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What is PrEP?

PrEP, or pre-exposure prophylaxis, is medicine people at run a risk for HIV take to prevent getting HIV from sex or injection drug use. PrEP tin can stop HIV from taking hold and spreading throughout your trunk.

Currently, there are two FDA-approved daily oral medications for PrEP. A long-acting injectable grade of PrEP has also been approved past the FDA.

Why Take PrEP?

PrEP is highly effective at preventing HIV when taken as indicated.

PrEP reduces the gamble of getting HIV from sexual activity by about 99% when taken as prescribed. Among people who inject drugs, it reduces the risk by at least 74% when taken as prescribed. PrEP is much less effective when it isn't taken consistently.

Is PrEP Right for You lot?

PrEP may benefit you if you test negative for HIV and

• you lot have had anal or vaginal sex in the past 6 months, and you:
• have a sexual partner with HIV (especially if the partner has an unknown or detectable viral load),
• have not consistently used a condom, or
• accept been diagnosed with an STD in the past 6 months.

Or

• you inject drugs and
• have an injection partner with HIV, or
• share needles, syringes, or other injection equipment.

Or

• you've been prescribed PEP (post-exposure prophylaxis) and you
  • report connected risk beliefs or
  • have used multiple courses of PEP

If you are a woman and have a partner with HIV and are considering getting significant, talk to your doctor about PrEP. PrEP may be an pick to help protect you lot and your baby from getting HIV while y'all endeavor to go pregnant, during pregnancy, or while breastfeeding.

What Drugs Are Canonical for PrEP?

There are two oral medications canonical for daily use equally PrEP. They are combinations of two anti-HIV drugs in a single pill:

• Truvada® is for all people at risk for HIV through sex or injection drug use. Generic products are as well available.
• Descovy®) is for sexually agile men and transgender women at risk of getting HIV. Descovy® has non all the same been studied for HIV prevention for receptive vaginal sex.

A long-acting injectable form of PrEP, Apretude®, has also been canonical by the FDA. It is administered by a health care provider every two months instead of daily oral pills.

Is PrEP Safe?

PrEP is safety. No significant wellness effects have been seen in people who are HIV-negative and have taken PrEP for up to 5 years.

Some people taking PrEP may have side effects, like nausea, diarrhea, headache, fatigue, and breadbasket pain. These side furnishings are normally not serious and go away over time. If you are taking PrEP, tell your health care provider if you have any side consequence that bothers you or that does not go abroad.

And exist aware: PrEP protects you against HIV but not against other sexually transmitted infections (STIs) or other types of infections. Combining PrEP with condoms volition reduce your risk of getting other STIs.

How Do Y'all Get PrEP?

If you think PrEP may be correct for you, visit your md or health care provider. PrEP is only bachelor by prescription. Whatsoever health care provider licensed to write prescriptions can prescribe PrEP; specialization in infectious diseases or HIV medicine is not required.

If yous don't have a md, you can use the HIV Services Locator to find a PrEP provider and other HIV services well-nigh you lot. Y'all tin visit many customs wellness centers for a PrEP consultation. More than 190 health centers in the 57 jurisdictions prioritized in the Ending the HIV Epidemic initiative are providing PrEP services. Many wellness centers in other jurisdictions also provide PrEP services.

Because PrEP is for people who are HIV-negative, you'll have to get an HIV test before starting PrEP and you may need to get other tests to make sure information technology's safe for yous to use PrEP.

If you lot take PrEP, you'll need to see your health care provider every three months for repeat HIV tests, prescription refills, and follow-upwardly.

PrEP and COVID-19

There are options for starting or continuing PrEP while COVID-nineteen precautions are in effect. Some clinics and health care providers offer self-testing kits and so that you lot can safely take HIV tests at home equally part of your ongoing PrEP care. Others offering telehealth appointments or 90-day prescriptions of PrEP medication to help you minimize your trips to the pharmacy. Talk to your clinic or health intendance provider'southward role about how you can access PrEP.

Notice resource most COVID-19 and people with HIV.

Is PrEP Covered By My Insurance?

In well-nigh cases, yep! Under the Affordable Care Act, PrEP must be free under almost all health insurance plans. That means y'all can't be charged for your PrEP medication or the clinic visits and lab tests you need to maintain your prescription. At that place are no out-of-pocket costs for you.

This applies to virtually individual health insurance plans you get through your employer or purchase yourself, individual plans you buy through HealthCare.gov or state-based Marketplaces, and state Medicaid expansion coverage plans. In some states, the traditional Medicaid program also covers PrEP at no charge.^[i] This does not automatically apply to Medicare. (Medicare Role D prescription drug plans cover PrEP medication, but there volition nevertheless exist cost sharing.)

To find out whether your health plan covers PrEP medications without charge:

• If you have individual health insurance through your employer or have purchased it yourself: Check with your health insurance company about coverage for PrEP medications, or expect on their drug formulary (drug listing) online to detect data about coverage for the drugs approved for PrEP.
• If you purchased your wellness plan through HealthCare.gov or a land-based Marketplace: This NASTAD tip sheet can help y'all verify whether your plan covers PrEP medications.
• If you are on Medicaid: Check with your benefits counsellor.
• If you lot are on Medicare: Find which plans embrace your drugs.

What If I Don't Accept Health Coverage or Still Can't Afford PrEP?

Don't accept insurance or Medicaid coverage? There are resource that may be able to help you pay for PrEP and your necessary clinic visits and tests.

Ane source is the U.South. Department of Health and Man Services' Prepare, Set up, PrEP program that provides PrEP at no cost for people without prescription drug coverage. For more information, and to observe out if you qualify, see the blue box below.

Another source is Gilead's Medication Aid Program for PrEP (Gilead is the visitor that makes two of the drugs currently approved past the FDA drugs for PrEP). You lot can apply for this plan to see if y'all can go PrEP at no cost, based on your income. For more than data phone call (877) 505-6986.

If y'all do have health insurance that still requires a co-pay but y'all can't afford it, you may receive co-pay assist from drug manufacturers, state programs, or patient advocacy foundation.

Need aid paying for your clinic visits and lab tests?

• You can go them at HRSA-funded Wellness Centers , where the sliding calibration fees are based on your ability to pay. At that place are more than 12,000 health centers nationwide.
• Some state PrEP assistance programs also cover clinical visits and labs.

If you lot don't have prescription drug insurance, yous may be eligible for Prepare, Ready, PrEP, a national program that makes PrEP oral medications bachelor at no cost.

To qualify for Set up, Set, PrEP, you lot must test negative for HIV, have a valid prescription for the medication, and non have prescription drug coverage. All medications are fully covered for qualifying participants; however, the costs of necessary clinic visits and lab tests may vary depending on a person'southward income.

To observe out if you qualify, visit GetYourPrEP.com or telephone call toll-gratuitous 855-447-8410.

Learn More About PrEP

If you call up PrEP might be right for you lot, or you desire to learn more visit CDC's PrEP Nuts.

Use the HIV Services Locator to find a PrEP provider and other HIV services near you.

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^[i] California, Colorado, Commune of Columbia, Delaware, Hawaii, Iowa, Kentucky, Louisiana, Massachusetts, Montana, Nevada, New Hampshire, New Bailiwick of jersey, Oregon, Washington, and Wisconsin. (NASTAD PrEP Coverage Brief, July 2021)

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Source: https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/pre-exposure-prophylaxis

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