Ask any question
about PrEP
What is PrEP?
PrEP is a medication strategy that is 99% effective at preventing HIV when taken as prescribed.
When youâre on PrEP, you take medication that helps prevent you from getting HIV even if youâre exposed to it.
PrEP is most commonly prescribed as a once-a-day pill. The best way to find out what type of PrEP would work for you is to talk to a healthcare professional.
Is PrEP right for me?
If you are not living with HIV, PrEP can help protect you against HIV, no matter your gender or body type.
PrEP is typically prescribed to people considered at higher risk of HIV exposure.
Freddieâs HIV risk assessment tells you whether PrEP could meaningfully reduce your HIV risk â along with how much youâd likely pay for PrEP.
What are PrEP's side effects?
Side effects from PrEP are rare, typically minor, and usually go away in 1 to 2 weeks.
Less than 10% of people who start PrEP may experience short-term side effects including nausea, headaches, diarrhea and vomiting.
In a small number of people, PrEP can result in a decrease in kidney function and bone density. Research shows that this is rare (less than 1% of people). It can usually be reversed after stopping PrEP, and detected early through regular testing.
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Have more questions? Email the Freddie Care Team and an expert will be in touch soon!
How much does PrEPÂ cost?
Get an estimate of how much youâd pay for PrEP by answering a few quick questions.
What province do you live in?
Do you have government healthcare coverage?
This includes your provincial healthcare number, Alberta Health Care Insurance Plan (AHCIP), or benefits through federal programs such as IFHB and NIHB.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0
per month
for people in Alberta with government healthcare coverage
PrEP is available in Alberta at no cost for people who:
Completing Freddie's HIVÂ risk assessment will let you know if you meet the criteria for receiving PrEP in Alberta.
$0
per month
for people in Alberta with government healthcare coverage
PrEP is available in Alberta at no cost for people who:
Completing Freddie's HIVÂ risk assessment will let you know if you meet the criteria for receiving PrEP in Alberta.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people in Alberta with private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
Do you have government healthcare coverage?
This includes your provincial healthcare number, BC Pharmacare, or benefits through federal programs such as IFHB and NIHB.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people in BC with government and private healthcare coverage
Most private insurance plans cover about 80% of the cost of PrEP.
PrEP is also available for free under BC's Medical Services Plan. However, due to provincial regulations, Freddie can only accept private insurance for BCÂ patients at this time.
$0
per month
for people in BC with government healthcare coverage
You can get generic PrEP free with BCâs Medical Services Plan.
Due to provincial regulations, Freddie canât offer PrEP to BC residents without private insurance. But you can still get PrEP at no cost by physically visiting a doctor or clinic within The BC Centre for Excellence in HIV/AIDS network.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people in BC with private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
Do you have government healthcare coverage?
This includes your provincial healthcare number, Manitoba Pharmacare Program, or benefits through federal programs such as IFHB and NIHB.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people in Manitoba with private healthcare coverage
Most private insurance plans cover about 80% of the cost of PrEP.
$250
per month
for people in Manitoba without private health insurance
PrEP in Manitoba is not covered by provincial assistance programs.
If you are in one of the following groups, you may be eligible for federal assistance that could reduce your PrEP cost.
First Nations or Inuit
Non-Insured Health Benefits (NIHB)
The NIHB program provides benefits for First Nations registered under the Indian Act and Inuit who are recognized by an Inuit land claim organization. You can learn more about the NIHB programâs eligibility criteria at the Indigenous Services Canada website.
Refugee or Temporary Resident
Interim Federal Health Program (IFHP)
The IHFP covers certain healthcare benefits for resettled refugees, refugee claimants, and certain other groups until they become eligible for provincial or territorial health insurance. You can read more about this programâs eligibility here.
Veteran Affairs Canada Card Holder
Treatment Benefits Program
The Treatment Benefits Program covers anyone with a Veterans Affairs Canada (VAC) health card. You can read more about this programâs eligibility here.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people in Manitoba with private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
Do you have government healthcare coverage?
This includes programs like OHIP, OHIP+, ODB, ODSP, IFHP, NIHB, and Trillium.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people 24 or younger in Ontario with government coverage and private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
Freddieâs financial assistance program covers the rest, meaning you get PrEP from Freddie for $0!
$0
per month
for people 24 or younger in Ontario with government coverage
Ontario residents 24 years and younger are fully covered by OHIP+ as long as they are not on a private insurance plan.
You do not have to enroll or register â as long as you are under 25 and are not on any private insurance plan, you're covered.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people ages 25-64 in Ontario with private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
Freddieâs financial assistance program covers the rest, meaning you get PrEP from Freddie for $0!
Do you have government healthcare coverage?
This includes programs like OHIP, OHIP+, ODB, ODSP, IFHP, NIHB, and Trillium.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people ages 25-64 in Ontario with government coverage and private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
Freddieâs financial assistance program covers the rest, meaning you get PrEP from Freddie for $0!
$0-150
per month
for people ages 25-64 in Ontario with government coverage
The Ontario Drug Benefit program can reduce your PrEP cost if you are enrolled in:
With both the Ontario Drug Benefit and Freddie financial assistance, itâs likely the majority of your PrEP cost would be covered.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people ages 25-64 in Ontario with private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
Freddieâs financial assistance program covers the rest, meaning you get PrEP from Freddie for $0!
Do you have government healthcare coverage?
This includes programs like OHIP, OHIP+, ODB, ODSP, IFHP, NIHB, and Trillium.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
Almost $0
per month
for people 65 or older in Ontario with government coverage and private health insurance
Ontario residents aged 65 or over automatically qualify for the Ontario Drug Benefit (ODB) program, which covers PrEP.
While there is a deductible for drugs purchased through the ODB program, it is extremely low. You'll pay almost nothing for PrEP.
Almost $0
per month
for people 65 or older in Ontario with government coverage
Ontario residents aged 65 or over automatically qualify for the Ontario Drug Benefit (ODB) program, which covers PrEP.
While there is a deductible for drugs purchased through the ODB program, it is extremely low. You'll pay almost nothing for PrEP.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people ages 25-64 in Ontario with private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
Freddieâs financial assistance program covers the rest, meaning you get PrEP from Freddie for $0!
Do you have government healthcare coverage?
This includes your provincial healthcare number, Saskatchewan Drug Plan, or benefits through federal programs such as IFHB and NIHB.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0
per month
for people in Saskatchewan with government and private healthcare coverage
In Saskatchewan, PrEP is fully covered by the provincial government for individuals who are at a higher risk of HIV.
You can find out if you meet the criteria for getting PrEPÂ covered by taking Freddie's HIVÂ risk assessment.
$0
per month
for people in Saskatchewan with government healthcare coverage
In Saskatchewan, PrEP is fully covered by the provincial government for individuals who are at a higher risk of HIV.
You can find out if you meet the criteria for getting PrEPÂ covered by taking Freddie's HIVÂ risk assessment.
Do you have private health insurance?
This is health insurance through your employer, school, or other source that helps pay for prescription medications.
$0-50
per month
for people in Saskatchewan with private health insurance
Most private insurance plans cover about 80% of the cost of PrEP.
$250
per month
without coverage or financial assistance
If you are in one of the following groups, you may be eligible for federal assistance that could reduce your PrEP cost.
First Nations or Inuit
Non-Insured Health Benefits (NIHB)
The NIHB program provides benefits for First Nations registered under the Indian Act and Inuit who are recognized by an Inuit land claim organization. You can learn more about the NIHB programâs eligibility criteria at the Indigenous Services Canada website.
Refugee or Temporary Resident
Interim Federal Health Program (IFHP)
The IHFP covers certain healthcare benefits for resettled refugees, refugee claimants, and certain other groups until they become eligible for provincial or territorial health insurance. You can read more about this programâs eligibility here.
Veteran Affairs Canada Card Holder
Treatment Benefits Program
The Treatment Benefits Program covers anyone with a Veterans Affairs Canada (VAC) health card. You can read more about this programâs eligibility here.
What province do you live in?
Freddie doesn't serve these provinces, but can still provide some cost information.
If you have private health insurance:
Most private health insurance plans cover PrEP. Contact your insurance provider to verify the exact details of your coverage.
If you have only government healthcare coverage:
While Medicare does not cover PrEP, you may be able to get PrEP covered through the New Brunswick Drug Plan.
If you have private health insurance:
Most private health insurance plans cover PrEP. Contact your insurance provider to verify the exact details of your coverage.
If you have only government healthcare coverage:
PrEP is covered by the Newfoundland Prescription Drug Program (NLPDP). Your exact co-pay will be determined by your eligibility criteria.
If you have private health insurance:
Most private health insurance plans cover PrEP. Contact your insurance provider to verify the exact details of your coverage.
If you have only government healthcare coverage:
PrEP is covered by the Extended Health Benefits (EHB) plan.
If you have private health insurance:
Most private health insurance plans cover PrEP. Contact your insurance provider to verify the exact details of your coverage.
If you have only government healthcare coverage:
PrEP can be covered through exception status if you are enrolled in the Nova Scotia Family Pharmacare Program, which is free.
Once you are enrolled in Family Pharmacare, your healthcare provider will need to complete a special authorization form before the cost can be covered. Co-pays are defined by the familyâs size and annual income.
If you have private health insurance:
Most private health insurance plans cover PrEP. Contact your insurance provider to verify the exact details of your coverage.
If you have only government healthcare coverage:
PrEP is covered by the Extended Health Benefits (EHB) plan.
$0
per month
PrEP is provided at no charge through the province's HIVÂ Drug Program.
To qualify, you must have a PEIÂ health card and meet the criteria to be considered at risk of HIV transmission. Applications must be approved by the Chief Public Health Officer.
$50-95
per month
depending on your type of healthcare coverage
If you have private health insurance:
Most private health insurance plans cover PrEP. The cost is typically around $50 a month, but it depends on your specific policy.
If you have only government healthcare coverage:
The cost of PrEP is $95.31 per month unless you have received an exemption.
$0
per month
The Government of Yukon fully covers the cost of PrEP for anyone at-risk of HIV transmission.
How much does PrEP cost?
Find out how to get PrEP at the lowest cost â and even for free.
The price of PrEP varies depending on the type of PrEPÂ you're prescribed, the insurance coverage you have, and your access to financial assistance programs.
There are provincial and federal assistance programs that can reduce the cost of PrEP.
The generic form of PrEP is the most commonly prescribed version, and usually the most affordable.
The price of PrEP varies depending on where you live and what type of insurance you have.
There are provincial and federal assistance programs that can reduce the cost of PrEP.
The generic form of PrEP is the most commonly prescribed version, and usually the most affordable.
There are three forms of PrEP medication approved in the US:
Name-Brand Truvada
Generic Truvada
Descovy
All three forms of PrEP are 99% effective in preventing HIV infection when taken as prescribed.
Truvada is a brand-name PrEP medication developed by Gilead Sciences.
Truvada is approved for use in Canada but is not covered by provincial health plans.
As a result, out-of-pocket costs can be as high as $800/month.
This high cost is why Freddie focuses on offering affordable alternatives instead, such as Generic Truvada and Descovy.
Generic PrEP, or âgeneric Truvada,â is the generic version of Truvada.
Generic Truvada has the same active ingredients as name-brand Truvada and is also 99% effective at preventing HIV, but it is a fraction of the cost.
Because of this lower cost, generic Truvada is the type of PrEP most likely to be recommended when there is no coverage or financial assistance programs available.
With Freddie, most of our patients have the option of getting Descovy (the newest form of PrEP) for free.
Descovy was developed to lessen the (few) potential side effects associated with Truvada, particularly with kidney and bone health.
If you have private insurance, Freddie can help you get Descovy for free! Most private insurance plans cover Descovy, and Freddie will help you get your co-pay waived by enrolling you in a financial assistance program.
With Freddie, 85% of patients with private insurance get Descovy for $0.
Take our 1-minute PrEP questionnaire to learn how much PrEP will cost you ($0 for most) and book a free appointment to get PrEP now!
Select your province to get your personalized PrEP cost estimate.
These are the provinces where Freddie is currently able to serve patients.
PrEP is available for no cost through the governmentâs publicly funded PrEP program administered by Alberta Blue Cross. To access PrEP for no charge under this program, an individual must:
â˘
Be registered under the Alberta Health Care Insurance Plan
â˘
Meet the Alberta PrEP eligibility criteria
â˘
Receive their prescription from a designated PrEP prescriber
By choosing to get PrEP through Freddie, patients gain free access to virtual appointments & discreet delivery.
Start Free AssessmentDue to provincial regulations, Freddie can only serve BC patients with private insurance at this time.
With private insurance: Most patients with private insurance can get PrEP free from Freddie. Plus, you have the added benefit of gaining access to online care & discreet delivery.
Without private insurance: PrEP is free for BC residents enrolled under the provinceâs Medical Services Plan. Patients can get generic PrEP for free by physically visiting a doctor or clinic within The BC Centre for Excellence in HIV/AIDS network.
With public insurance: PrEP in Manitoba is not covered by provincial assistance programs. Individuals who fit eligibility requirements for certain federal programs may be able to get the price of PrEP covered. Without any additional coverage, costs can be around $250,
âWith private insurance: Most patients with private insurance can get PrEP free from Freddie.
With OHIP, 24 years old and younger: $0
With OHIP, 25 years old and older, no private insurance: $150 per month.
No insurance: Same as above
With OHIP, 25 years old and older, with private insurance: $0; Most plans cover 80% of the cost, so insurance covers $200, and the patient pays $50. However, Freddieâs financial assistance programs lower the $50 cost to $0.
Without OHIP, with private insurance: Same as above.
In Ontario, the price of PrEP is covered for some residents automatically. For others, several other options are available to assist with the cost of PrEP for individuals without private insurance.
Ontario residents 24 years and younger are fully covered by OHIP+ as long as they are not on a private insurance plan. Anyone in this category can rest assured that they do not have to enroll or register to access OHIP+ coverage and will get PrEP for free. If they are 24 and under and on a private insurance plan, they can get PrEP for free through a mix of their private insurance coverage and Freddieâs financial assistance programs.
For Ontarians 65 years and older, coverage is offered under the Ontario Drug Benefit plan (ODB). Enrolment in ODB is automatic, and coverage begins on the first day of the month after turning 65 years old.
Residents of Ontario between and including 25 and 64 years of age may be covered under a private insurance plan through their employer or educational institution. For those who fit this age group and donât have private insurance, there are a few different governmental options to consider before purchasing an individual private insurance plan.
Provincial aid is offered through Service Ontario for Ontarians with continuous or recurrent impairment or disability under the Ontario Disability Support Program (ODSP). Under ODSP, a benefit member is eligible for drug coverage if income support is being paid on their behalf.
For Ontarians in temporary financial need, Ontario Works may be an option that provides support with health benefits and financial assistance for housing, food, and other living costs.
The Trillium Drug Program (TDP) is a government-run program that assists Ontarians 25-64 years old who are responsible for paying out-of-pocket for high-cost, recurring prescriptions. TDP will help cover prescription drug costs for all eligible household members. Though an application process is required, annual enrollment is automatic.
Our team has worked with 1000âs of Ontario patients. Book a free consultation now, and weâll help you navigate insurance and financial assistance programs to find PrEP for $0 or as low-cost as possible.
For residents of Saskatchewan, PrEP is fully covered by the provincial government for individuals who are at a higher risk of coming in contact with HIV. During your initial consultation, your clinician will go through the criteria with you and determine your level of risk.
If you meet the criteria and have a valid Saskatchewan Health Card, PrEP will be available to you at no cost.
By choosing to get PrEP through Freddie, patients gain free access to virtual appointments & discreet delivery.
Eventually, Freddie hopes to serve all of Canadaâs provinces and territories. Weâre not established in the following provinces and territories yet, but here is a brief overview of what coverage looks like for PrEP across the rest of Canada:
PrEP may be covered under plans available to seniors, uninsured individuals, and social assistance programs, but co-pays may be required.
PrEP coverage is available through the provincial drug program, and some co-pays are defined by the programâs eligibility criteria.
The Northwest Territories provides universal coverage with no clinical criteria for PrEP.
PrEP in Nova Scotia can be covered through exception status via the Nova Scotia Family Pharmacare Program and requires enrolment in the Nova Scotia Family Pharmacare Program. Co-pays are defined by the familyâs size and annual income.
Nunavut provides universal coverage through Extended Health Benefits for eligible Nunavut residents with a valid Nunavut Health Care card.
PrEP in Prince Edward Island is provided at no charge if approved by the chief public health office.
The cost of PrEP differs based on whether you have public health coverage through RAMQ or private insurance.
With private insurance: The cost of PrEP has historically been ~$50 per month (but it depends on the policy).
Without private insurance: If you are covered by the RĂŠgie de lâassurance maladie du QuĂŠbec (RAMQ), the cost of PrEP is $95.31 per month unless you have received an exemption. That being said, if you already have recurring prescriptions that you are filling with RAMQ, the most you will pay to add on PrEP is the maximum fee of $95.31.
The Government of Yukon fully covers PrEP.
Looking for more information on additional financial assistance? Your options include the following programs:
The Non-Insured Health Benefits (NIHB) program provides benefits for First Nations registered under the Indian Act and Inuit who are recognized by an Inuit land claim organization.
You can read more about this programâs eligibility here.
The Interim Federal Health Program (IFHP) program covers certain healthcare benefits for resettled refugees, refugee claimants, and certain other groups until they become eligible for provincial or territorial health insurance.
You can read more about this programâs eligibility here.
The Treatment Benefits Program covers anyone with a Veterans Affairs Canada (VAC) health card.
You can read more about this programâs eligibility here.
Most Freddie patients get clinical support, at-home lab testing, PrEPÂ prescriptions and discreet delivery all for $0.
Freddie partners with Community Based Organizations (CBOs) to offer all of our clinical services for free. These CBOs also partner with pharmacies that provide free prescription shipping, and can help you navigate your insurance plan.
PrEP is free with the majority of health insurance plans, including Medicaid and Medicare, as mandated by the Affordable Care Act.
Thanks to Freddieâs partnership with CBOs, we are also able to offer all of our other clinical services â such as clinician appointments, at-home lab kits and ongoing support â for free.
Freddie has helped thousands of patients navigate insurance plans and financial assistance options to get PrEP at the lowest cost possible.
Most private insurance plans cover Generic Truvada or Descovy as PrEP. The vast majority of Freddie patients with private insurance can get Descovy, the newest form of PrEP with even fewer side effects, for $0.
For the most accurate cost estimate, take our 1-minute PrEP questionnaire.
The price of PrEP without insurance varies greatly depending on the prescribed drug.
Descovy and Truvada â the two PrEP drugs available in the U.S. â can both cost up to $2,000 monthly paid out of pocket. The generic version of Truvada costs approximately $60 for a monthâs supply.
Even if you donât have insurance, Freddie can help you work with a local clinic to get PrEP through an Affordable Care Act plan that could reduce your PrEP costs to $0.
âBook an appointment with us to find out more!
Depending on where you live and your insurance coverage, PrEP can range from $0 to $250 per month.
To get the most accurate estimate for what PrEP would cost you, use this 1-minute PrEP cost calculator.
To get PrEP for free, youâll need to find a trained clinician to navigate insurance coverage and financial assistance programs.
Freddie has helped over 22,000 patients better understand their options for free and affordable PrEP. Book a free consultation today to learn more about your options!
No, PrEP is not available over the counter. Getting PrEP requires a prescription from an approved medical provider like Freddie, a family doctor, or a sexual health clinic.
Reviewed by:
Dr. Caley Shukalek
Caley is passionate about evidence-based patient-centred care, including telemedicine that can provide high quality care from wherever a patient may choose.
He helped create some of the early PrEP guidelines and works as a specialist in General Internal Medicine with additional training in sexual health, including HIV and sexually transmitted infections.
Caley is passionate about evidence-based and patient-centred care, including high-quality telemedicine.