Ways to access YEZTUGO

Ways to access YEZTUGO (lenacapavir).

Ways to access YEZTUGO

Ways to access YEZTUGO

Ways to access YEZTUGO (lenacapavir).

Ready to start individuals in your care on YEZTUGO?

Acquiring YEZTUGO starts with a benefits investigation to understand coverage of the individual you’ve prescribed YEZTUGO. This step will help determine the best acquisition pathway, reimbursement process, and any additional requirements. Once the decision has been made to prescribe YEZTUGO, Gilead Advancing Access® has dedicated program specialists who can help, or you can go straight to one of the authorized specialty pharmacies listed on this page.

Advancing Access is here to help

  • Insurance benefits verification—researching and verifying each individual’s specific insurance benefits and coverage
  • Prior authorization and appeals—assistance with navigating requirements
  • Advancing Access Co-pay Savings Program—assistance with out-of-pocket costs to eligible, commercially insured patients
  • Medication Assistance Program (MAP)—eligible uninsured individuals may receive their Gilead medication free through MAP
  • Additional coverage support—sharing educational resources like third-party independent foundations or PrEP drug assistance programs (DAPs)
Start with Advancing Access

Would you rather connect with a dedicated program specialist? Just call 1-800-226-2056

Multiple ways to acquire YEZTUGO

YEZTUGO offers flexibility to choose the acquisition path that best fits your and your patients’ needs.

If you have an in-house specialty pharmacy, they may be able to purchase and dispense the medication.

If your patient's insurance permits YEZTUGO to be dispensed via specialty pharmacy (SP), an SP can help with the steps to get your patient’s prescribed medication shipped to you. Regardless of how the YEZTUGO components (oral tablets and injections) are covered, whether under pharmacy or medical benefit, the designated SP can support coordination and shipment. Your patient’s insurance may specify from which SPs you can order YEZTUGO.

The authorized SPs are in-network with the majority of major payers. Once you've contracted with your patient's insurance, your office can order YEZTUGO from one of the in-network SPs listed below:

You may also use your practice's in-house specialty pharmacy to purchase and dispense the patient's medication.

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If you choose to, and your patient’s insurance covers YEZTUGO under the medical benefit, you may acquire YEZTUGO for in-office administration through the buy-and-bill process via any of the in-network specialty distributors listed below:

  • McKesson Specialty/McKesson Plasma and Biologics
  • Cardinal Specialty
  • Besse Medical, a Cencora Company
  • ASD Healthcare, a Cencora Company
  • Morris & Dickson Specialty
  • CuraScript Specialty Distribution
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If you are not able to administer YEZTUGO in your office, you can also refer your patients to alternative sites of care (ASOC), which will handle the purchasing, dispensing, and administration of treatment.

Find an alternative site of care

YEZTUGO resources for your office

Acquisition
Guide

A resource detailing the multiple pathways for acquiring YEZTUGO, including specialty pharmacy, buy and bill through a specialty distributor, in-house pharmacy, and alternative sites of care.

Download the guide

Co-pay and Reimbursement Flashcard

An overview of the Gilead Advancing Access Co-pay Savings Program enrollment process for eligible, commercially insured individuals, as well as a step-by-step guide for your office on submitting a claim for YEZTUGO.

Download the flashcard

Billing Code Reference
(ICD-10-CM and CPT® Codes)

Convenient reference with HIV and other STI prevention and diagnostic service codes included to help professionals with insurance claims for reimbursement of applicable services.

Download the guide

Don't let cost be a barrier

The Gilead Co-pay Savings Program may help eligible, commercially insured individuals lower their out-of-pocket costs.a

Enroll them now

aCo-pay coupon support is available for eligible, commercially insured individuals only. Additional restrictions may apply. Subject to change; for full terms and conditions, visit GileadAdvancingAccess.com/copay-coupon-card. This is not health insurance.

Find answers fast

Want a deeper understanding of YEZTUGO? Our Frequently Asked Questions (FAQs) page covers trial design, efficacy results, and key study insights.

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