This is a brief look at what drug prices are at for HIV medications and why our healthcare system can fall short. This does not only hurt the 40 million in the US without insurance but also those who are underinsured. HIV/AIDS medication depending on the regimen’s medications can run you thousands of dollars a month. A common starting regimen consists of Lopinavir boosted by Ritonavir/Lamivudine/Zidovudine. The price of a month’s supply for each can be as high as 198.99$, 289.99$, 385.88$, 170.00$. This adds up to more then 1k a month in just medication costs. Other starting regimens including Atripla can be more then 1500$ for a one month supply. If you don’t have health insurance the cost of your care can exceed your reach with the comination of health related bills. You can even just be underinsured for medication costing you large copays exceeding 500 dollars a month. These factors make it very difficult for uninsured Americans to stay afloat finicnally even if they are working as hard as they possibley can. In the end this can hurt the overall health care you recieve, and potentially forces patients to go without care.
If you recently were diagnosed with HIV all the new medications and treatment options can overwhelm you. You should see a doctor, and a HIV specialist if possible. Labs will be taken in order to help determine how far your HIV has progressed and when to begin treatment. The NIH did a study and determined the level at which you should begin treatment. Mortality rates increase if HAART is initiated below 0.200 x 10(9) cells/L. Also, nonadherent patients have higher mortality rates than adherent patients with similar CD4+ cell counts. Higher then a CD4+ count of 0.200 x 10(9) cells/L, medication adherence is the critical determinant of survival, not the CD4+ cell count at which HAART is begun.
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