Odefsey

Indicated For

HIV-1

About This Medication

# Gilead Advancing Access Patient Guide: How to Get Odefsey at Low or No Cost ## About This Program The **Gilead Advancing Access Patient Assistance Program** helps uninsured and underinsured patients access Odefsey (emtricitabine/rilpivirine/tenofovir alafenamide) at no cost or reduced cost. Gilead Sciences, the manufacturer, operates this program to ensure that financial barriers don't prevent you from getting the HIV treatment your doctor has prescribed. ## About Odefsey Odefsey is a once-daily, single-tablet HIV treatment that combines three medications in one pill. It's designed for adults with HIV-1 who have never taken HIV medicines before or who are switching from other treatments. Your healthcare provider has determined that Odefsey is the right medication for your treatment plan. ## Who Qualifies for This Program? You may be eligible for the Gilead Advancing Access program if you meet these criteria: - **Residency**: You must be a resident of the United States, Puerto Rico, or US Territories - **Insurance Status**: You are uninsured or underinsured (have insurance that doesn't adequately cover Odefsey) - **Income Level**: Your household income is at or below 500% of the Federal Poverty Level (FPL) - **Not on Medicare Part D**: Patients with Medicare Part D coverage are not eligible for this program ### Income Eligibility Breakdown The program uses 500% of the Federal Poverty Level as the income threshold. Here's what this means for different household sizes: | Household Size | 500% Federal Poverty Level (Annual Income) | |---|---| | 1 person | Approximately $68,750 | | 2 people | Approximately $92,500 | | 3 people | Approximately $116,250 | | 4 people | Approximately $140,000 | | Each additional person | Add approximately $23,750 | *Note: These figures are approximate and based on 2026 federal poverty guidelines. Contact the program for exact current thresholds.* ## Insurance Requirements The program is designed for patients who are: - **Completely uninsured** (no health insurance at all) - **Underinsured** (have insurance but it doesn't cover Odefsey or has high out-of-pocket costs) If you have commercial insurance, you may qualify for the **Co-pay Savings Program** instead, which helps reduce your medication costs. Patients with Medicare Part D are not eligible for free medication through this program but should explore other coverage options with their healthcare provider. ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before you start, collect the following: - **Proof of residency**: A utility bill, lease agreement, or government-issued ID showing your current address - **Proof of income**: Recent tax return, W-2, last two pay stubs, or other income documentation - **Prescription**: Your doctor's prescription for Odefsey - **Identification**: A valid ID (driver's license, passport, or state ID) ### Step 2: Choose Your Application Method You have three options: **Online Enrollment (Fastest)** - Visit the enrollment portal at https://advancingaccessconsent.iassist.com/ - Complete the online form with your personal, financial, and medical information - You may receive an immediate eligibility decision - If not immediate, you'll be asked to call the program **Fax Your Application** - Download the Advancing Access Program Enrollment Form (available in English and Spanish) - Complete all required sections and have your doctor sign where indicated - Fax to: 1-800-216-6857 - Your application will be reviewed within 2 business days **Call the Program** - Phone: 1-800-226-2056 - Hours: Monday–Friday, 9 AM–8 PM ET - A program specialist will guide you through the enrollment process - Language assistance available ### Step 3: Submit Your Application Make sure to: - Fill out all required fields on the form - Sign and date where indicated - Have your healthcare provider sign the form - Include your phone number so the program can contact you - Provide clear, legible copies of your supporting documents ### Step 4: Authorization By submitting your application, you authorize Gilead to: - Verify your identity and income - Check your eligibility for other assistance programs - Contact your healthcare provider if needed - Share your information with program administrators and dispensing pharmacies - Conduct ongoing eligibility checks during your enrollment period ## Timeline and What to Expect ### Application Review - **Online applications**: Immediate decision or callback within 1-2 business days - **Faxed applications**: Reviewed within 2 business days - **Phone applications**: Discussed immediately with a specialist ### Approval and Delivery - Once approved, the program will notify you by phone or your preferred contact method - Your prescription will be sent to a dispensing pharmacy - Medication is shipped directly to you - Standard enrollment lasts up to 12 months with ongoing eligibility checks ### Refills and Reauthorization - Your enrollment is active for up to 12 months - The program conducts ongoing eligibility checks to ensure you still qualify - You'll need to reauthorize your enrollment before it expires - If your insurance status changes, notify the program immediately ## What If Your Application Is Denied? If you don't qualify for the free medication program, you have other options: - **Co-pay Savings Program**: If you have commercial insurance, you may qualify for reduced co-pays - **Benefits Investigation**: The program can help investigate what your insurance will cover - **Prior Authorization Support**: The program can help your doctor navigate insurance requirements - **Reapplication**: If your circumstances change (income decreases, insurance ends), you can reapply - **Other Resources**: Ask your healthcare provider about other patient assistance programs or community resources ## Important Information ### Ongoing Eligibility Your enrollment requires ongoing eligibility checks. You must: - Notify the program if your insurance status changes - Report any changes in income - Confirm you're still using the medication as prescribed - Respond to program requests for updated documentation ### If You Become Insured If you obtain health insurance while enrolled, notify the program immediately. You may become ineligible for free medication, but the Co-pay Savings Program or your insurance coverage may help with costs. ### Privacy and Confidentiality Your medical and financial information is protected and used only to determine eligibility and coordinate your care. The program may share information with healthcare providers, social workers, or family members when necessary to complete enrollment and coordinate assistance. ## Contact Information **Gilead Advancing Access Program** - Phone: 1-800-226-2056 - Hours: Monday–Friday, 9 AM–8 PM ET - Online: https://www.gileadadvancingaccess.com - Fax: 1-800-216-6857 ## Disclaimer This guide provides general information about the Gilead Advancing Access Patient Assistance Program for Odefsey. Program eligibility, requirements, and benefits may change. For the most current and complete information, contact the program directly or visit the official website. This guide is not a guarantee of eligibility or enrollment. Your healthcare provider should be involved in all treatment decisions. If you have questions about whether Odefsey is right for you, discuss them with your doctor.

Program information last verified: March 30, 2026