Change to Gilead assistance program threatens prep access, HIV advocates say


Sumary of Change to Gilead assistance program threatens prep access, HIV advocates say:

  • Dr. John Carlo is concerned that patients at Prism Health North Texas who rely on the health care safety net will soon be struggling even more to stay on PrEP, a medication that prevents HIV transmission..
  • Carlo, chief executive officer of the clinic, which runs three locations in Dallas, offers free PrEP to roughly 250 patients, he said, thanks to an assistance program run by Gilead Sciences..
  • The program also helps Carlo generate money to cover the care people on the medication need, like regular doctor visits and lab tests..
  • Nationwide, safety-net clinics like Prism Health North Texas rely on Gilead’s Advancing Access Patient Assistance/Medication Assistance Program to fund services that keep patients in need HIV-negative..
  • For pharmacies that contract with certain safety-net clinics, like Prism Health, the change means less reimbursement cash to pass along to the clinics..
  • The domino-like impact of the company’s move means Prism Health may lose between $2 million and $3 million annually, Carlo estimated..
  • commercial access and reimbursement, said that before it changed its policy the company did not know safety-net clinics relied on this money to fund critical services..
  • The company declined to tell how much money it will save, but Stout said the move will help keep the aid program sustainable….

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