Vemlidy Prescription Assistance Programs

Vemlidy: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Vemlidy. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not or go to the program website.

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Advancing Access Program

(Program 1 of 1 — Scroll down to see them all )

Provided by: Gilead Sciences, Inc.
PO Box 13185 La Jolla, CA 92039-3185
TEL: 800-226-2056
FAX: 800-216-6857
Languages Spoken:
English, Others By Translation Service
Program Website
  • Vemlidy tablet (tenofovir alafenamide tablet)
Eligibility Requirements
  • Insurance Status Must be uninsured or underinsured
  • Those with Part D Elibible? Contact program for details.
  • Income Between 400-500% of FPL
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? The patient must also be residing in the US.
  • Obtaining Call, download or apply online
  • Receiving Faxed or mailed
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach a copy of proof of income
  • Decision Communicated Patient and Doctor notified in writing
  • Decision Timeframe 3-5 business days
  • Amount/Supply Varies. *see below for details
  • Sent To Varies. *see below for details
  • Delivery Time 1-2 business days
  • Refill Proces Patient contacts pharmacy
  • Limit One calendar year
  • Re-application Once a year new application required. Financial documentation may be requested any time
Additional Information
This program is for outpatient use only. Insurance benefits, claims assistance and/or other reimbursement help is offered. *Viread: Contact program for details **Vistide: Prescription must be included because it will be sent to the doctor's office. This Program participates in the CPAPA. This single common application allows uninsured HIV-positive individuals with low incomes to use one application to apply for multiple assistance programs. IMPORTANT: Send completed CPAPA to the corresponding addresses listed for each company. This program also provides copay assistance.
Updated October 8, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

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