The PrEP Checklist



A simple outline of what you’ll need to know if you are interested in using PrEP as a part of your personal HIV prevention strategy. 

 Before a doctor can prescribe PrEP (brand name: Truvada), you need to:

  • Find a doctor that is trained to prescribe and maintain the proper protocol for PrEP. Not sure how to find a doctor? Ask a trusted friend that is on PrEP or at a HIV testing program.
  • Have an office visit with the doctor where he or she evaluates your risk of HIV exposure based on your sexual activities. Being honest and open with your doctor is very important.
  • Be tested for HIV to confirm you’re currently negative for HIV
  • Be tested for Hepatitis B
  • Be tested for healthy kidney functions
  • Confirm that you’re not taking other HIV or Hepatitis B medications
  • Understand that while PrEP is generally considered safe for most people, there are known safety risks associated with any medication.
  • For women: Undergo a pregnancy test and decide if PrEP is still right for you if you’re pregnant



Once you’re on PrEP, you must:

  • Take the medication as prescribed every day
  • Visit your doctor every 2-3 months for lab tests, including an HIV test and kidney function test
  • Monitor yourself for side effects of PrEP and contact your doctor with any concerns
  • Remain honest and open with your doctor
  • Understand that PrEP is only one part of your personal strategy to reduce your risk of HIV



Additionally, when you’re on PrEP, it is highly recommended that you:

  • Be tested regularly for gonorrhea, chlamydia, and syphilis
  • Strongly consider receiving a Hepatitis B vaccine
  • Continue practicing safer sex consistently, however you choose to define that for yourself



ARE YOU READY TO FIND A DOCTOR TO PRESCRIBE PrEP? 
 
DO YOU HAVE HEALTH INSURANCE?
Do you have insurance and you ready to make an appointment with a doctor to begin using PrEP? Here is a current list of Utah LGBTQ Friendly PrEP providers: http://www.blackbootsslc.org/prep-providers-.html




NO HEALTH INSURANCE?

FREE PrEP Clinic

Are you uninsured and ready to make an appointment with a doctor to begin using PrEP? The University of Utah Clinic 1A runs a Free PrEP Clinic for the uninsured two Saturdays a month. It is located at the University of Utah Redwood Health Center at 1525 West 2100 South. 

Schedule an appointment online: www.slcPrEPisfree.org 

Call 801-585-2512 for more information or to schedule an appointment. 




Utah AIDS Foundation can help you match your insurance plan to the listed providers. Use there Google form here to sign up for help:

https://docs.google.com/forms/d/e/1FAIpQLSfPkCYSwFDKmkphjtXlkdc9Ftc8ObUhhzS30qTK_hniyYKCIQ/viewform?embedded=true Utah AIDS Foundation also developed a letter that you can download, print and bring to your doctor to educate them about PrEP in the link here. PrEP Letter to your doctor




PrEP Financial Assistance Programs



Do you have health insurance and need help paying for PrEP? Truvada is the brand currently being prescribed as PrEP and Gilead the manufacturer offer co-pay assistance of up to $7200 per year. You can sign up for your Gilead HIV Co-pay Assistance Coupon Card here or call 1-877-505-6986 for more information. 


If you don’t have insurance
Gilead U.S. Advancing Access® Program
This program provides assistance to patients in the United States who do not have insurance or who need financial assistance. As part of this program, Gilead provides assistance for people who are eligible and who cannot afford to pay for TRUVADA. To learn about eligibility, contact Advancing Access® at 1-800-226-2056 between 9:00 a.m. and 8:00 p.m. (Eastern). You can also download the enrollment form here to be completed by you and your healthcare provider. 


If you have insurance, but are not fully covered for PrEP
This program provides assistance to patients in the United States who have insurance and still need financial assistance.

https://panfoundation.org/index.php/en/


If you need additional assistance with insurance co-pays: https://www.copays.org/ 


Other resources for low cost PrEP:


Many people are successfully ordering generic Truvada online from outside of the USA. Caution is advised when selecting a company to order online and you need to follow US law guidelines to do this.


One online resource in particular has very good reviews and word of mouth. 

https://www.prep.global/get-prep 


If you choose to order PrEP online you must:


1. See a doctor, test negative for the virus and get the other required blood tests done.


2. Obtain a prescription for Truvada with the generic substitution box checked.  It is the default in most instances including the Free PrEP Clinic.


3. Make sure you order the correct thing: emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg. 


3. Have a US Passport (No other ID is acceptable)


4. See a doctor every 3-4 months once you are taking PrEP for an HIV test and other required blood work.


We've been advised that US Law only permits 90 days worth of this medication coming into the country at a time so you'll need to plan carefully and adhere to the boundaries of US law.  The cost is about $15. per month. 




For more information about PrEP, please contact:

Salt Lake County Health Department STD Clinic and Prevention Program


Peter Stoker 385-468-4166



or the Utah AIDS Foundation

at 801-487-2323  

or visit the official Truvada  information page online from Gilead