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Gilead, PAHO agree on HIV prevention drug access in Latin America, Caribbean

By Thomson Reuters Sep 15, 2026 | 10:11 AM

Sept 15 (Reuters) – U.S. drugmaker Gilead Sciences said on Tuesday it had reached an agreement with the Pan American Health Organization to widen access ​to its HIV prevention drug across Latin ‌America and the Caribbean, as the regions seek to curb new infections.

Under the new agreement, countries that choose to offer lenacapavir, a twice-yearly drug marketed as Yeztugo in the United States ‌for ​HIV prevention, will be able to ⁠procure it through PAHO’s ⁠regional purchasing system.

New HIV infections in Latin America and the Caribbean rose 13% between 2010 and 2024, Gilead said, citing gaps in the utilization of HIV ​prevention medicines.

The agreement creates a new pathway to access in 14 countries that are not covered ⁠by its voluntary licensing agreements for ⁠generic versions, the company said.

Under a ​2024 deal, it granted six generic manufacturers royalty-free licenses to ​produce and supply the drug in resource-limited countries.

Eligible ‌countries include Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, El Salvador, Guatemala, Mexico, Panama, Paraguay, Peru, Uruguay and Venezuela.

Yeztugo is a pre-exposure prophylaxis, or PrEP medicine, and is ⁠central to Gilead’s growth strategy. The company has forecast $1 billion in sales for the long-acting drug in 2026.

PAHO Director Jarbas ⁠Barbosa said ‌the initiative could help reduce access gaps ⁠to lenacapavir and give countries another option ​for ‌HIV prevention.

Gilead is also in discussions ​with Brazil’s ⁠Health Ministry on possible local production of lenacapavir, the company said.

It said its access plan includes generic licensing, technology transfers and partnerships. Availability will depend on country-specific decisions and regulatory approvals.

(Reporting by Padmanabhan Ananthan in Bengaluru; Editing ​by Pooja Desai)