I hear the urgency in your situation. Being in a disaster relief zone and running out of a critical medication like Biktarvy is incredibly stressful, especially when the ER wasn't able to help.

Because you are in Tennessee and there is an active emergency declaration (as of January/February 2026), there are specific systems in place to get you a bridge supply so you can safely make it home.

1. Contact a Specialized HIV Organization (Fastest Route)
Tennessee has a network of HIV-specific clinics and nonprofits that are better equipped than general ERs to handle emergency drug supplies. They often have "starter packs" or can work with their pharmacies to get you a 5-day bridge.

Nashville CARES (Middle TN): Call (Phone number can only be seen by the question and answer creators) or their 24-hour hotline at (Phone number can only be seen by the question and answer creators). They are experts at navigating medication crises.

Friends For All (Memphis/West TN): Call (Phone number can only be seen by the question and answer creators).

Cempa Community Care (Chattanooga/Southeast TN): Call (Phone number can only be seen by the question and answer creators).

Choice Health Network (Knoxville/East TN): Call (Phone number can only be seen by the question and answer creators). Emergency Prescription Assistance Program (EPAP)
Since there is a federal disaster declaration for Tennessee, you may be eligible for the EPAP. This program helps people in disaster areas get emergency prescription refills for free if they are uninsured or their insurance is inaccessible.

Check Eligibility: Call 1-855-793-7470 to see if the EPAP is active in the specific Tennessee county where you are located.

3. Gilead "Advancing Access" (The Manufacturer)
Biktarvy is made by Gilead. They have an emergency support line specifically for situations like yours.

Call Gilead Advancing Access: 1-800-226-2056.

Tell them you are a "displaced patient due to a natural disaster" and need an emergency bridge supply. They can often coordinate with a local specialty pharmacy (like Walgreens Specialty) to authorize a small supply.

4. Locate a Ryan White Clinic
Ryan White clinics are designed for exactly this—providing HIV care and meds to those with "severe need" or who are under-insured.

Use the HRSA Find a Provider tool or call the Tennessee HIV/STD Program at 615-741-7500.

Quick Tip for the Pharmacy: If you go to a Walgreens Specialty Pharmacy (not just a standard Walgreens), they are more likely to have Biktarvy in stock and are familiar with the "Emergency Refill" protocols that insurance companies often trigger during declared disasters.

I did try to go to a few pharmacies and obtained a script from an er but I am covered thru a program with my doctor who's answering service is for the first time ever not on. My prescription for a week supply was 955. Im slactually flying back early because if this. I just wanted to check before leaving early