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Within the United States, Truvada and Descovy are brand name products of Gilead Sciences that cost around $2200/month (a 30-day supply) at wholesale price. [58] [59] In other countries around the world, generic Truvada is available for a much lower price.
An Irish court rejected an injunction request to prevent the launch of generic Emtricitabine/tenofovir prior to the resolution of the case. [38] [39] Despite the expiration of the Gilead Sciences patent, as of 2021, there are still widespread challenges to the availability and uptake of generic PrEP throughout Europe. [40]
And so today, insurers typically will only cover generic Truvada, which lacks any manufacturer copay card. ... The drug has a current list price for use as HIV treatment of $3,250 monthly. Horn is ...
This can amount to considerably greater drug costs; for example, the 2016 generic drug price for TDF/FTC/EFV was $100 per patient per year, while the originator price for the same treatment was as high as $1033. [3] Furthermore, the price of originator drug costs have tended to remain static, rendering it difficult to obtain price reductions. [3]
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By 2018, this price had increased to up to $2,000, despite generally costing less than $100 outside the U.S. [111] Gilead made over $3 billion in sales of Truvada in 2018. [6] The high price drew the ire of activist groups such as ACT UP and was the subject of a Congressional hearing in May 2019. [112]
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