Price, Scalability of Lenacapavir as PrEP Curbs Excitement, Expert Says

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Although the FDA approval of lenacapavir as a twice-yearly form of preexposure prophylaxis (PrEP) is “momentous,” cost and access curb excitement, according to Jeremiah Johnson, executive director of PrEP4All.

To reap the full benefit of lenacapavir as a form of preexposure prophylaxis (PrEP), it must be accessible, according to Jeremiah Johnson, executive director of PrEP4All.

Generic lenacapavir could cost as low as $35-$46 per person per year, falling to as low as $25 per person per year, depending on demand, a recent study published in The Lancet reads. The list price in the United States is currently $28,218 per person per year.

Jeremiah Johnson

Jeremiah Johnson

“At the end of the day, the best PrEP for somebody is going to be the one that they can actually access,” Johnson said during a recent interview with Managed Healthcare Executive. “I don't want people to throw the baby out with the bathwater when we have a daily oral generic of Truvada that is less than $1 a day that may be more feasibly scaled, particularly for some of the communities that are going to fall into the cracks of the American healthcare system.”

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