Biktarvy

Indicated For

HIV-1 infection

About This Medication

# Gilead Advancing Access Patient Assistance Program (PAP) Patient Guide: How to Get Biktarvy at Low or No Cost Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide) is a prescription medication used to treat HIV-1 infection in adults and children. This guide explains the **Gilead Advancing Access Patient Assistance Program (PAP)**, which provides **Biktarvy free of charge** to eligible uninsured or underinsured patients.[1][7] ## About Biktarvy **Biktarvy** is a once-daily oral tablet combining three antiretroviral medications: bictegravir, emtricitabine, and tenofovir alafenamide. It works by blocking HIV from multiplying in the body, helping to control the virus and reduce its amount in your blood (viral load). This lowers the risk of HIV-related complications and passing the virus to others. It's often used as a complete regimen for HIV treatment in people who have never taken HIV meds before or to replace their current regimen.[1] Always take Biktarvy as prescribed by your doctor. Common side effects include diarrhea, nausea, headache, and fatigue. Serious risks can include lactic acidosis, liver problems, or new or worsening kidney issues. Discuss with your healthcare provider if you have questions about Biktarvy or its side effects. ## Who Qualifies for the Program? The **Gilead Advancing Access PAP** helps U.S. residents (including Puerto Rico and U.S. Territories) who cannot afford their Gilead medications like Biktarvy. You must: - Be **uninsured** or **underinsured** (insurance doesn't cover Biktarvy or cost-sharing is unaffordable). - Live in the U.S., Puerto Rico, or U.S. Territories (proof may be required).[1][3] - Meet **income guidelines** (see table below). - Have a valid prescription from a U.S.-licensed healthcare provider.[2] The program is for patients with HIV needing Biktarvy. It's not for those with government insurance like Medicare or Medicaid in most cases—check details below.[7] ## Income Eligibility Breakdown Eligibility is based on household income up to **500% of the Federal Poverty Level (FPL)**, with case-by-case review for higher incomes. FPL changes yearly; use the current guidelines from the U.S. Department of Health & Human Services. Here's a sample table for 2026 (approximate; verify current FPL at aspe.hhs.gov/poverty-guidelines): | Household Size | Annual Income Limit (500% FPL) | |----------------|-------------------------------| | 1 person | $75,300 | | 2 people | $101,500 | | 3 people | $127,600 | | 4 people | $153,800 | | +1 person | Add ~$26,200 each | **Notes**: Income includes wages, Social Security, etc. Provide proof like tax returns, W-2s, or pay stubs. Case-by-case for over 500% FPL.[2] ## Insurance Requirements - **Uninsured patients**: Fully eligible if other criteria met. - **Underinsured**: Eligible if insurance denies coverage for Biktarvy or out-of-pocket costs are too high. - **Medicare/Medicaid**: Generally not eligible; program excludes federal health benefits. Check AIDS Drug Assistance Program (ADAP) first.[5] - **Commercial insurance**: May qualify for co-pay help via separate Co-pay Savings Program, not PAP.[1][7] Program specialists can help investigate benefits or prior authorizations.[1] ## Step-by-Step Application Process 1. **Get a prescription**: Ask your doctor for Biktarvy and have them complete the provider section of the enrollment form.[2] 2. **Choose application method** (multiple options): - **Online**: Visit [gileadadvancingaccess.com/patient](https://www.gileadadvancingaccess.com/patient) and enroll—may get instant decision.[3] - **Download & Fax**: Get English/Spanish form, fill out, have doctor sign, fax to number on form (e.g., 1-800-216-6857).[2][3] - **Phone**: Call **(800) 226-2056** (Mon-Fri, 9 AM–8 PM ET) for help or to start.[1][3] 3. **Gather documents**: - **Income proof**: Tax return, W-2, last 2 pay stubs, etc.[2] - **Insurance verification**: Proof of no/denied coverage.[2] - ID and residency proof if requested.[1] 4. **Sign & Submit**: Patient and doctor sign form, authorizing info sharing for eligibility.[2] 5. **Follow up**: Expect a call from a specialist. Include your phone number![3] ## Timeline and Delivery - **Review time**: Online—instant or call needed. Fax—**2 business days** typically.[3][8] - **Enrollment duration**: Up to **12 months**, with ongoing checks. If insured later, you may switch programs.[1][8] - **Delivery**: Medication **shipped free to your home** via a specialty pharmacy. Track with program.[1][7] Refills require **reauthorization**—doctor resubmits or you re-enroll near end.[1] ## Alternatives if Denied - **Appeal**: Contact (800) 226-2056 to discuss reasons and resubmit.[3] - **Co-pay Program**: For commercial insurance—up to $8,400/year savings.[1] - **ADAP/State programs**: Apply via state AIDS Drug Assistance.[5] - **Other PAPs**: NeedyMeds.org or RxAssist.org for HIV meds. - **Manufacturer Copay Cards**: Check Gilead site. - **Generic options**: No biosimilars for Biktarvy currently. ## Disclaimer This guide is for informational purposes based on program details as of March 2026. Gilead can change, modify, or end the program anytime without notice. Eligibility not guaranteed. Consult healthcare provider, call (800) 226-2056, or visit gileadadvancingaccess.com for latest info. Not medical/financial advice.

Program information last verified: March 30, 2026