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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
per month
for people in Manitoba with private or public healthcare coverage
PrEPÂ is now fully covered by Manitoba Health and is available at no cost to residents with a Manitoba Health Card.
$0
per month
for people in Manitoba without private health insurance
PrEPÂ is now fully covered by Manitoba Health and is available at no cost to residents with a Manitoba Health Card.
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.

PrEP is a regimen that can help prevent HIV when taken as prescribed by a clinician.
PrEP is approved in Canada and requires a prescription.
Only 1-10% of patients on PrEP experience side effects. Most symptoms tend to go away within 1-2 weeks naturally.
PrEP only helps protect against HIV, not other sexually transmitted infections (STIs) like syphilis, gonorrhea, chlamydia, or hepatitis.
The vast majority of Freddie patients get PrEP prescribed online and discreetly delivered for $0.
PrEP is short for pre-exposure prophylaxis. PrEP is a regimen that can greatly reduce your risk of contracting HIV.
PrEP can be taken by anyone that is not HIV+ and is looking for additional protection against HIV. This includes men who have sex with men, transgender women, and gender-diverse communities. PrEP may be a fit for you if you:
â˘
Donât use condoms consistently
â˘
Share drug injection equipment
â˘
Donât know the HIV status of your sexual partners
â˘
Have more than one or anonymous sexual partners
â˘
Tested positive for infectious syphilis or a bacterial STI in the last year
â˘
Have used post-exposure prophylaxis (PEP) more than once
Itâs recommended to speak with a healthcare provider to decide if PrEP is a fit for your needs. Book a free virtual consultation now!
PrEP is a daily pill that is 99% effective at preventing the transmission of HIV.
PrEP is approved in Canada and requires a prescription.
Only 1-10% of patients on PrEP experience side effects. Most symptoms tend to go away within 1-2 weeks naturally.
PrEP only protects against HIV, not other sexually transmitted infections (STIs) like syphilis, gonorrhea, chlamydia, or hepatitis.
The vast majority of Freddie patients get PrEP prescribed online & discreetly delivered for $0.
PrEP is a pill that is taken orally. There are two methods for taking PrEP to prevent HIV.
Daily PrEP is the most common type of PrEP prescription and is 99% effective. Simply take 1 PrEP pill every 24 hours for maximum protection. Itâs recommended to take daily PrEP at the same time every day.
Most providers in the U.S. will choose to prescribe daily PrEP as evidence suggests it is most effective in preventing HIV.
The vast majority of Freddie patients pay $0 to get their PrEP prescribed online and discreetly delivered.
PrEP on-demand is less commonly prescribed because it requires careful planning and tracking of sexual activity â and we know sex isnât always planned. Studies show that it is effective at preventing HIV, but there is a higher chance of missed doses or low drug levels that might make it not quite as effective as daily PrEP. But if you and your prescriber think itâs right for you, it is a great way to prevent HIV.
PrEP on-demand does not require daily intake. This is ideal for someone who canât access a sufficient supply of PrEP due to cost or if they have predictable and fluctuating sexual behavior.
To take PrEP on-demand, you must take a total of 4 pills in the following order:
Pills 1-2
Take two PrEP pills 2-24 hours before sexual contact
Pill 3
Wait 24 hours and take PrEP pill 3
Pill 4
Wait 24 hours and take PrEP pill 4
The vast majority of Freddie patients pay $0 to get their PreP prescribed online and discreetly delivered.
Start Free AssessmentIf you are considering PrEP, itâs recommended you chat with your PrEP provider to determine which method best fits your needs.

PrEP is considered safe for the vast majority of people that take the medication.
Some of the possible short-term side effects attributed to PrEP medication include nausea, headaches, diarrhea, and vomiting.
Trials show that these side effects impact between 1% and 10% of people on PrEP, and that they are generally mild and clear up on their own within a week or two.
In a small number of people, PrEP has resulted in a decrease in kidney function and bone density.
Fortunately, even in these cases, there was no increase in the risk of kidney failure and these effects were reversed after they stopped taking PrEP.
Regular lab testing while on PrEP is incredibly important to make sure that PrEP is well tolerated. For example, frequent HIV testing makes sure that you arenât HIV+ and taking PrEP; PrEP is only for patients who arenât HIV+, since taking PrEP can make medication intended for HIV treatment less effective.
All patients on PrEP are required to get tested every 3 months to renew their prescriptions. This testing also keeps you updated on your status for other STIs and any interactions with other medications youâre taking.
Some patients with limited kidney function have been unable to take PrEP in the past. Fortunately, Descovy, the newest PrEP formula, is 99% effective at preventing HIV and has even fewer potential side effects.
The creation of Descovy now allows for those with pre-existing conditions to take PrEP. Descovy can be taken by almost anyone, even if they have pre-existing conditions. Descovy, like Truvada, is covered by most insurance plans.
The cost of PrEP can vary depending on where you live and your healthcare coverage. With Freddie, most patients get PrEP + discreet delivery for $0.
Select your province below to get a personalized PrEP cost estimate:
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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.
Use our 1-minute PrEP cost calculator to see if Freddie can help you get free PrEP!
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!
Descovy and Truvada are the two types of PrEP medication available for use in the U.S. and are 99% effective at preventing HIV.

Descovy

Truvada
With Freddie, patients can access either type of PrEP, regardless if they have pre-existing conditions or not.
Descovy is the latest PrEP formula developed by Gilead Sciences to lessen the (few) potential side effects associated with Truvada, particularly with kidney and bone health. There is no generic Descovy available at this time, but Descovy is 100% covered by most insurance plans.
GETÂ PrEPÂ NOWTruvada was the first PrEP formula originally developed by Gilead Sciences. Truvada is available both as a branded drug from Gilead and as a lower-cost generic drug, with no difference in terms of efficacy. Like Descovy, Truvada is available under most insurance plans for free.
GETÂ PrEPÂ NOW
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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 Albertaâs PrEP guidelines and works as a specialist in General Internal Medicine with additional training in sexual health, including HIV and sexually transmitted infections.
He holds a Masters of Public Health from Johns Hopkins University, an MD from the University of Calgary and an MSc from the University of Alberta.