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Published on: April 9, 2014
Injectable Long-Acting Cabotegravir-Rilpivirine Therapy for People Living With HIV/AIDS: Addressing Implementation
Rogério M Pinto1, Evan Hall, Ryan Tomlin
1Rogério M. Pinto, PhD, is a Professor, School of Social Work and School of Music, Theatre, and Dance, University of Michigan, Ann Arbor, USA. Evan Hall, BS, is an Undergraduate Research Assistant, University of Michigan, Ann Arbor, USA. Ryan Tomlin, PharmD, BCPS, AAHIVP, is a Clinical HIV Pharmacist, Mercy Health Saint Mary's, Grand Rapids, Michigan, USA.
Abstract:
Injectable cabotegravir and rilpivirine (CAB/RPV), administered bimonthly by a medical provider, is convenient and improves privacy and medication management. One year after approval, myriad implementation barriers threaten the access and sustainability of this life-saving innovation: (1) eligibility issues (viral suppression, drug resistance, and failed oral regimens); (2) injection requires medical provider and transportation to facility; (3) strict medication adherence; (4) life challenges-mental health, homelessness, joblessness; and (5) lack of insurance and high cost. Universal implementation of CAB/RPV calls for social, human, and health organizations to partner and provide HIV continuum of care and prevention services to facilitate CAB/RPV access and maintenance and for transparent health insurance billing practices to abate uncertainty concerning CAB/RPV's classification as a pharmaceutical or medical benefit and related cost implications.
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