Exactly How Much Do You Pay For Prep?

[AdamKY]

After the discount the insurance company gets from the manufacturer and with what insurance covers my co-pay is $30 / month.

[bttmatl]

I started on Prep in March and having been paying $0 thanks to the copay card.  However, my insurance is changing next year and I'm going to be forced to meet my medical deductible first before they will cover any of the Truvada cost.  This means about $1300 since that's my medical deductible.  Now my company gives ups a stipend of about $500 in a health care reimbursement account and I can earn an additional $500 by getting a physical and BS like that...but i'll still be responsible for $300 and jumping through those hoops this year before I get to full coverage again. :-/  Still worth it, but just glad i'm fortunate and can afford it.

[rawfuckr]

I started on Prep in March and having been paying $0 thanks to the copay card.  However, my insurance is changing next year and I'm going to be forced to meet my medical deductible first before they will cover any of the Truvada cost.  This means about $1300 since that's my medical deductible.  Now my company gives ups a stipend of about $500 in a health care reimbursement account and I can earn an additional $500 by getting a physical and BS like that...but i'll still be responsible for $300 and jumping through those hoops this year before I get to full coverage again. :-/  Still worth it, but just glad i'm fortunate and can afford it.

 

I have really good news for you.

Gilead changed the copay assistance program so they will now reimburse without monthly limits up to $3600/year. So fill that RX at the beginning of the year and Gilead will pick up all your deductible and you'll be even done with medicals deductibles for the rest of the year.

[topstud127]

I have insurance, I tend to meet my deductible and max in the first half of the year. Prior to doing that, I'm GUESSING I pay anywhere from 50-150 as it falls under specialty meds.... with the Gilead card, I don't pay anything for it... yet it still goes toward my deductible so double win.

[PrEPpedForCum]

Just got mine and the co-pay was $5 with Florida Blue Select.

[Guest TravelGuy4Bareback]

If you have issues with your insurance or the co-pay card and still need help, look at the Patient Access Network. They helped me last year and will again this year. http://www.panfoundation.org/ Easy to sign-up and easy to use.

[RICK4ANALBREEDING]

I would like to get on PrEP but I am on another medical drug plan & I need to be discrete. Is there any way I can get these meds with paying $1300.00 a month. I mind paying partial to them.

Please Help & Advise  me what I could do.

Rick

[Guest]

I pay $0 per month after Gilead "co-pay assistance" and I am not low income or anything like that.  I'm on Humana and do not consider it to be a very good plan based on regular co-pays and deductibles.  On my plan Truvada is a "specialty" drug, and my share is 25% of the cost (I think) which comes to $353 per month.  Gilead (manufacturer) co-pay assistance used to be $300 per month max, so I was paying $53 per month - and definitely getting my money's worth !!!!  About 4-5 months ago, something with the co-pay assistance changed, and my share became $0.  I have not asked any questions.  No questions about income or anything - you just sign up online and they assign you a number you give to pharmacy, and it's been automatic ever since.  

[thkpc]

I pay 0. My co-pay is covered by the manufactuerer. I live in Seattle.

[Guest]

I'm in NYC, my co pay is $25. After looking at this topic I just Applied for the card, I'm hoping to drop that amount to $0 like many of the others here

[omver]

Currently nothing thanks to how my health plan is set up in NW Wisconsin.  

 

Got on a special plan that pays all deductibles for everything.  Otherwise, it's 20 bucks through my insurance plan if I wasn't on the special plan.  

[Guest BtmByTheBay]

I just started mine today, and it cost $0 for now. I've got a copay card, and prep assistance from Strut; those actually soak up almost all of the cost for the year.

[backpackguy]

I pay $80/3 month supply via my Blue Cross/Blue Shield plan. Just signed up for the Gil;ead Co-pay card. Thanks studs!! Breed on!!!!

;)

[Guest indynudeguy]

First off, thanks for all the information guys.  I'm looking into Prep.  My pharmacy show a price of approx. $1,400 for a 30 day supply.  It is a Tier 5 drug on my drug plan (the highest), which mean that I would have a 33% co-pay,roughly $466.  My question,  would this be the price they charge everyone, or is there a different base price depending on the insurance company?  I don't qualify for the gilead card.

Edited April 5, 2016 by indynudeguy

[backpackguy]

Almost no one pays the listed price ($1,400-1,500). Actual price depends upon the insurance company. PrEP was a Tier 5 drug until a little over a year ago when my insurer (Blue Cross/Blue Shield PPO) reduced it to a Tier 4. I do not buy PrEP from my local retail pharmacy - price would be too high. My insurer has a mail order option which allows me to order it in a 90 day supply for $80 co-pay. Check to see if your company has something similar. Also, Gilead did away with their low income requirement for the Gilead Copay Card. Unless you get a total reimbursement for your co-pays, the Gilead card will work for you. Check it out again.