Genvoya (elvitegravir/cobicistat/emtricitabine/tenofovir af)

Do You Qualify?

Income Limits (500% FPL)

Income threshold calculated at 500% of FPL; adjustments may occur based on cost of living.

Based on 2025 HHS Federal Poverty Level guidelines.

# Getting Genvoya at No Cost Through the Gilead Advancing Access Patient Assistance Program

Who Qualifies for the Gilead Advancing Access Patient Assistance Program?

If you are living with HIV-1 and cannot afford Genvoya, you may be able to get it at no cost through the Gilead Advancing Access Patient Assistance Program. This program is designed specifically for patients who meet income and insurance requirements. For a single-person household, your annual income must be at or below $75,300 to qualify. In terms of insurance, you must be uninsured, underinsured, or enrolled in Medicare Part D with demonstrated financial hardship. If you meet these basic criteria, you may qualify to receive Genvoya shipped directly to your home at no charge. This guide walks you through everything you need to know to apply.

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About Genvoya (elvitegravir/cobicistat/emtricitabine/tenofovir af)

Genvoya is a once-daily, single-tablet prescription medication approved by the FDA to treat HIV-1 infection in adults and certain pediatric patients. It contains four active ingredients: elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide. Genvoya belongs to the drug class known as Integrase Strand Transfer Inhibitor (INSTI) combination therapy, meaning it combines multiple mechanisms into one pill. Without insurance or assistance, Genvoya can cost several thousand dollars per month, making it out of reach for many patients. The Gilead Advancing Access Patient Assistance Program exists to help bridge that gap for those who qualify based on income and insurance status.

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Income Eligibility: Full Breakdown

Gilead sets income limits at approximately 500% of the Federal Poverty Level (FPL). The table below shows the maximum annual income allowed based on household size:

| Household Size | Maximum Annual Income |

|---|---|

| 1 person | $75,300 |

| 2 persons | $102,200 |

| 3 persons | $129,100 |

| 4 persons | $156,000 |

Note: These thresholds may be adjusted based on cost of living in your area.

To prove your income, you will typically need to submit your most recent federal tax return, a W-2 form, or three months of recent pay stubs. If your income situation has changed significantly since last year — for example, due to job loss — you may be able to use current pay stubs rather than last year's tax return.

If your income is above these limits, you may still have options. Gilead may consider special circumstances, and other programs listed in the final section of this guide may still be available to you. Do not assume you are disqualified without speaking with a program representative. Every household situation is different, and household size can work in your favor if you support other family members.

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Insurance Requirements Explained

Understanding your insurance status is a key part of determining your eligibility:

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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. You will need: a valid prescription for Genvoya signed by your prescriber, proof of household income (your most recent tax return, W-2, or three months of pay stubs), and a completed application form with both your signature and your prescriber's signature.

2. Choose your application method. You have multiple ways to apply:

- Online: Visit https://www.gileadadvancingaccess.com/ to start your application digitally.

- By phone: Call (800) 226-2056 to speak with a program representative who can guide you through the process.

- By fax: Fax your completed application and supporting documents to (800) 216-0153.

3. Complete the application form. Make sure all fields are filled in accurately. Incomplete applications are a common cause of delays. Both you and your prescriber must sign the form before submission.

4. Submit your documents. Send your application along with your income proof and prescription using whichever method you chose in step 2.

5. Wait for a decision. Processing typically takes 1 to 2 business days after Gilead receives your complete application.

6. Receive confirmation. Gilead or their pharmacy partner will contact you to confirm your approval and arrange delivery.

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What to Expect: Timeline and Delivery

Once your complete application is submitted, Gilead typically processes it within 1 to 2 business days. You will receive confirmation of your approval status by phone or mail. If approved, your Genvoya will be shipped directly to your home address — you do not need to pick it up from a pharmacy or your doctor's office. There is nothing you need to do at the time of delivery beyond being available to receive the package.

Your enrollment in the program is valid for one year. Before that year ends, you will need to reauthorize your eligibility by submitting updated income documentation and a renewed prescription. Gilead will typically notify you when reauthorization is approaching, but it is a good idea to track your enrollment date so you do not experience a gap in coverage.

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Alternatives If You Don't Qualify

If you do not qualify for the Gilead Advancing Access Patient Assistance Program, you still have options worth exploring:

1. Biosimilars: There are currently no FDA-approved biosimilar alternatives to Genvoya. This means switching to a lower-cost equivalent is not an option at this time.

2. Manufacturer savings card (for insured patients): If you have commercial insurance, Gilead offers a copay assistance card that may reduce your out-of-pocket costs significantly. You can enroll at https://www.gileadadvancingaccess.com/copay-card. This option is not available to Medicare or Medicaid patients.

3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own prescription assistance programs for residents who meet state-specific income and residency requirements. Search for your state's SPAP through your state health department website.

4. NeedyMeds.org: This free, independent database lists hundreds of patient assistance programs and drug discount options. Visit https://www.needymeds.org to search by drug name or condition.

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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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