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Odefsey

Generic: emtricitabine/rilpivirine/tenofovir alafenamide

Manufacturer: Gilead Sciences  ·  Program: Gilead Advancing Access Patient Assistance Program (PAP)/Medication Assistance Program (MAP)

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Eligibility Criteria

Insurance Requirement

Uninsured; no prescription coverage for the medication; Medicare Part D patients not eligible

Residency

US resident, Puerto Rico, or US Territories

Income Threshold

Up to 400% FPL

Income based on FPL; exact thresholds not specified in sources

Program Information

Processing Time

2-5 business days

Delivery Method

shipped to patient or physician office

Application Method

Multiple

Reauthorization

Required — every 12 months

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Proof of income
  • Proof of residency
  • Prescription
  • Doctor-completed application sections

Indicated For

HIV

About This Medication

# Gilead Advancing Access Guide: Getting Odefsey at Low Cost ## About This Program The Gilead Advancing Access Patient Assistance Program (PAP), also called the Medication Assistance Program (MAP), helps eligible patients receive Odefsey (emtricitabine/rilpivirine/tenofovir alafenamide) at reduced or no cost. Odefsey is a once-daily HIV medication that combines three antiretroviral drugs in one tablet. If you're struggling to afford this medication, this program may help. ## Who Can Apply? You may qualify if you meet these requirements: **Income Eligibility** Your household income must not exceed 400% of the Federal Poverty Level (FPL). This limit varies based on your household size: - Individual: approximately $56,000/year - Family of 2: approximately $75,000/year - Family of 3: approximately $94,000/year - Family of 4: approximately $113,000/year Income limits increase for larger households. Contact Gilead to confirm the current limit for your household size. **Insurance Status** You must be: - Uninsured, OR - Have no prescription drug coverage for Odefsey, OR - Have insurance that doesn't cover this medication **Important:** If you have Medicare Part D coverage, you are not eligible for this PAP, even if you cannot afford your copay. Explore other Medicare resources instead. **Residency** You must be a resident of the United States. ## How to Apply **Step 1: Gather Required Documents** Before applying, collect these three items: - Proof of income (recent tax return, pay stub, or benefit statement) - Proof of residency (utility bill, lease, or government ID) - Valid prescription for Odefsey from your doctor **Step 2: Choose Your Application Method** You can apply in multiple ways: - **Online:** Visit https://www.gileadadvancingaccess.com - **Phone:** Call (800) 226-2056 to apply with a representative - **Mail:** Contact Gilead for mailing instructions **Step 3: Complete the Application** Provide your personal information, income details, and insurance status. Your healthcare provider may need to submit prescription information separately. **Step 4: Wait for Approval** Gilead typically reviews applications within 1-2 weeks. You'll be notified of approval status by phone, mail, or email. ## What Happens After Approval Once approved, you'll receive Odefsey through the mail at no cost or at a significantly reduced price. Your medication will arrive with instructions on how to request refills. **Refills and Reauthorization** You must reauthorize your assistance every 12 months. Gilead will notify you when reauthorization is needed. You may need to provide updated income and residency proof. ## Additional Savings Options Even if you don't qualify for the PAP, Gilead offers a **savings card** that may reduce your out-of-pocket costs at the pharmacy. Ask your doctor or pharmacist about this option. ## What If You're Denied? If your application is denied, you'll receive a letter explaining why. Common reasons include: - Income exceeding the 400% FPL limit - Having Medicare Part D coverage - Missing or incomplete documentation You can reapply after addressing the reason for denial. Ask Gilead what changed in your circumstances to be eligible. ## Important Notes - This is a free program—Gilead will never charge a fee to apply - Your information is confidential and used only for eligibility determination - If you're taking other HIV medications, you may need to apply for assistance separately for each drug - If you have HIV, continue working with your healthcare provider on your treatment plan—this program only helps with medication costs ## Questions? Call Gilead Advancing Access at **(800) 226-2056** for help with your application or to ask questions. Representatives are available during business hours. You can also visit the website at https://www.gileadadvancingaccess.com for more information.

Program information last verified: March 25, 2026

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