This document provides information about pre-exposure prophylaxis (PrEP) for HIV prevention. It outlines that PrEP involves taking the daily pill Truvada to reduce the risk of HIV-negative individuals from acquiring HIV. It discusses eligibility requirements, potential side effects, follow-up visit requirements, and lists resources for financial assistance and additional information.

1. My PrEP
Plan
Protecting myself, protecting my partners
Baltimore City Health Department
1001 E Fayette Street
Baltimore, MD 21202
Paying For PrEP
Maryland Medicaid covers Truvada.
Covered by most private insurance plans
(Contact Provider).
Contact your employer if you are covered
through an employee health insurance plan.
For those needing financial
assistance or are uninsured:
Truvada for PrEP Medication Assistance
Program (1-855-330-5479)
Gilead U.S. Advancing Access Program (1-
800-226-2056)
Pan Foundation (866-316-7263)
*For those on Medicaid/Medicare
What is PrEP?
PrEP (Pre-exposure prophylaxis) is a prevention
method for HIV negative people who are engaging in
high risk behavior from acquiring HIV. Individuals on
PrEP take a daily pill called Truvada.
What is Truvada?
A pill containing two antiretroviral drugs (tenofovir
and emtricitabine) that decreases the risk of an HIV
negative individual from acquiring HIV. Truvada
along with other preventative methods (e.g. condoms)
will substantially decrease risk.
What are the most common side effects of
Truvada?
Diarrhea, headache, dizziness, mild depression,
problems sleeping, nausea, tiredness, abnormal
dreams, and rashes.
For more information consult a physician and visit:
http://www.truvada.com/
Who can be on PrEP?
 Documented HIV negative individuals
 No signs or symptoms of acute HIV infection
 Normal renal function
 No contradicted medications
 Documented Hepatitis B virus infection and
vaccination status

2. What to expect on PrEP?
 Check with your insurance provider to determine if you are covered.
 Obtain financial assistance if you are uninsured or cannot pay deductibles, copays, and/or prescription costs.
 Locate and talk to a medical provider that will support your decision to use PrEP and determine your clinical eligibility.
 Before starting PrEP doctor must determine HIV negative, proper renal/kidney function.
 Begin taking Truvada daily around the same time each day.
 Use condoms while on Truvada.
12 Month Follow-Up Visit Chart
Month 3 Month 6 Month 9 ` Month
12
(These assessment every 3 months)
Fast Facts
PrEP is only effective at preventing HIV
not STDS and pregnancy. Not a cure for
HIV, just a preventative method.
PrEP is most effective when taken daily.
PrEP will begin to work 7 days after
starting Truvada.
There can be mild to severe side effects.
PrEP is a long term commitment (e.g.
taking pill daily, monthly medical visits,
consistent STD/HIV testing).
PrEP SHOULD ALWAYS BE USED
WITH CONDOMS.
ADDITIONAL RESOURCES: (INCLUDE INFORMATION ABOUT BCHD SITES OFFERING PREP, PATIENT NAVIGATORS, AND/OR PHYSICIANS WHO ARE
PRIMARILY SEEING PREP PATIENTS
HIV Test
Medication Adherence Counseling
Behavioral Risk Reduction Support
Side Effect Assessment
STD Symptoms Assessment
Renal/ Kidney Assessment
HIV Test
Medication Adherence Counseling
Behavioral Risk Reduction Support
Side Effect Assessment
STD Symptoms Assessment
Renal/ Kidney Assessment
Test for bacterial STDS
HIV Test
Medication Adherence Counseling
Behavioral Risk Reduction Support (every
6 months)
Side Effect Assessment
STD Symptoms Assessment
Test for bacterial STDS
HIV Test
Medication Adherence Counseling
Behavioral Risk Reduction Support (every
6 months)
Side Effect Assessment
STD Symptoms Assessment
HIV Test
Medication Adherence Counseling
Behavioral Risk Reduction Support
Side Effect Assessment
STD Symptoms Assessment
Renal/ Kidney Assessment
(Every 6 months after)
HIV Test
Medication Adherence Counseling
Behavioral Risk Reduction Support
Side Effect Assessment
STD Symptoms Assessment
Renal/ Kidney Assessment
(Every 6 months after)
Test for bacterial STDS
HIV Test
Medication Adherence Counseling
Behavioral Risk Reduction Support
Side Effect Assessment
STD Symptoms Assessment
Renal/ Kidney Assessment
Test for bacterial STDS
HIV Test
Medication Adherence Counseling
Behavioral Risk Reduction Support
Side Effect Assessment
STD Symptoms Assessment
Renal/ Kidney Assessment