Your pharmacy can help protect patients from HIV
Get prepped for PrEP
- PrEP (pre-exposure prophylaxis) medications help reduce the risk of getting HIV.
- More than 1 million Americans can benefit from PrEP meds — but most patients don’t get them
- Many insurance plans and state Medicaid programs cover PrEP
- Pharmacies can play an important role in helping patients get PrEP
A game changer for HIV
In the effort to halt the spread of HIV, pre-exposure prophylaxis (PrEP) is a game changer for people at risk for HIV. PrEP is a combination of medications prescribed to people who do not have HIV but are at high risk for getting it.
When taken daily, PrEP, an FDA-approved pill made up of two anti-viral medications, reduces the risk of contracting HIV by about:1
- 99% for those exposed through sex
- 74% for those exposed through injected drug use
Information about PrEP
The CDC has published information about:
- What PrEP is
- How it helps prevent HIV infections
- How it should be used
- Tips for taking
- PrEP’s safety and side effects
- Paying for PrEP
- Accessing other PrEP resources
Paying for PrEP
Most health insurance plans and Medicaid cover PrEP for eligible patients. Help with co-pays also is available through resources including:
Ready, set, PrEP
In December 2019, the U.S. Department of Health and Human Services (HHS) launched “Ready, Set, PrEP.” This program is part of the Ending the HIV Epidemic (EHE) initiative. EHE’s goal is to reduce the number of new HIV infections in the U.S. by 75% in 5 years and by 90% in 10 years.
The Ready, Set, PrEP program increases access to PrEP medicines by making PrEP available to those without prescription drug coverage at no cost.2
How pharmacies can participate
Currently, about 1 million people at risk for HIV in the United States could benefit from PrEP medications — which are highly effective — but only a small fraction of these individuals is getting these drugs. Community pharmacies can play a key role in ensuring that the right patients get access to PrEP.
About one third of U.S. chain pharmacies have signed up to participate in the Ready, Set, PrEP program; Health Mart® is the only group of independent pharmacies invited to join this program.
As part of Ready, Set, PrEP, a pharmacy agrees to:
- Receive reimbursement at wholesale acquisition cost (WAC)
- Donate dispensing fees for filling PrEP medications
Also, participating pharmacies need to be ready to counsel patients on adherence. In order to be effective, the medication must be taken daily. Also, remind patients that they must take precautions, such as using condoms, to protect from other sexually transmitted diseases.
There will be no DIR fees or clawbacks related to this program.
Pharmacies in targeted areas identified with the greatest need have been contacted and invited to enroll. The program is expected to roll out to other areas later this year.
Participating in Ready, Set, PrEP
If your pharmacy is interested in joining the Ready, Set, PrEP program, email ISMCTech@McKesson.com.
Find resources including providers who can prescribe PrEP and brochures for talking with patients on the CDC’s Let’s Stop HIV Together page.
Patients can apply for Ready, Set, PrEP
- Visit www.GetYourPrEP.com
- Call toll-free 855.447.8410
- Apply at a healthcare provider’s office, including a community health center