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Research Letter
February 3, 2020

HIV Antiretroviral Therapy Costs in the United States, 2012-2018

Author Affiliations
  • 1Medical Practice Evaluation Center, Massachusetts General Hospital, Boston
  • 2National Alliance of State and Territorial AIDS Directors, Washington, DC
  • 3Division of Infectious Diseases, Massachusetts General Hospital, Boston
  • 4Harvard University Center for AIDS Research, Boston, Massachusetts
  • 5Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. Published online February 3, 2020. doi:10.1001/jamainternmed.2019.7108

The United States has the highest antiretroviral treatment (ART) prices yet the lowest rate of HIV viral suppression (54%) compared with all other well-resourced countries, including Britain, Australia, and Canada.1 High ART costs are among many structural barriers that lead to poor treatment access and adherence, contributing to suboptimal HIV outcomes in the United States.2 We sought to characterize costs of recommended initial ART regimens in the United States from 2012 to 2018 and the magnitude of cost changes over time.

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