The Downstream Impacts of High Drug Costs for PrEP Have Hindered the Promise of HIV Prevention

Author:

Farrow Kenyon

Abstract

AbstractPrior to the recent introduction of generic TDF/FTC in the U.S., access to pre-exposure prophylaxis (PrEP) for HIV was greatly limited due to the downstream effects of the high cost of the medication. This article argues that despite drug copay cards and patient assistance programs, the promise of drastically reduced HIV diagnoses has never been fully realized, and more policy reforms on drug pricing are needed to make ending the HIV epidemic a reality.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy,General Medicine,Issues, ethics and legal aspects

Reference12 articles.

1. 7. Statement of Daniel O’Day before the Committee on Oversight and Reform, U.S. House of Representatives, HIV Prevention Drug: Billions in Corporate Profits after Millions in Taxpayer Investments (2019), available at (last visited March 30, 2022).

2. HIV Preexposure Prophylaxis, by Race and Ethnicity — United States, 2014–2016;Huang;MMWR: Morbidity and Mortality Weekly Report,2018

3. 1. Centers for Disease Control and Prevention (CDC), “Diagnoses of HIV Infection in the United States and Dependent Areas, 2018,” CDC, May 7, 2020, available at (last visited March 30, 2022).

4. Policy- and County-Level Associations with HIV Pre-exposure Prophylaxis Use, the United States, 2018;Siegler;Annals of Epidemiology,2020

5. 12. Centers for Disease Control and Prevention (CDC), “US Public Health Service: Preexposure Prophylaxis for the Prevention of HIV Infection in the United States — 2021 Update: A Clinical Practice Guideline,” December 2021, available at (last visited March 30, 2022).

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