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Need to throw another perspective in here from a strong patient advocate... @hivma advocated very successfully with UHC to alter the policy to tweak this policy to allow physicians to work with patients to make the best decisions together for that individual 1/
And many patients need one pill/day or have risks with TDF. BUT many patients also do fine with two pills once/day or don't have enhanced risks with TDF. The real issue for me is, we have a terrible epidemic and controlling it comes with high cost. 2/
And we need to start taking some responsibility for rationally thinking about drug cost which is the lions share of cost to get to zero. We need to maximize what we can do with our limited resources so i can stop seeing unnecessary deaths. 3/
I am never suggesting doing worse by patients but we need to challenge assumptions about what is worse and what isn't. 4/end @RWalensky
Abstract #511 adresses 2 pills once daily being as good as str
See also the below, knowing the longest study therein was 96 weeks https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2708315/ …
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