Resource Library
ICD-10 Code Lookup Tool
A quick lookup tool from the Centers for Medicare & Medicaid for finding billing codes pertinent to PrEP coverage.
IHS – PrEP and PEP Clinical Information
PrEP and PEP clinical information from the IHS (Indian Health Service).
NASTAD – Billing and Coding Guides for HIV Prevention
Billing and coding guides for HIV prevention from NASTAD (the National Alliance of State and Territorial AIDS Directors).
NCCC – Clinician PrEP Consultation Line
A clinician consultation line for PrEP from NCCC (the National Clinician Consultation Center).
NCCC – Clinician PEP Consultation Line
A clinician consultation line for PEP from NCCC (the National Clinician Consultation Center).
NeedyMeds
NeedyMeds is a 501(c)(3) national non-profit that connects people to programs that will help them afford their medications and other healthcare costs.
Patient Advocate Foundation Co-Pay Relief
Patient Advocate Foundation (PAF) is a national 501 (c)(3) non-profit organization which provides case management services and financial aid to Americans with chronic, life threatening and debilitating illnesses.
- Provides up to $7,500 per year for prescription copays
- Income at or below 400% FPL plus cost of living index
- U.S. resident; SSN or alien registration number required
- Must have health insurance (includes Medicare)
- This program does not use public charge as an eligibility determination
RxEACH – The Community Pharmacy’s HIV Prevention Toolkit
A HIV prevention toolkit designed for community pharmacies from RxEACH.
SFDPH – Optimizing PrEP Adherence Toolkit
A toolkit regarding optimizing PrEP adherence from SFDPH (the San Francisco Department of Public Health).
State PrEP Assistance Programs
NASTAD maintains a list of PrEP assistance programs in a variety of states.
USPHS – 2021 PrEP Guidelines
2021 PrEP guidelines from the USPHS (United States Public Health Service).
USPHS – 2021 PrEP Guidelines, Clinical Providers’ Supplement
The clinical providers' supplement to the 2021 PrEP guidelines from the USPHS (United States Public Health Service).
USPSTF – Grade A PrEP Recommendation
PrEP's Grade A recommendation from the USPSTF (the United States Preventive Services Task Force).
USPSTF – PrEP FAQs
Frequently Asked Questions (FAQs) regarding implementation of PrEP from USPSTF.
ViiVConnect Savings Program (Injectable PrEP)
- Covers cost of Apretude and injection support services
- Copay assistance: no income limit;
Medication assistance: income at or below 500% FPL - Copay assistance: commercial insurance;
Medication assistance: ineligible for Medicaid/Mi Salud Health AND no prescription drug coverage OR have a Medicare Part B or D or Advantage Plan OR limited commercial insurance plan - Resident of the U.S. or its territories; Social Security Number (SSN) not required
- Check to see if ViiVConnect is used as a determination for public charge
Your Guide to HIV PrEP Coverage and Insurance Rights
An expanded guide to understanding HIV PrEP coverage and your rights.