Sunlenca

Indicated For

HIV-1 infection

About This Medication

# Gilead Advancing Access Patient Assistance Program: How to Get Sunlenca at Low or No Cost ## About This Program The Gilead Advancing Access Patient Assistance Program (PAP) helps eligible patients with HIV-1 infection access **Sunlenca (lenacapavir)** at no cost or reduced cost. Sunlenca is an HIV-1 capsid inhibitor—a newer type of HIV medication that works differently than many traditional antiretrovirals. This guide will help you understand if you qualify and how to apply. ## What Is Sunlenca? Sunlenca is a prescription medication used to treat HIV-1 infection in adults. It belongs to a drug class called capsid inhibitors and may be prescribed as part of a combination HIV treatment plan. Your healthcare provider has determined that Sunlenca may be right for your treatment. ## Who Can Apply? You may be eligible for Sunlenca through the Gilead Advancing Access PAP if you meet these criteria: - **U.S. Resident**: You must live in the United States - **Uninsured or Underinsured**: You have no insurance, your insurance does not cover Sunlenca, or your out-of-pocket costs are unaffordable - **Income Requirement**: Your household income is at or below 500% of the Federal Poverty Level (see table below) - **Valid Prescription**: Your healthcare provider has prescribed Sunlenca for your HIV-1 treatment ### Income Eligibility Table The maximum monthly household income for program eligibility is based on household size and set at 500% of the Federal Poverty Level: | Household Size | Maximum Monthly Income | Maximum Annual Income | |---|---|---| | 1 person | $2,708 | $32,500 | | 2 people | $3,625 | $43,500 | | 3 people | $4,542 | $54,500 | | 4 people | $5,458 | $65,500 | | 5 people | $6,375 | $76,500 | | 6 people | $7,292 | $87,500 | | 7 people | $8,208 | $98,500 | | 8 people | $9,125 | $109,500 | *Note: Add $917/month ($11,000/year) for each additional family member.* ## Insurance Requirements - **No Insurance**: If you are uninsured, you are eligible to apply - **Medicare**: Patients with Medicare may still apply if they meet other eligibility criteria - **Private Insurance**: If your insurance denies coverage or your copay is too high, you may be eligible - **Medicaid**: Contact your state Medicaid office first, as they may cover Sunlenca ## What Documents You'll Need Before you start your application, gather the following documents: 1. **Proof of Income**: Recent pay stubs (last 30 days), tax returns, or benefit statements (Social Security, unemployment, etc.) 2. **Proof of Residency**: Utility bill, lease agreement, or government-issued ID with current address 3. **Insurance Information**: Insurance card (front and back), or a statement that you are uninsured 4. **Valid Prescription**: Your prescription for Sunlenca from your healthcare provider 5. **Signed Consent**: Both you and your healthcare provider must sign authorization forms ## How to Apply: Step-by-Step ### Step 1: Gather Your Documents Collect all required documents listed above. Make copies for your records. ### Step 2: Choose Your Application Method The Gilead Advancing Access program accepts applications in multiple ways: - **Online**: Visit https://www.gileadadvancingaccess.com and complete the online application - **Phone**: Call (800) 226-2056 to speak with a program representative who can assist you - **Fax**: Send your completed application and supporting documents to (833) 445-3234 - **Mail**: Contact the program for a mailing address ### Step 3: Complete the Application Whether applying online or by phone, you will be asked to provide: - Your personal information (name, address, date of birth) - Household income and size - Current health insurance status - Your healthcare provider's information - Authorization for the program to verify your information ### Step 4: Healthcare Provider Signature Your doctor or healthcare provider must sign the prescription authorization. The program will contact your provider directly, or you can have them submit it via fax at (833) 445-3234. ### Step 5: Submit Your Application If applying online, you can upload documents directly. If applying by phone, the representative will tell you how to send supporting documents. If faxing, include a cover sheet with your name and contact information. ## Timeline and Medication Delivery - **Processing Time**: Applications are typically reviewed within 4-8 weeks - **Notification**: You will be contacted by phone or mail with a decision - **Delivery**: Once approved, Sunlenca will be shipped directly to your healthcare provider's office (not to your home), where you can pick it up at your next appointment - **Questions During Processing**: Call (800) 226-2056 if you haven't heard back after 8 weeks ## What Happens If You're Approved? - You will receive Sunlenca at no cost through the program - Your healthcare provider will receive the medication and will give it to you during your appointment - You may be required to enroll in Gilead's patient monitoring program - The program will help coordinate refills and ongoing access ## What Happens If You're Denied? If your application is denied, you have options: 1. **Appeal**: You may be able to appeal the decision. Contact the program at (800) 226-2056 for details 2. **Savings Card**: Gilead offers a manufacturer savings card that may reduce your copay if you have insurance. Visit https://www.gileadadvancingaccess.com to check current offers 3. **State AIDS Drug Assistance Programs (ADAP)**: Your state may have a program to help pay for HIV medications. Call your local health department to inquire 4. **Other Resources**: Organizations like AIDS United and NeedyMeds.org maintain databases of additional financial assistance programs ## Annual Reauthorization Your eligibility must be recertified each year. The program will contact you before your current authorization expires. You will need to submit updated income documentation and verify that you still meet eligibility requirements. ## Other Ways to Save on Sunlenca - **Manufacturer Savings Card**: Even if you don't qualify for the PAP, Gilead may offer a copay card that reduces your out-of-pocket costs. Check https://www.gileadadvancingaccess.com - **State ADAP Programs**: Contact your state health department about AIDS Drug Assistance Programs - **Clinical Trials**: Ask your healthcare provider about ongoing studies - **Community Health Centers**: Federally Qualified Health Centers often have programs to help uninsured and low-income patients ## Questions? For help with your application or to learn more about the Gilead Advancing Access program: - **Phone**: (800) 226-2056 (toll-free) - **Fax**: (833) 445-3234 - **Website**: https://www.gileadadvancingaccess.com - **Hours**: Available Monday-Friday, 9 AM-5 PM ET You can also ask your healthcare provider or clinic social worker for assistance with the application. ## Important Legal Disclaimer This guide provides general information about the Gilead Advancing Access Patient Assistance Program. Program requirements, income limits, and eligibility criteria may change. This information is not a guarantee of enrollment or medication access. For official program details, visit https://www.gileadadvancingaccess.com or call (800) 226-2056. Always consult with your healthcare provider about your treatment options and the assistance programs available to you. Sunlenca is a prescription medication. Use only as directed by your healthcare provider. This guide does not replace medical advice from your doctor.

Program information last verified: March 25, 2026