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FDA Approves Twice-Yearly HIV Prevention Shot Lenacapavir

High US pricing threatens access despite Gilead’s deals for low-cost generics in 120 low-income countries.

BEVERLY HILLS, CALIFORNIA - SEPTEMBER 26: Daniel O’Day, Chairman/CEO, Gilead Sciences speaks onstage during The Elizabeth Taylor Ball To End AIDS at The Beverly Hills Hotel on September 26, 2024 in Beverly Hills, California. (Photo by Jon Kopaloff/Getty Images for The Elizabeth Taylor AIDS Foundation)
This photo provided by Gilead Sciences shows packaging for the company's HIV prevention medication, Yeztugo, (lenacapvir) at a manufacturing facility in La Verne, Calif., in June 2025.
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Boxes of Yeztugo

Overview

  • Lenacapavir, marketed as Yeztugo, received FDA approval on June 19 as the first HIV prevention injection administered twice annually.
  • Clinical trials demonstrated near-100% efficacy, significantly outperforming daily oral PrEP options in at-risk populations.
  • Gilead set a US list price of $28,218 per year and is working with insurers and assistance programs to support patient access.
  • The company has agreements with six generic manufacturers to supply two million doses at no profit across 120 low-income countries.
  • Health experts warn that recent cuts to HIV prevention funding and the high cost could limit uptake and leave vulnerable groups without protection.