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Gilead’s pricing has been cited as a contributing factor in the State of Florida’s recent decision to drastically restrict access to its AIDS Drug Assistance Program (ADAP), a move that advocates say has put Florida’s HIV safety net under significant strain.
This past weekend, AIDS Healthcare Foundation (AHF) ran full-page ads in five major Florida daily newspapers criticizing Gilead’s drug pricing and policies. The ads, described as “Greediad,” were directed at “Greedy Gilead.”
Florida is not the only state facing pressure from high HIV drug costs. According to U.S. News and World Report, nearly 20 states have scaled back their HIV medication programs, and five more are considering similar restrictions.
High drug prices are highlighted as a major driver of these program changes. The article cites an annual cost of $61,000 per patient for Gilead’s HIV treatment, Biktarvy.
It also points to demand-side pressures: ADAP enrollment increased by 30% from 2022 to 2024. The article attributes part of that rise to states removing people from Medicaid after the pandemic.
At the same time, federal funding has remained flat for more than a decade, even as drug prices and insurance premiums have increased.
AIDS Healthcare Foundation (AHF) describes itself as the world’s largest HIV/AIDS healthcare organization, providing medicine and advocacy to more than 2.9 million individuals across 50 countries, including the U.S. and regions in Africa, Latin America/Caribbean, the Asia/Pacific Region, and Eastern Europe.
In January 2025, AHF received the MLK, Jr. Social Justice Award, described as The King Center’s highest recognition for an organization leading work in the social justice arena.

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