How PrEP Home Testing Works
How Lab Testing Works

1 Home PrEP Testing Kit per order (Medical consult on your results included)

PrEP starts with testing

Lab testing determines whether you’re eligible for PrEP and ensures you stay healthy while taking it.

Get the kit and you’re ready to go
Our PrEP Home Testing kit comes with everything you need to collect a sample and send it back – prepaid – to our lab.

Return your kit, get your results
A week after the lab receives your sample, a medical provider will contact you to review results.

Be pro-active
about your sexual health

What will I be tested for?

Getting your first PrEP prescription – as well as 3 month refills – requires lab testing. To ensure you’re eligible for PrEP, you will be tested for:

What will I be tested for?

Getting your first PrEP prescription – as well as 3 month refills – requires lab testing. To ensure you’re eligible for PrEP, you will be tested for:

  • HIV – PrEP is not safe for people who are HIV positive.
  • Kidney Function – Because medications like Truvada can add strain to your kidneys, we test blood creatinine levels to assess kidney function.
  • Hepatitis B – Truvada is active against the hepatitis B virus (HBV), but medical oversight may be necessary to avoid negative interactions.
  • Pregnancy – We refer pregnant woman wanting PrEP to their OB/GYNs.
  • STIs (included in comprehensive testing) We screen for Gonorrhea, Chlamydia and Syphilis, curable infections that benefit from early treatment.

You have the power
to stop HIV

How can I pay for PrEP?

PrEP is expensive, but we’re here to help make it affordable.

How can I pay for PrEP?

PrEP is expensive, but we’re here to help make it affordable.

With insurance coverage
PrEP is often covered by insurance, but it’s good to make sure. Ask your insurance company whether Truvada® is covered under your plan. And what your copay will be for each month’s prescription.

Without insurance coverage
We work with 3 main payment assistance programs that subsidise some of the cost of Truvada – although not of lab testing.

Q & A with NP Courtney Sherman

Our PrEP specialist answers all your questions.

Nurx is an easy, discreet, and judgement free way to access PrEP. This entire process can take as few as 7 days, depending on how quickly you get your lab work completed. How this works:

  • Request PrEP through our app or website
  • Answer a few basic questions about your health and sexual activity
  • Our PrEP navigators will ensure PrEP is as affordable as possible for you
  • Our Medical team will review your request and order your labs if PrEP looks like a healthy option for you
  • You complete the necessary lab work
  • Our medical team will review your lab results
  • Get excited! Your medication will be mailed to you

PrEP (Pre-exposure Prophylaxis) is for people who are not living with HIV and would like to remain HIV-negative and is a combination of safe sex practices and a daily medication. Currently, the only FDA approved medication for PrEP is Truvada®. It was approved for HIV prevention in 2012 and contains two medications: tenofovir and emtricitabine.

Pre = before
Exposure = coming into contact with HIV
Prophylaxis = treatment to prevent an infection from happening

Think of it like this: Truvada® for PrEP is like birth control.  You take a pill every day, and if you are exposed to HIV, there is a 99% chance that you stay negative for HIV!  Just like women who take birth control pills every day and have sex without getting pregnant.

Your PrEP order will be delivered via FedEx 2-Day Priority Shipping, with signature required. Often orders are delivered during business hours, so please let our customer care team know if you need to waive the signature requirement or have your order shipped to a different address. The package arrives in a discreet, standard white envelope and has no logos or mentions of Nurx.

PrEP is expensive, but it doesn’t necessarily mean you should have to pay for all of it. Often PrEP is covered by insurance, Medicaid, and Medicare. Payment assistance programs are available to help with co-pays or high deductibles. Depending on your insurance coverage, we recommend that you take some time to apply to any payment assistance program(s) you qualify for.

Unfortunately, these programs do not cover the cost of lab work and Nurx cannot cover the cost of labs for you. You’ll be responsible for the full cost of the labs to get started on PrEP. The home testing kits are $25 plus any insurance copays or deductibles, or a flat rate of $129 for the Basic kit and $199 for the comprehensive. If you are visiting a physical lab location, always check on the cost at the lab before you complete any tests.

Truvada® for PrEP is highly effective at preventing HIV when taken as prescribed. Studies have shown that PrEP reduces the risk of getting HIV through sexual activity by up to 99% and by more than 70% among people who inject drugs. For more information on specific research, please click here.

If you miss a dose or skip a day, it’s ok! Take your pill as soon as you remember and continue with your daily schedule.  Do not double dose, as you may feel nauseous or sick.  Missing one dose won’t greatly affect your level of protection against HIV. However, if you are missing multiple days or are having trouble with taking a pill daily, let us know. 

Truvada® for PrEP works by blocking an enzyme called HIV reverse transcriptase. By blocking this enzyme, it prevents HIV from making more copies of itself in the body. You will remain HIV negative if the virus can’t make enough copies of itself in your system. 

You take Truvada® for PrEP as long as you are at risk for contracting HIV.  For some people this can mean for the duration of a relationship, and for others this can mean for a lifetime.

PrEP is something that you can start and stop at any time without long-term side effects. PrEP should be continued for 30 days after the last potential exposure to HIV. Each time you start Truvada® you will need to take it for 7 to 21 days before it reaches maximum effectiveness. If you are considering stopping PrEP, please contact our medical team and we’ll help advise you so you can stop in the healthiest and most efficient way.

The CDC suggests that PrEP is an excellent option for people who are: weigh at least 77 pounds (35kg), are currently HIV-negative, and meet one or more of the following criteria:

  • In a sexual relationship with someone who is living with HIV, especially when they are not undetectable
  • In a sexual relationship with a partner or multiple partners, with an unknown HIV status
  • One or more incidences of anal or vaginal sex without a condom in the last 6 months
  • Diagnosis of gonorrhea, chlamydia, or syphilis in the last 6 months
  • Inject drugs not prescribed by a medical provider or share works for drug preparation
  • Have a partner living with detectable HIV

PrEP will not be a good option for those who meet any of the following:

  • Are already living with HIV. Truvada® for PrEP is not enough to treat HIV.
  • Who have symptoms of acute HIV infection or have been exposed to HIV in the last 72 hours (PEP may be a better option).
  • Diagnosed with Hepatitis B. Truvada® can also be used as an option for Hepatitis B treatment, but a primary care provider will need to evaluate you for proper care.  
  • Diagnosed with uncontrollable diabetes or impaired kidney function.

Before you can start Truvada® for PrEP, you will need to complete lab work. After you get started on PrEP, you will only need to get your labs done every 3 months. We know getting labs done isn’t the most enjoyable process, but it’s important to know your status and it will help keep you and your partner(s) healthy. We even offer lab work options that can be done in the comfort and privacy of your own home.

You will be tested for:

  • HIV
  • Kidney function (creatinine)
  • Hepatitis B
  • Gonorrhea, Chlamydia, and Syphilis (optional, but we highly recommend this)
  • Pregnancy (for female-bodied patients)

When taken daily, PrEP is safe and highly effective in preventing HIV. PrEP reaches maximum effectiveness for receptive anal sex (bottoming) after about 7 days. For all other activities, including insertive anal sex (being the top) and vaginal sex, PrEP reaches maximum effectiveness after about 21 days.

Based on FDA requirements, PrEP users should be at least 77 pounds. Age limits are only considered when state-specific laws require it. If you are a minor and are interested in PrEP, please don’t hesitate to contact us.

If PrEP is like birth control, then PEP is like emergency contraception.

PEP (Post-exposure Prophylaxis) is a medication regimen someone who is currently HIV-negative can take to reduce their risk of becoming infected after they have been exposed to HIV. PEP must be started within 72 hours after a possible exposure and continued for 28 days. If you feel you may need PEP, please visit your local emergency room or urgent care.

Post = after

Exposure = coming into contact with HIV

Prophylaxis = treatment to prevent an infection from happening

Thank you for all your hard work. This is an important part of my life and at age 75 need to keep enjoying good healthy fun!

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We’re here when you need us.

Our Customer Care team is available 7 days a week via email, message, or phone at (800) 321-NURX.

All information shared with us is kept strictly private and confidential. We do not share patient information with anyone, ever.