
Reactions Are Mixed as Gilead Announces PrEP Donations, Early Launch of Generic
HHS has announced that Gilead will donate its pre-exposure prophylaxis (PrEP) pill Truvada for up to 200,000 people in a multiyear agreement, just a day after the pharma giant announced that a generic version of the pill will come to market a year early. However, some activists are skeptic.
Shortly after Gilead
Gilead will provide the medication to those who are at risk for HIV and uninsured, including those in the states and counties identified as priority areas in the Trump administration’s
“Securing this commitment is a major step forward in the Trump administration’s efforts to use the prevention and treatment tools we have to end the HIV epidemic in America by 2030,” said HHS Secretary Alex Azar
There are an estimated 1.2 million people in the United States who could benefit from the prevention pill, but just 100,000 take it, due in large part to awareness, access, and pricing issues.
In an interview with The American Journal of Managed Care®, Michael Kharfen, senior deputy director, HIV/AIDS, Hepatitis, STD, and TB Administration, Washington, DC, health department, called the announcement a positive step in the right direction to getting more people on the pill and preventing new infections.
In addition to providing the pill to hundreds of thousands of people who could benefit, the initiative can also help safety-net providers like the Washington, DC, health department reallocate resources with the money it currently dedicates to purchasing the drug to distribute to patients. These reallocated resources could go toward awareness and educational campaigns for PrEP, as many people are not on the pill because they don’t know their risk or don’t know about the pill, explained Kharfen.
Gilead will donate Truvada until its second-generation HIV preventive medication Descovy (emtricitabine/tenofovir alafenamide) is available.
Having Descovy enter the market will also send a message to managed care plans that often
Since Gilead gained FDA approval for Truvada as HIV treatment in 2004, the cost of the drug has continued to rise each year. The pill now costs about $1675 a month, or approximately $20,000 per year, drawing criticism from HIV activists who say that the drug can be manufactured for a fraction of the price. Because of this, some are saying Gilead’s decision to offer PrEP is not enough and that prices should be cut.
Activists have also called for the CDC
“The HIV community has been very vocal about this, and I think it’s gained even more ground, frankly, with renewed federal attention to HIV,” said Kharfen.
Skepticism was also raised by HIV activists following Gilead’s announcement that Teva Pharmaceutical’s generic version of Truvada will to come to market a year early. PrEP4All Collaboration’s Aaron S. Lord, MD, released a statement on Wednesday saying: “Even their announcement today leaves Gilead with exclusive rights to Truvada as PrEP for another 15 months and Teva as the only generic manufacturer on the US market. This will do little to reduce the price in a way that will increase access and PrEP4All remains suspicious of the terms and lack of transparency surrounding the Teva settlement.”
While the price of Truvada and its competition remains under scrutiny, Kharfen said that Gilead has worked with health departments and communities in other ways, including through their patient assistance program and providing funding to communities to offer education and outreach.
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