Daily Pill Can Prevent HIV Infographics

Increased use of Preexposure prophylaxis (PrEP).

A focused effort by New York State to increase PrEP uptake started in June, 2014 and included:

1. Provider Training
2. Raising Awareness
3. Ensuring Medicaid Coverage

Number of New York State Medicate beneficiaries receiving PrEP. 2012-2013: 259. 2013-2014:303. 2014-2015:1,330.

SOURCE: NYS Medicaid Data Warehouse (based on Medicaid data loaded through July 2015)

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Flow chart shows how any prescribing health care provider can provide Preexposure prophylaxis (PrEP) care.

1. Test for HIV including acute infection.
   • If HIV positive, provide or refer patient for HIV treatment and other services to maintain health and prevent further spread of HIV.
   • If HIV negative, ask about sex and drug use behaviors.
   • If HIV risk is low, discuss prevention methods.
   • If HIV risk is high, discuss risk behaviors, PrEP, and use of other prevention methods.

2. Order recommended tests if patient is interested in PrEP and could benefit from it.
   • If tests show reason not to prescribe PrEP (e.g. abnormal kidney function), discuss other prevention methods.
   • If tests show patient still benefits from taking PrEP, go to Step 3.

3. Help patient apply for insurance or other programs to pay for PrEP.
   • Most public and private insurance programs cover PrEP, and patients can get help with their co-payments.
   • Drug assistance programs can help patients without insurance pay for PrEP.

4. Prescribe

   • PrEP and instruct patient to take one pill every day.
     Currently Truvada®* is the only medicine approved by the FDA for PrEP.
     *Tenofovir disoproxil fumarate/emtricitabine

5. Follow-up
   • Schedule appointments every 3 months for follow-up, including HIV testing and prescription refills.

Have Questions?

PrEP Clinician Helpline: (855) 448-7737 or (855) HIV-PrEP
2014 PrEP Clinical Practice Guidelines [867KB]

SOURCE: 2014 PrEP Clinical Practice Guidelines

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