Frequently Asked Questions
Looking for answers? You’ve come to the right place.
Here are our most Frequently Asked Questions (FAQs).
Program overview
What is Advancing Access?
Advancing Access is a patient support program. It can help you find financial support options and understand coverage information for your prescribed Gilead HIV treatment, HIV prevention, or COVID-19 medication.
What support offerings are available through Advancing Access?
- Co-pay coupon card
- Patient Assistance Program/Medication Assistance Program (PAP/MAP)
- Learn how insurance may cover your medication
- Help with prior authorization and appeals process information
- Information on additional support and coverage options
Enrolling in Advancing Access
How do I get support from Advancing Access?
Ways to get started:
- Enroll online
- Download an enrollment form. Fax it to the number on the form. Choose your enrollment form:
- Call Advancing Access at 1-800-226-2056
What fields are needed for a complete enrollment form?
- Fill out all required parts of the form
- Sign where indicated
- Have your doctor sign where indicated
How long does it take for an enrollment form to be reviewed?
Normally 2 business days. Be sure to enter your phone number on the enrollment form as Advancing Access will call you to discuss.
The Patient Assistance Program/Medication Assistance Program (PAP/MAP)
What is the Patient Assistance Program (PAP)?
If you are eligible, you may be able to receive your prescribed Gilead HIV treatment or COVID-19 medication free of charge through PAP.
What is the Medication Assistance Program (MAP)?
If you are eligible, you may be able to receive your prescribed Gilead HIV prevention (PrEP) medication free of charge through MAP.
How can I find out if I am eligible for PAP/MAP?
- Enroll online. You may receive an immediate decision. If not, you will be asked to call Advancing Access
- Fax a completed enrollment form to the number on the form. It will be reviewed in 2 business days. Choose your enrollment form:
- Call Advancing Access at 1-800-226-2056
My enrollment form was submitted by fax. How will I be notified if I qualify for PAP/MAP?
Advancing Access will tell you through the preferred communication method you chose on the form. We will let your doctor know as well.
Do I need to be residing in the United States to be eligible for PAP/MAP?
Yes. You must be a resident of the United States, Puerto Rico, or US Territories. You must meet other criteria as well. Proof of residency may be needed.
How long does PAP/MAP enrollment last?
PAP/MAP enrollment is for up to 12 months. During this time, there are eligibility checks to make sure you still qualify. If you get insured while enrolled, or no longer need free medication support, call 1-800-226-2056 to let us know.
What if I need to stay on PAP/MAP after my year of enrollment expires?
If you still need PAP/MAP after enrollment ends, you may be eligible to re-enroll. If you are eligible for Medicaid or the AIDS Drug Assistance Program (ADAP), you may not be eligible to re-enroll in PAP/MAP. Please speak with your doctor or call Advancing Access to see if you may be able to re-enroll in PAP/MAP.
Will Advancing Access reach out when my enrollment is expiring?
Yes, Advancing Access will reach out to you and your doctor 60 days before enrollment ends.
How do I re-enroll in PAP/MAP?
If you still need PAP/MAP after 1 year, you may be eligible to re-enroll. To do so, please fill out a new enrollment form and fax it to Advancing Access. Choose your enrollment form:
What should I do if I no longer need to be enrolled in PAP/MAP?
Please call Advancing Access at 1-800-226-2056 to let us know.
Filling your PAP/MAP prescription
I am enrolled in PAP/MAP. Where can I fill my prescription?
You can fill your prescription at a participating retail pharmacy. To find one in your area, use the Pharmacy Finder. We also have a mail order option to have the product shipped to your home. To do so, select "mail order delivery" on the enrollment form. You can also call Advancing Access at 1-800-226-2056 for help.
How do I find out if my pharmacy takes part in PAP/MAP?
On the Pharmacy Finder, enter the pharmacy name and ZIP code.
I am enrolled in PAP/MAP. Is there a mail order option if I do not want to pick up my prescription at a pharmacy?
On the enrollment form, select “mail order delivery” to have your product sent to your home. You can also call Advancing Access at 1-800-226-2056 for help.
The Gilead Advancing Access co-pay program
What is the Gilead Advancing Access co-pay program?
If you are commercially insured and eligible, the co-pay coupon card may help you save on your prescribed Gilead medication. You cannot enroll if you take part in a federally or state-funded prescription drug program, such as Medicare, Medicare Part D, or Medicaid. For information and to see if you qualify, view co-pay program benefits and terms and conditions.
How do I enroll in the co-pay program?
Go to the co-pay program page to enroll.
How much does the co-pay coupon card cover?
The amount is based on your medication. For information about the amount covered, view co-pay program benefits and terms and conditions.
Does my co-pay coupon card expire?
No. You keep the same card for your whole enrollment. It auto-renews January 1 each year. For information about the amount covered, go to the co-pay program page.
What happens if I lose my co-pay coupon card or information?
Go to Replace a Card. If you still need help, call Advancing Access at 1-800-226-2056.
I got a co-pay coupon card from my doctor’s office but lost it. Can a new card be sent to me?
If your card was not active, go to Enroll. If your card was active before it was lost, go to Replace to get your card information. If you still need help, call Advancing Access at 1-800-226-2056.
If I change medications, can I still use my same co-pay coupon card?
If you are prescribed a different Gilead HIV treatment or HIV prevention medication, you can still use your same card. However, SUNLENCA® (lenacapavir) has its own co-pay card. You must enroll for this separately.
Understanding insurance types
Here is a guide to help you determine what type of insurance you have:
Commercial/private
Health insurance usually purchased by an employer or individually from a private or commercial health insurance company. This does not include health plans purchased through federal or state government employers. Commercial plans are generally offered as a preferred provider organization (PPO) plan, point of service (POS) plan, or health maintenance organization (HMO) plan.
Government
Health insurance that is funded by the federal government or a state government. Examples include Medicare, Medicare Part D plans, Medicaid plans, VA/TRICARE, and Federal Employee Health plans.
Other insurance support
Individuals who have other insurance not considered commercial/private or government may be eligible for other state health insurance programs, such as the AIDS Drug Assistance Program (ADAP), which provides FDA-approved medications to low-income people living with HIV who have limited or no health coverage from private insurance, Medicaid, or Medicare. To learn more, visit https://adap.directory.
Health exchange
Health insurance that is purchased through government-regulated marketplaces with different tiers or levels of coverage. Health exchanges were established in accordance with the Patient Protection and Affordable Care Act (PPACA). Examples of exchange plans include "Metal Tier" plans in gold, silver, or bronze.
PPACA provides health insurance coverage, prescription coverage, help with healthcare costs, and preventive care. Click here to learn how the Affordable Care Act impacts individuals living with HIV/AIDS.
I’m still not sure what type of insurance I have. How can I find out?
Call Advancing Access at 1-800-226-2056. We are available Monday through Friday, 9 AM to 8 PM ET.
