TABLE 1—

Preexposure Prophylaxis Payment Options and Associated Costs

Health Payer	Health Payer Type	Eligibility	Average Cost or Rebate Per Year
Medicaid	State-administrated public insurance program	Medicaid expansion states only: ≤ 138% of the FPL for adults aged 18–65 y	Nearly free for Medicaid enrollees with incomes < 150% FPL
		All states
		Low-income parents and their children
		Pregnant women
		People with disabilities
		Low-income seniors aged ≥ 65 years
Medicare	Federal public health insurance program	Aged ≥ 65 years	Varies by state or county and plan
		Receives Social Security Disability Insurance	Prescription drug plan example: $2276–$2430 (including deductibles, monthly premiums, copays, and coinsurance)
Private insurance	For-profit insurance plans sold by health insurance companies	Enrolled in a commercial insurance plan	Varies by state or county and plan
		Spouse or dependent of someone enrolled in a commercial insurance plan	Low deductible plan example:
			$162–$243 for year’s supply
			$500 deductible
			20% coinsurance fee after deductible
Gilead Advancing Access	Federal drug assistance program	Uninsured	Free for uninsured individuals
		Commercially insured	Up to $4800 rebate for commercially insured individuals per year
Patient Advocate Foundation’s Co-Pay Relief Program	501(c)(3) nonprofit drug assistance program	Insured individuals with annual incomes < 400% FPL	Up to $7500 rebate for drug costs per year
PrEP Drug Assistance Program	State drug assistance program	Uninsured or underinsured PrEP users living in Washington, Colorado, New York, Illinois, or Massachusetts	Free for low-income individuals (FPL limit varies by state)

Note. FPL = federal poverty level; PrEP = preexposure prophylaxis. Total costs for insured users may vary by state, county, and plan.