In Pennsylvania, PrEP medication costs can vary widely depending on insurance and eligibility for assistance programs. Many people can access PrEP with low or $0 out-of-pocket cost, but coverage and cost-sharing vary by plan. The only accurate way to confirm cost is to verify coverage for your specific situation.
If you have private insurance, you can check your coverage through a Freddie consult â over 90% of Freddie patients pay $0 for PrEP.
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PrEP is recommended for people who are HIV-negative and want to reduce their risk of HIV. A clinician will review your health history, risk factors, and current medications to confirm whether PrEP is right for you.
- PrEP may be a fit if you have sex without condoms, have a partner living with HIV, have had a recent STI, or share injection equipment.
- A clinician also checks whether PrEP is safe for you based on your medical history and lab results.
- If PrEP isnât the right fit, a clinician can recommend alternative prevention options.
Medical requirements to start and stay on PrEP
Starting PrEP includes baseline testing and follow-ups to make sure itâs safe and effective. A clinician will confirm what testing is required and how often it needs to be repeated.
- Confirm HIV-negative status before starting PrEP
- Baseline health labs (including kidney function, and other routine sexual health labs as appropriate)
- Follow-up testing and renewals on a regular schedule while on PrEP
How long does it take to get PrEP in Pennsylvania?
Timing depends on completing eligibility and required lab testing. Some people can start within days once testing is completed.
What labs are required to start PrEP?
A clinician will confirm the required baseline testing before you start and the follow-up schedule after.
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Can I switch PrEP medications later?
Yes â your clinician can help you evaluate whether switching options is appropriate based on fit and medical criteria.
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Is PrEP covered by insurance in Pennsylvania?
Most insurance plans are required to cover PrEP medication and associated services, but coverage can vary depending on your specific plan. Many people in Pennsylvania are able to access PrEP with low or no out-of-pocket cost.
The most reliable way to confirm your cost is to check your coverage with your provider or through a Freddie consult.
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What if I donât have insurance?
Unfortunately, Freddie is unable to support patients without health insurance in Pennsylvania at this time. If you do not have insurance, we recommend using the CDCâs PrEP locator to find PrEP services near you.
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Do I need a prescription to get PrEP in Pennsylvania?
Yes â PrEP requires a prescription from a licensed clinician. A provider will review your health history and lab results to confirm that PrEP is appropriate for you before prescribing.
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Can I get PrEP online in Pennsylvania?
Yes â PrEP can be prescribed online in Pennsylvania through licensed telehealth providers like Freddie. This allows you to complete your consult, lab testing, and prescription process without visiting a clinic in person.
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