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Taylor, Mike, and Travis are ready when you are to get you started on your PrEP journey! Contact one of our Navigation Counselors to get started!

Email: prep@pridecentervt.org
Phone: 802-860-7812

 

 

What is PrEP?

Pre-exposure prophylaxis, or PrEP, is a prevention option for people who are at high risk of getting HIV. Research has demonstrated that PrEP works better with some risk populations, but PrEP is not for everyone. It is a pill taken once daily, and should be used with other prevention options, such as condoms. PrEP can stop HIV from taking hold and spreading throughout your body. It is highly effective for preventing HIV if used as prescribed, but is much less effective when not taken consistently.

Daily PrEP reduces the risk of getting HIV from sex by more than 90%. Among people who inject drugs, it reduces the risk by more than 70%. Your risk of getting HIV from sex can be even lower if you combine PrEP with condoms and other prevention methods.

Is PrEP right for me?

Click here to Take The Quiz and see if PrEP is right for YOU!

PrEP is for people without HIV who might be at higher risk. PrEP can also be considered for people who are HIV-negative and in an ongoing sexual relationship with an HIV-positive partner.

This recommendation also includes anyone who:

  • is having sex with multiple partners, or is in an open sexual relationship AND

    • identifies as a gay or bisexual man who does not regularly use condoms for penetrative anal sex, or has been diagnosed with an STD in the past six months

      OR

    • identifies as hetersexual who does not regularly use condoms for penetrative sex with partners of unknown HIV status, who may also be at risk of HIV infection (i.e. people who inject drugs or women who have sex with bisexual male partners).

  • Has injected drugs in the past 6 months, has shared needles, or works/ has been in drug treatment in the past 6 months.

Because PrEP involves daily medication and regular visits to a health care provider, it may not be right for everyone. PrEP may cause minimal side effects, like nausea in some people, but these generally subside over time.

How do I talk to my doctor about PrEP?

Ways to talk to your doctor about PrEP:

Before your visit:
  • Make an appointment with your healthcare provider. Your doctor can help you to decide if PrEP would be a good choice for you.
  • Do research: Educate yourself on PrEP ahead of time. Also, make a list of reasons that you think that PrEP would be a good choice for you.
  • Think about routine: Will PrEP fit in with your daily routine? Will it be easy or hard to stick to a schedule?
  • Make a healthy history list: Bring a list that includes any past illnesses or concerns you have, as well as a list of your current medications (including supplements, herbs, etc.) to your doctor.
  • Make sure a translator is available or bring someone who can translate if you would prefer to speak a language other than English during your appointment.
During your visit:
  • Be clear. Take out your notes and tell your doctor that you are interested in PrEP right away.
  • Do not be shy. Give your doctor all the details about your life that could be important to your health. The more honest you are, the better your doctor can cater to your needs and support you.
After your appointment:
  • Review your notes or any information provided by your doctor.
  • Consider your options. Your doctor gave you a lot of information. Now it is up to you to make the right decision for you.
  • Call your doctor if you have more questions. Ask to speak to a nurse if your doctor is unavailable.
  • Schedule tests or follow-up appointments your doctor requested. Get your results if you had tests done at your appointment.
  • If you feel comfortable, you may want to discuss this choice with your partners, family, or friends.
What to expect from your provider:
  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.
  1. 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.
    • Test for STDs, including site specific tests (of the rectum and the throat), based on risk.
    • If tests show patient still benefits from taking PrEP, discuss insurance information.
  1. 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.
  1. 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
  1. Follow-up
    • Schedule appointments every 3 months for follow-up, including HIV testing, STD testing, including site specific tests (of the rectum and the throat), based on risk, and prescription refills.
Questions to consider when thinking about starting PrEP:
  • Am I a good candidate for PrEP?
  • How effective would PrEP be at reducing my risk of HIV infection? ‰‰
  • Are there any side effects? ‰‰
  • Can you prescribe PrEP for me here? ‰‰
  • What other options can I lower my risk of getting HIV infection in addition to PrEP? ‰‰
  • Are there ways to help me to pay for PrEP if I need assistance? ‰‰
  • Are you willing to prescribe and manage PrEP for me? ‰‰
  • How often will I have to be tested for HIV and other STDs?

How do I pay for PrEP?

Find out if your insurance covers PrEP

PrEP is covered by most insurance providers. At this time, all insurance policies available in Vermont cover PrEP for people who need it, but co-pays and deductibles vary from policy to policy. Project Inform provides this comprehensive tool to help assess insurance coverage for PrEP. Whether you're insured or not, check out the flow chart below to find out how you can get covered for PrEP! 

PrEP Flow Chart 1
Click to Enlarge

Paying doesn't need to be out of pocket.
The resources below are for those seeking to get on PrEP and require assistance covering co-pays, deductibles, or other expenses. 
  • Gilead Foundation                            Gilead

The Gliead Foundation is a research-based biopharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. The Truvada® for PrEP medication assistance program assists eligible HIV-negative adults in the United States who require assistance paying for Truvada (emtricitabine and tenofovir disoproxil fumarate) for PrEP (pre-exposure prophylaxis).

To find out if you are eligible for the Truvada for PrEP Medication Assistance Program, call 1-855-330-5479, Monday through Friday between 9:00 a.m. and 8:00 p.m. (Eastern).

To learn more about Gilead, go to Gilead.com
  • PAN Foundation                                   Screen Shot 2018 02 22 at 4.00.13 PM

The Patient Access Network Foundation helps underinsured people with life-threatening, chronic and rare diseases get the medications and treatment they need by paying for their out-of-pocket costs and advocating for improved access and affordability.

PAN Foundations HIV Treatment and Prevention program operates on a first come, first serve basis. They offer up to $3,600 per year and eligibility is income specific based off the Federal Poverty Level. Eligibility is also determined by: the patient must be getting treatment for the specified disease, must have Medicare health insurance, and the medication/product must be covered by PAN Foundation. Patients may apply for a second grant subject to availability of funding. To detemine your eligibility, Click Here.

Once your eligibitlity is determined, the next step is applying. The application process is simple and comes with a checklist to make sure you're on the right track. To start the application process,
Click Here.

  • Patient Advocate Foundation Co-Pay Relief           Screen Shot 2018 03 06 at 3.48.01 PM

The Patient Advocate Foundation's mission is to provide co-pay relief to those who require assistance financing their medication expenses. The Patient Advocate Foundation covers a variety of health disparities in obtaining affordable medication, and PrEP is on their list. Their HIV, AIDS and Prevention proram is currently open for enrollment and can cover up to $7,500 annually. Their eligibitliy criteria require a prevention plan in order to recieve assistance. Their criteria are income based, require insurance, and must be treated in the United States. To learn more information about eligibility, Click Here.

Patient Advocate Foundation operates on a first come, first serve basis. The application portal contains resources on the registration process, income verifcation, and other useful pages on how to navigate the application proces. The application takes about 10 minutes to complete. To begin your application, Click Here.

No Insurance? No problem.
If you're looking to get on PrEP but are without insurance currently, the resources listed below are available to help find what's right for you! 

  • Vermont Health Connect          Screen Shot 2018 03 07 at 1.36.20 PM
Vemont Health Connect offers a comprehensive assistance prgoram so you can get the enrollment you need. Vermont Health Connect has online, phone, and in-person support with trained assisters to ensure your needs are met. We reccomend using Vermont Health Connect for those who are seeking insurance for the first time or are in need of insurance in a timely manner. To get started with Vermont Health Connects assistance program Click Here

  • Gilead Advancing Access Program     Gilead

The Gilead Advancing Access program is designed to help support you every step of the way on your PrEP journey. Advancing Access supports its client with navigating insurance, lowering co-pays, and receiving financial support if you're uninsured. Insurance is not required to use Advancing Access however it is reccomended and the program offers insurance assistance. Click Here to get started on enrolling in the Gilead Advancing Access Program today.

For more in formation about Gilead, visit Gilead.com

How do I find a PrEP Provider?

Your Health, Your Community

In this section you can find health clinics that are LGBTQ competent, friendly and are able to screen and perscribe PrEP. You can also find LGBTQ friendly testing sites in non-clinical settings. 

PrEP can be prescribed only by a health care provider, so talk to yours to find out if PrEP is the right HIV prevention strategy for you. You must take PrEP daily for it to work. Your healthcare provider will run an HIV test before prescribing PrEP to be sure that you do not already have HIV and will re-test every 3 months while you’re taking it. Plan to see your provider on a regular basis.

If you do not currently have a medical provider and are seeking PrEP, visit Planned Parenthood to find out if PrEP is the best prevention strategy for you. At each of their locations you will find health care profesionals who are knowledgeable about HIV and PrEP. They should also be able to determine your eligibility if you are seeking to get on PrEP.

PrEP Sites

 

Addison

Planned Parenthood
Middlebury
1330 Exchange St Suite 202

800-230-7526

Bennington

Planned Parenthood Bennington
194 North St. 802-442-8166

Caledonia

Planned Parenthood St. Johnsbury
501 Portland St.
802-751-7821

Northeastern Vermont Regional Hospital
1290 Hospital Drive, St. Johnsbury
802-748-2578

 

Chittenden County


UVM Medical Center
111 Colchester Ave, Burlington
802-847-4594

Planned Parenthood Burlington
183 Saint Paul St.
802-863-6326

Community Health Center of Burlington
Contact: Leo Kline NP 
 617 Riverside Ave, Burlington
802-864-6309

Franklin

Planned Parenthood Saint Albans
80 Fairfield St, Saint Albans, VT
802-527-1727

Lamoile

Planned Parenthood Hyde Park
213 Main St Hyde Park Vermont
802-888-3077

 

 

Orleans

Planned Parenthood Newport 
79 Coventry St, Newport VT
802-334-5822

Rutland

Planned Parenthood Rutland
11 Burnham Ave. Rutland, VT
802-775-2333

Washington

Central Vermont Medical Center
Contact Person: Devika Singh, Ph.D
130 Fisher Rd Berlin, VT
802-225-5400

Planned Parenthood Barre
90 Washington St. Barre, VT
802-476-6696

 

 

WINDHAM

Brattleboro Memorial Hospital Brattleboro 
17 Belmont Ave. Brattleboro, VT
802-257-8860

Planned Parenthood Brattleboro
401 Canal St. Brattleboro, VT
802-257-0534

WINDSOR

Planned Parenthood White River Junction
79 Main St. White River Junction, VT
802-281-6056

 

How can we help you on your PrEP journey?

Your PrEP Journey and the Pride Center of Vermont

As a part of our HIV Prevention & Testing program, we offer free, rapid, and confidential HIV tests to our community; your first step in getting PrEP'd! For more information on our testing program, Click Here.

During your HIV test, our team can support you through the process and help you discover all of your HIV prevention options. We're here to help you in getting what you need! If PrEP seems to be right for you, here's how we can help:

PrEP Navigation Services
  • Deliver up-to-date information on PrEP and other HIV prevention
  • Find the appropriate location to acquire PrEP
  • Set up appointments for those wishing to get on PrEP
  • Escort clients to PrEP related appointments
  • Provide techinical assistance to those seeking PrEP
  • Follow-ups with health care providers
For more information on PrEP you can visit: