up location; or their healthcare provider’s office should the healthcare provider agree.

New enrollees to Advancing Access may have the option of a 30-day supply of our medicines from a retail pharmacy. Following this first month's fill via retail, you will then receive your Gilead medication via mail.

Yes. If you’re newly enrolled in Gilead’s Advancing Access Patient Assistance Program, you can pick up your first 30-day fill at a participating retail pharmacy. After that, all fills will be delivered to you by mail order.

On the Pharmacy Finder, enter the pharmacy name and ZIP code.

Call Advancing Access at 1-800-226-2056 to update your shipping address.

If you picked up your first 30-day fill at a retail pharmacy, ARx Patient Solutions Pharmacy will call you 21-23 days after your retail fill. If you chose mail order from the start, they’ll call you within 24-48 hours after you enroll. The pharmacy will try calling you for 3 days in a row. If they can’t reach you, they’ll notify your doctor.

If you haven’t received a call or message from the pharmacy, please call the Advancing Access program at 1-800-226-2056. They can check your enrollment status and connect you with ARx Patient Solutions Pharmacy if needed.

The pharmacy will call you from 1-866-930-4146. If you use Verizon, AT&T, or T-Mobile, your caller ID will show “ARx Patient Solutions Pharmacy.”

Yes. If you prefer to speak with the pharmacy in Spanish, make sure you or your doctor selects “Spanish” as your preferred language on the enrollment form. You can also verbally let the agent know that Spanish is your preferred language.

Yes, you have two options:

Option 1: If you sign up for text messages from ARx Patient Solutions Pharmacy, you can refill your prescription each month by text. Please note that the text link will expire after 3 days.

Option 2: If phone calls or text messages aren’t possible, your medication can be shipped to your doctor’s office if your doctor agrees to accept it for you. Alternatively, your doctor's office can attest to your shipping address, and ARx Patient Solutions Pharmacy can ship to that address. Please be sure that the shipping address your doctor provides is your preferred shipping address. You’ ll need to be sure to give them a new address if you move or want it sent somewhere else.

Gilead’s Advancing Access program specialists are available at 1-800-226-2056, from Monday through Friday, from 9 AM to 8 PM ET. We have numerous specialists who are fluent in a variety of languages to ensure support for all individuals. This includes live team agents who are fluent in English and Spanish, as well as a language line that supports more than 200 other languages.

In addition to our program specialists, we also have American Academy of HIV Pharmacy certified pharmacists to answer questions (Monday through Friday, 9 AM to 8 PM ET; Saturday, 9 AM to 3 PM ET). Callers will also be able to leave a confidential message any time, and they will receive a call back the next business day.

If you are commercially insured and eligible, the co-pay savings card may help you save on your prescribed Gilead medication. You cannot enroll if you take part in a federally- or state-funded prescription drug program, such as Medicare or a Medicare Part D plan, Medicaid, TRICARE, VA, DOD, Puerto Rico Government Health Insurance Plan, or any other federally- or state-funded healthcare benefit program (collectively, “Government Programs”). For information and to see if you qualify, view Co-pay Savings Program benefits and terms and conditions.

Go to the Co-pay Savings Program page to enroll.

The amount is based on your medication. For information about the amount covered, view Co-pay Savings Program benefits and terms and conditions.

No. You keep the same card for your whole enrollment. It auto-renews January 1 each year. For information about the amount covered, go to the Co-pay Savings Program page.

Go to Replace a Card. If you still need help, call Advancing Access at 1-800-226-2056.

If your card was not active, go to Enroll. If your card was active before it was lost, go to Replace to get your card information. If you still need help, call Advancing Access at 1-800-226-2056.

If you are prescribed a different Gilead HIV treatment or HIV prevention oral medication, you can still use your same card. However, SUNLENCA® (lenacapavir) and YEZTUGO® (lenacapavir) have their own co-pay cards. You must enroll for them separately.

Health insurance usually purchased by an employer or individually from a private or commercial health insurance company. This does not include health plans purchased through federal or state government employers. Commercial plans are generally offered as a preferred provider organization (PPO) plan, point of service (POS) plan, or health maintenance organization (HMO) plan.

Health insurance that is funded by the federal government or a state government. Examples include Medicare, Medicare Part D plans, Medicaid plans, VA/TRICARE, and Federal Employee Health plans.

Individuals who have other insurance not considered commercial/private or government may be eligible for other state health insurance programs, such as the AIDS Drug Assistance Program (ADAP), which provides FDA-approved medications to low-income people living with HIV who have limited or no health coverage from private insurance, Medicaid, or Medicare. To learn more, visit https://adap.directory.

Health insurance that is purchased through government-regulated marketplaces with different tiers or levels of coverage. Health exchanges were established in accordance with the Patient Protection and Affordable Care Act (PPACA). Examples of exchange plans include "Metal Tier" plans in gold, silver, or bronze.

PPACA provides health insurance coverage, prescription coverage, help with healthcare costs, and preventive care. Click here to learn how the Affordable Care Act impacts individuals living with HIV/AIDS.

Call Advancing Access at 1-800-226-2056. We are available Monday through Friday, 9 AM to 8 PM ET.