Hear from peers about what is happening in HIV prevention
Many organizations across the US have recommendations about PrEP for the prevention of HIV
The USPSTF has given PrEP medications—like DESCOVY FOR PrEP®—a Grade A recommendation for people who have an increased likelihood of HIV acquisition. As a result, the Affordable Care Act (ACA) requires most plans* to cover medically appropriate PrEP medications and ancillary services with no out-of-pockets costs.1-3
Ancillary services for PrEP medications, with no cost sharing, may include1,4:
- HIV testing
- HBV and HCV testing
- Renal testing
- Adherence counseling
-
STI screening and
counseling
The CDC recommends that all sexually active adults and adolescents should be informed about PrEP for prevention of HIV.5
The National HIV/AIDS Strategy includes PrEP medication as one of the key prevention strategies toward its goal for ending the HIV epidemic in the United States by 2030.6,7
Discuss and offer PrEP to all sexually active individuals and to anyone requesting it, without specific risk criteria or screening tools.8†
FTC/TDF=emtricitabine/tenofovir disoproxil fumarate; MSM=men who have sex with men; OLE=open-label extension; PY=person-years; TGW=transgender women (who have sex with men).
Don’t let cost be a barrier to PrEP
Don’t let cost be a barrier to PrEP
Educate people who may benefit from PrEP medication that many health plans should provide coverage and zero co-pay or coinsurance for medically appropriate PrEP medications and ancillary services.
Encourage individuals to contact their health plans for more information to understand their coverage.
When prescribing a PrEP medication, consider clinical guidelines and recommendations from various health organizations.
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* The ACA applies to all nongrandfathered private plans and Medicaid expansion plans.
† Prior to PrEP initiation, individuals should be screened for HIV.
FTC/TDF=emtricitabine/tenofovir disoproxil fumarate; MSM=men who have sex with men; OLE=open-label extension; PY=person-years; TGW=transgender women (who have sex with men).
HBV=hepatitis B virus; HCV=hepatitis C virus; PrEP=pre-exposure prophylaxis; STI=sexually transmitted infection.