Anyone who requests a PrEP evaluation will be charged a $15 consultation fee. This covers your online medical consultation and review of your lab test results, and includes unlimited messaging about PrEP with our medical team until your next renewal — so you can ask questions about your lab tests or medication any time during that period. At this time, we do not submit claims to insurance for this consult fee. Each time you order a new test kit and evaluation for renewal of your prescription you will be charged a $15 medical consultation fee.
PrEP for HIV prevention is an expensive medication, but we’re proud of the fact that 99% of Nurx PrEP patients pay nothing out-of-pocket for their medication.
Here’s how this works: Our team will bill your insurance. We’ll also walk you through the process of enrolling in any co-pay or patient assistance programs that may apply. In many cases these programs cover 100% of the cost for the medication, meaning the out-of-pocket cost for PrEP is $0.
If you’d like to learn more about how much PrEP will cost for you, please connect with our team at firstname.lastname@example.org.
Before you begin PrEP you must get lab tests to confirm that you are HIV negative and have healthy kidneys. You’ll re-do these tests every three months after beginning PrEP. Our preferred testing option is home-based lab testing through our partner lab, which is an option in every state we are available in except for New York. We are committed to providing a convenient and cost-effective home testing option for our PrEP patients.
For those paying without insurance:
$199 for comprehensive testing, which includes all of the necessary tests to get on PrEP + extra testing for additional sexually transmitted infections (STIs); OR $129 for basic testing which includes all of the testing necessary to get on and stay on PrEP
For those paying with insurance:
We will charge you $35 to cover the cost of the PrEP lab test kit. Once your tests have been processed by our partner lab, they will bill your insurance and you will be responsible for any out-of-pocket costs (in addition to the above $35 fee) including copays and deductibles associated with your plan.
PLEASE BE ADVISED: If you receive a bill, it will come directly from our lab partner, Molecular Testing Labs. Any Explanation of Benefits from your insurance company regarding the lab services will not list us, but rather Molecular Testing Labs or their affiliates.
*BLUECROSS PATIENTS PLEASE NOTE: BlueCross has changed their policies with our partner lab and is no longer processing patient claims in a way compatible with our telehealth platform for patients to exercise in-network benefits with the at-home testing kits. We're sorry this changed happened. We are actively working towards a solution. In the meantime, claims will likely be processed as out of network and result in a $99 bill.
If you’d prefer not to do home testing you are welcome to have your labs done at a local lab like LabCorp or Quest. Once you have submitted your request for PrEP, simply message us and tell us that you would like lab testing at LabCorp or Quest. Pricing at local labs is dependent on your insurance coverage. We recommend calling your insurance company in advance to confirm whether LabCorp or Quest is the in-network laboratory.
If you contact your insurance company to clarify your coverage for laboratory testing, we’d recommend asking them the following questions:
Do I have to use an in-network lab for lab testing?
If yes: What laboratories are covered?
Is Molecular Testing Labs covered?
Do I have a deductible for lab testing?
If your insurance company asks, tell them these are the tests that will be ordered for PrEP: HIV 4th generation antibody/antigen test, serum creatinine, hepatitis B surface antigen (all required), and (optionally) syphilis, gonorrhea and chlamydia testing (rectal swab, throat swab, urine collection).