Expanding access to what’s called PrEP — for pre-exposure prophylaxis — is one key to the Trump administration’s ambitious goal of ending the nation’s HIV epidemic by 2030. “We have the tools to stop the spread of HIV in its tracks. It’s about execution,” Azar told The Associated Press.
The HHS program is for the uninsured to seek free PrEP doses. Drugmaker Gilead Sciences Inc. has agreed to donate enough of its HIV prevention medicines for up to 200,000 people a year over 10 years. To qualify, people must have a valid prescription and a negative HIV test and must lack prescription drug coverage. They can apply through a new website, GetYourPrEP.com. Once approved, they'll be provided a card with a number necessary for their pharmacy to fill the prescription at no cost, officials said.
The uninsured aren’t the only the concern. Even though most insurers cover PrEP, co-pays still can be obstacles, especially for people with high-deductible plans. Gilead, based in Foster City, California, sells the only two brands of PrEP, Truvada and Descovy, approved in the U.S. A cheaper generic version of Truvada is expected next fall.
Getting doctors to ask their patients about HIV risk factors and educating the public about PrEP also are hurdles. PrEP use has increased since 2016, when just 9% of those qualified got a prescription for HIV prevention, said Dr. Jonathan Mermin, of the Centers for Disease Control and Prevention.
The increase is a good sign, but “progress is not fast enough,” Mermin said. There are about 38,000 new HIV infections in the U.S. each year. President Donald Trump's administration aims to reduce those by 75% in five years and by 90% in 10 years.
Azar said the Gilead donation, first announced in May, wasn’t affected by a patent-infringement lawsuit HHS recently filed against the company, arguing taxpayer-funded research helped lead to the recognition that certain drugs initially used to treat HIV also could prevent it.
AP Medical Writer Mike Stobbe in New York contributed to this report.
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.