Biktarvy (bictegravir/emtricitabine/tenofovir)
Patient Assistance Program Guide — Gilead Advancing Access Patient Assistance Program
Do You Qualify?
Income
Up to $75,300 for a single person
Insurance
Uninsured, underinsured, or Medicare Part D patients who meet the financial eligibility criteria and lack alternative coverage.
Residency
U.S. resident or resident of U.S. territories with a valid address
Income Limits (500% FPL)
Income limit is 500% of the 2025 FPL guidelines.
Based on 2025 HHS Federal Poverty Level guidelines.
# A Patient's Guide to Getting Biktarvy Through the Gilead Advancing Access Patient Assistance Program
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Who Qualifies for the Gilead Advancing Access Patient Assistance Program?
If you have been prescribed Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide) for HIV-1 infection and cannot afford it, the Gilead Advancing Access Patient Assistance Program may be able to help you get it at little or no cost. For a household of one person, your annual income must be at or below $75,300 to meet the financial eligibility threshold. In terms of insurance, this program is designed for people who are uninsured, underinsured, or enrolled in Medicare Part D — and who do not have other coverage that adequately pays for Biktarvy. If you meet those basic conditions, you may qualify to receive your medication shipped directly to your home at no charge.
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About Biktarvy (bictegravir/emtricitabine/tenofovir)
Biktarvy is a prescription medication approved by the U.S. Food and Drug Administration (FDA) to treat HIV-1 infection in adults and certain pediatric patients. It combines three active ingredients — bictegravir, emtricitabine, and tenofovir alafenamide — into a single daily tablet. Biktarvy belongs to two drug classes: Integrase Strand Transfer Inhibitors (INSTIs) and Nucleoside Reverse Transcriptase Inhibitors (NRTIs). Without insurance or assistance, Biktarvy can cost several thousand dollars per month, making it financially out of reach for many patients. The Gilead Advancing Access Patient Assistance Program exists specifically to help eligible patients access this medication when cost would otherwise be a barrier.
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Income Eligibility: Full Breakdown
Gilead sets income limits at 500% of the 2025 Federal Poverty Level (FPL). The table below shows the maximum annual income allowed based on your household size:
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $75,300 |
| 2 persons | $102,200 |
| 3 persons | $129,100 |
| 4 persons | $156,000 |
Your household size includes everyone living with you who shares finances, such as a spouse, partner, or dependents. If your household is larger than four people, the income limit continues to increase — contact Gilead directly at (800) 226-2056 to ask about your specific situation.
To verify your income, Gilead typically requires your most recent federal tax return, a W-2 form, or three months of recent pay stubs. If your income has changed significantly since your last tax filing — for example, due to job loss — you may be able to use current pay stubs instead of your tax return to better reflect your actual situation.
If your income is above these limits, you will not qualify for the patient assistance program, but you may still have other options. See the "Alternatives If You Don't Qualify" section below for next steps.
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Insurance Requirements Explained
Your insurance situation plays an important role in whether you qualify. Here is how different coverage types are handled:
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Step-by-Step: How to Apply
Follow these steps to apply for the Gilead Advancing Access Patient Assistance Program:
1. Gather your documents before you start. You will need: proof of income (your most recent tax return, W-2, or three months of pay stubs), a valid prescription for Biktarvy from your prescriber, and a completed application form signed by both you and your prescriber.
2. Choose your application method. You can apply online, by phone, or by fax:
- Online: Visit https://www.gileadadvancingaccess.com/ to start your application through their secure portal.
- Phone: Call (800) 226-2056 to speak with a program representative who can guide you through the process.
- Fax: Complete a paper application and fax it to (800) 216-0153.
3. Complete the application form. Both you and your doctor must sign the form. Your prescriber's office can often help with this step, so do not hesitate to ask them.
4. Submit all documents together. Incomplete applications may be delayed, so make sure your income documentation and signed forms are included with your submission.
5. Wait for a decision. Processing typically takes 1 to 2 business days after Gilead receives a complete application.
6. Receive your approval notice. Once approved, Gilead will confirm your eligibility and arrange shipment of your medication.
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What to Expect: Timeline and Delivery
Once Gilead receives your complete application, a decision typically comes within 1 to 2 business days. Gilead or their pharmacy partner will contact you — and in some cases your prescriber — to confirm approval. If approved, your Biktarvy will be shipped directly to your home address, so you do not need to pick it up at a pharmacy or take any additional steps at a separate location.
Your approval is valid for one year. Before that period ends, you will need to reauthorize your enrollment by submitting updated income documentation and a renewed prescription. Watch for renewal reminders from Gilead so your medication supply is not interrupted.
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Alternatives If You Don't Qualify
If you do not meet the income or insurance requirements for this program, you still have options:
1. Biosimilars: There are currently no FDA-approved biosimilar alternatives to Biktarvy, so this option is not available at this time.
2. Manufacturer savings card for insured patients: If you have commercial insurance, Gilead offers a separate copay assistance card that may reduce your out-of-pocket costs significantly. You can learn more and enroll at https://www.gileadadvancingaccess.com/copay-card.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states run their own programs to help residents afford prescription drugs. Eligibility and benefits vary by state. Contact your state's department of health or aging to ask what programs may be available to you.
4. NeedyMeds.org: This free online database at https://www.needymeds.org lists hundreds of patient assistance programs, disease-specific funds, and other resources. It is a helpful starting point if you are exploring all available options.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Gilead. Program terms may change — verify current requirements at [https://www.gileadadvancingaccess.com/copay-assistance/patient-assistance-program](https://www.gileadadvancingaccess.com/copay-assistance/patient-assistance-program) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Gilead offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Once Gilead receives your complete application — including your signed forms, proof of income, and a valid prescription — a decision typically comes within 1 to 2 business days. Incomplete applications may take longer, so make sure all documents are included before you submit.
Yes, Medicare Part D patients may be eligible for the Gilead Advancing Access Patient Assistance Program if they meet the income requirements and do not have other coverage that adequately pays for Biktarvy. This is different from many other manufacturer programs that exclude Medicare patients entirely.
Yes. Your enrollment must be reauthorized annually. Before your approval period ends, you will need to submit updated proof of income and a renewed prescription. Gilead will typically notify you when it is time to renew, but it is a good idea to track your approval date so your medication is not interrupted.
If you are approved through the patient assistance program, your Biktarvy will be shipped directly to your home. You do not need to go to a pharmacy to pick it up.
Eligibility decisions are made by Gilead, so it is still worth calling them at (800) 226-2056 to discuss your situation. If you do not qualify for the patient assistance program, a Gilead representative may be able to point you toward other options, such as the copay savings card for insured patients or other resources.
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