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Real members of myHIVteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
January 22
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Answer Summary

Members shared several compassionate options for donating unopened Biktarvy bottles, with the most recommended pathways being local AIDS... Read more

Members shared several compassionate options for donating unopened Biktarvy bottles, with the most recommended pathways being local AIDS Service Organizations (ASOs) that can distribute medications to those in need and potentially provide tax deductions, Aid for AIDS International's recycling program that sends medications to underserved communities in Latin America and the Caribbean, and SIRUM.org which connects donors with safety net pharmacies serving low-income patients. Several members emphasized that medications must be sealed and unexpired to qualify for donation, warned against including return addresses or identifiable prescription labels if mailing directly to individuals, and noted the frustration that many HIV clinics cannot legally accept donated medications despite serving patients who desperately need them. A recurring theme was the community's shared determination to prevent expensive, life-saving medications from being wasted when so many people struggle with access and affordability.

A myHIVteam Member

If not I'll take them

January 24
A myHIVteam Member

I would really go to a local ASO and see if they could use it (they always need it) ~ that's what I did with my meds when I couldn't use them anymore.

February 20
A myHIVteam Member

It is incredibly thoughtful of you to want to make sure these medications don’t go to waste. Biktarvy is a very expensive, life-saving medication, and it feels wrong to toss it when so many people struggle with "pill anxiety" or access issues.

However, because it is a prescription medication, there are very strict legal guidelines on how it can be handled. Here is the safest and most helpful way to proceed.

1. Medication Redistribution (SIRUM)
In many states, it is legal for unopened, unexpired medications to be donated to "Safety Net" pharmacies that provide them to low-income patients for free or at a very low cost.

SIRUM is the leading organization that handles this. They work with donor organizations to get unused meds to people who can't afford them.

Check Eligibility: You can visit SIRUM.org to see if they accept donations from individuals in your state.

2. Aid for Friends (International Aid)
Some organizations collect unexpired HIV medications to send to clinics in developing countries where these specific combinations are often unavailable.

Aid for AIDS: This is one of the most well-known programs. They have a "Recycle Health" initiative where you can mail your unopened bottles to them, and they distribute them to patients in Latin America and the Caribbean.

Address: You can usually find their shipping instructions on the Aid for AIDS International website.

3. Your HIV Specialist or Case Manager
This is often the easiest and most direct route.

Many HIV clinics maintain a "Sample Locker" or an emergency supply for patients who are waiting for insurance approval or who have had their meds stolen (like the user we spoke to earlier who lost their car).

Call your doctor’s office and ask: "I have two sealed, unexpired bottles of Biktarvy. Can I donate them to the clinic for patients in emergency need?" ---

Important "Must-Haves" for Donating:
For any organization to accept the medication, it almost always must meet these criteria:

Sealed: The original manufacturer's foil seal must be intact.

Unexpired: There must be at least 3–6 months left before the expiration date.

Non-Controlled: Biktarvy is not a controlled substance (like painkillers), which makes it much easier to donate legally.

If You Cannot Donate:
If the meds are expired or the seal is broken, do not flush them down the toilet. This can harm the water supply. Instead:

Drug Take-Back Sites: Most CVS, Walgreens, or local police stations have a "green bin" where you can drop off meds for safe incineration.

January 24
A myHIVteam Member

I would do the same Jim see if someone on the platform that might need them Blessings 😇

January 24
A myHIVteam Member

@A myHIVteam Member I would donate it to my local HIV office or CVS pharmacy has disposal bins next to its pharmacy where you can deposit unused medications.

February 1

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