Sunlenca

Indicated For

HIV-1 infection

About This Medication

# Gilead Advancing Access Patient Assistance Program Patient Guide: How to Get Sunlenca (lenacapavir) at Low or No Cost Sunlenca (lenacapavir) is a prescription medication used to treat HIV in adults and children who have multidrug-resistant HIV-1 infection or when other treatments fail. The **Gilead Advancing Access Patient Assistance Program** helps eligible uninsured patients get **Sunlenca** free of charge if they meet income and residency requirements.[1][8] ## About Sunlenca (lenacapavir) **Sunlenca** is an injectable antiretroviral therapy approved for people living with HIV whose virus has developed resistance to multiple other drugs. It works by blocking a protein called capsid, which is essential for HIV to replicate. Administered as a subcutaneous injection, it starts with two loading doses one week apart, followed by maintenance doses every six months. This long-acting option can simplify treatment for those struggling with daily pills.[1][9] Always follow your doctor's instructions, as Sunlenca is part of a complete HIV regimen and requires monitoring for side effects like nausea, injection site reactions, or rare serious issues. ## Who Qualifies for the Program? The program is designed for **uninsured patients** residing in the US, Puerto Rico, or US territories who cannot afford their medication. Key qualifications include: - **Residency**: Must live in the United States, Puerto Rico, or US territories. Proof of residency is required.[1][3] - **Insurance Status**: Eligible only if uninsured. Patients on Medicaid, Medicare, or AIDS Drug Assistance Program (ADAP) may not qualify.[1][9] - **Income**: Based on household income, typically at or below a certain percentage of the Federal Poverty Level (FPL), though exact thresholds are not publicly detailed and evaluated case-by-case. Proof of income is mandatory.[2][9] - **Prescription**: Valid prescription from a US-licensed healthcare provider for Sunlenca.[9] The program provides medication for up to **12 months**, with ongoing eligibility checks. Re-enrollment is possible if you still qualify after that period.[1] ## Income Eligibility Breakdown Specific income thresholds for the Gilead Advancing Access PAP are not explicitly listed in program materials, as they are assessed individually based on household size and current FPL guidelines. Generally, programs like this support patients at or below **400-500% of the FPL**, but call **(800) 226-2056** for your situation. Here's a general reference table for 2026 FPL (approximate annual income; verify with program): | Household Size | 100% FPL | 400% FPL | 500% FPL | |---------------|----------|----------|----------| | 1 (Individual)| $15,060 | $60,240 | $75,300 | | 2 (Couple) | $20,440 | $81,760 | $102,200| | 3 | $25,820 | $103,280| $129,100| | 4 | $31,200 | $124,800| $156,000| *Add ~$5,380 per additional person for FPL estimates. Exact eligibility confirmed during application.*[2] ## Insurance Requirements You must be **uninsured** to qualify for free medication through the PAP. If you have commercial insurance, explore the Co-pay Savings Program instead. The program checks for government coverage like Medicare, Medicaid, or ADAP, which may disqualify you. Benefits investigations help confirm coverage options.[1][3][6] Disclose all insurance details on the form. ## Step-by-Step Application Process 1. **Talk to Your Doctor**: Get a prescription for Sunlenca. Your healthcare provider (HCP) must complete and sign the enrollment form.[9] 2. **Choose Application Method**: - **Online**: Visit https://services.gileadhiv.com/sunlenca-enrollment_form and submit digitally.[3] - **Download & Fax**: Get the Sunlenca-specific form, fill it out, have your doctor sign, and fax to 1-833-445-3234.[9] - **Phone**: Call (800) 226-2056 (Mon-Fri, 9 AM-8 PM ET) for help enrolling.[3] 3. **Gather Documents**: - **Proof of Income**: Last two pay stubs, tax return, W-2, etc.[2][9] - **Proof of Residency**: Utility bill, ID, etc.[1] - **Prescription**: From your HCP.[9] - GoodRx card or insurance details if applicable. 4. **Sign and Submit**: Patient or representative signs for consent to verify info and share with pharmacies/third parties.[2][9] 5. **Follow Up**: Expect a call from a specialist within 2 business days to discuss next steps.[3] ## Timeline and Delivery - **Review Time**: Forms reviewed in ~**2 business days**. Online may give immediate decisions.[3] - **Approval Notification**: Via phone; they'll contact the number on your form.[3] - **Delivery**: Medication shipped free to your HCP's office, not directly to you. Pick up there.[Program details] - **Duration**: Up to 12 months supply, with reauthorization checks.[1] ## Alternatives if Denied - **Appeal**: Contact Advancing Access for reasons and resubmit updated docs.[3] - **Other Programs**: Check ADAP, state AIDS programs, or patient access foundations via your HCP.[6] - **Co-pay Assistance**: If insured commercially.[1] - **Generic/Biosimilars**: None available for Sunlenca.[Program details] - Call (800) 226-2056 for personalized options. ## Reauthorization and Refills Reauthorization is required. Ongoing checks ensure continued eligibility. Before 12 months end, re-enroll if still uninsured and qualifying. Your HCP supervises refills; no direct patient refills.[1][9] ## Important Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and forms can change. Gilead may modify or end the program anytime. Always verify with Advancing Access at (800) 226-2056 or GileadAdvancingAccess.com. Not medical advice—consult your doctor. Assistance not guaranteed.

Program information last verified: March 30, 2026