PREP Online

Stress-Free
Protection

Our dedicated team of experts makes PrEP convenient and affordable, with home testing and help enrolling in payment assistance. Request a prescription online, and get confidential support anywhere.

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WHAT OUR PATIENTS ARE SAYING

Get the facts

  • PrEP (Pre-exposure Prophylaxis) is a daily pill
  • Up to 99% effective at preventing HIV
  • We bill insurance and provide guidance on payment assistance
  • Requires lab tests you can do at home
  • Not for those already living with HIV

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we're here to help with cost

We’ll bill your insurance (if you have it) and help you apply for payment assistance programs. We'll work to make testing as affordable as possible after available discounts. Our PrEP team is here to guide you.

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

Without insurance coverage
We work with several payment assistance programs that subsidize some of the cost of PrEP – although not of lab testing.

Gilead's Advancing Access
Patient Advocate Foundation
Ready, Set, PrEP

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Why Nurx?

We believe that control over our own sexual health is a fundamental right. So we make it as simple and affordable as accessing any preventative medicine. Your body. Your choice. It’s that simple.

PrEP Questions?

  • How much does PrEP cost?

    Consultation

    Anyone who requests a PrEP evaluation will be charged $15 for the medical consultation. This covers your online medical consultation and review of your lab test results, and includes unlimited messaging about PrEP with our medical team for 3 months 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 $15 for the medical consultation.

    Medication

    Now that PrEP for HIV prevention is available in generic versions, the medication is less expensive than you may think.

    If you have insurance, our team will bill your plan, and you’ll only be responsible for any copay. The copay for a 3-month supply of generic PrEP is usually inexpensive, or there may not be a copay, but we suggest you call your insurance company if you would like to confirm the exact amount.

    Home Testing

    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:

    $164 for comprehensive testing, which includes all of the necessary tests to get on PrEP + extra testing for additional sexually transmitted infections (STIs); OR $94 for basic testing which includes all of the testing necessary to get on and stay on PrEP. Both prices include free shipping both ways.

    For those paying with insurance:

    There is no cost for the test kit itself, which includes free shipping both ways. 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 including copays and deductibles associated with your plan. Please contact MTL Client Relations directly at (360) 693-8850, or visit their website at https://moleculartestinglabs.com/pages/contact-us. They can help answer more specific questions about your insurance plan and the billing process.

    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.

    Non-Home Testing

    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).

  • How much do PrEP lab tests cost?

    Home Testing

    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:

    $164 for comprehensive testing, which includes all of the necessary tests to get on PrEP + extra testing for additional sexually transmitted infections (STIs), and free shipping both ways; OR $94 for basic testing which includes all of the testing necessary to get on and stay on PrEP, and free shipping both ways.

    For those paying with insurance:

    There is no cost for the test kit itself, which includes free shipping both ways. Once your tests have been processed by our partner lab, the lab will bill your insurance and you will receive a bill for any out-of-pocket costs including copays and deductibles associated with your plan. Your out of pocket cost also depends on whether your insurance plan is in-network or out of network with the lab (Molecular Testing Labs). To find out whether your insurance plan is in-network or out of network, please CLICK HERE.

    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.

    Non-Home Testing

    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).

  • Does insurance cover PrEP?

    Many insurance plans, as well as Medicare and Medicaid do cover PrEP, though you should check with your specific plan to be sure. Nurx will bill your insurance plan directly, Starting and staying on PrEP requires lab work that may or may not be covered by your insurance (See How Much Do PrEP Labs Cost?) Our team of PrEP experts can help you understand what your insurance will cover and what your out-of-pockets costs will be. If you don’t have insurance and are concerned about cost, please contact our PrEP team for more information and details on how to make PrEP affordable for you.

  • What are PrEP Payment Assistance Programs?

    If you do not have insurance and cannot afford PrEP on your own, we may be able to help you apply for a payment assistance program. Gilead, the pharmaceutical company that produces Truvada and Descovy has a program called Advancing Access and, a nonprofit called the Patient Advocate Foundation provides substantial assistance for people who are uninsured, or who receive Medicare or Medicaid coverage, and can’t afford the price of PrEP. Please ask our PrEP team if you qualify for this program. If you have insurance and there is a medical reason that you must take Descovy, you may be eligible for a Gilead Co-Pay Card which can reduce or eliminate the cost of your insurance co-pay. Our PrEP team can help you understand which program you quality for and will help you apply.

  • Can I get my PrEP lab tests done in person at a lab near me?

    Yes. 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.

  • What are the side effects of PrEP?

    Many new PrEP users report little to no side effects, but symptoms such as headache, abdominal pain, and weight loss can happen. These side effects typically don’t last long and often go away entirely within the first month. If you’re experiencing prolonged side effects, please contact us.

  • Is there a generic PrEP medication?

    Generic versions of the PrEP medication Truvada started to be available in September 2020. You should know that in order for a generic substitution to be made for a branded medication, the generic medication must be proven by the FDA to have the same active ingredient, dosage form, strength, and conditions of use as the name-brand drug. The generic version of Truvada containing Emtricitabine/Tenofovir Disoproxil is bioequivalent, meaning it has the same effects in the body and works every bit as well. Because you may receive generic PrEP from different manufacturers at different times, in some cases the pills or packaging may look different. Do not worry — it is the exact same medication with a different look.

  • What if I miss a dose of PrEP?

    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.

  • How do I get PrEP through Nurx?

    Nurx is an easy, discreet, and judgement free way to access PrEP. 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

    Once you complete the necessary lab work (which you can do at home—we'll send you the kit), our medical team will review your results. If they determine that PrEP is right for you, your medication will be mailed to you in a discreet package.

How we work

Step 1

Tell us about yourself.

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Just answer a few questions about your health history to get started. If you are eligible for PrEP, our partner lab will mail you an HIV/STI home test kit in discreet packaging.

Step 2

Self-test at home.

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Collect your samples as instructed and mail them back to the lab for screening, using the prepaid envelope included in the kit.

Step 3

Our providers review.

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Once your lab results are in, one of our medical providers will make sure PrEP is the right for you. If you test positive for any STIs they can either prescribe treatment or connect you with in-person care.

Step 4

We prescribe PrEP.

learn more

Your three-month supply of daily pills will arrive in the mail with free shipping. To safely continue taking PrEP you need lab tests every three months.

Step 5

Repeat on schedule.

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Before your PrEP supply runs low, we will contact you to renew your prescription and order a new test kit. Our partner lab will mail you another kit so we can prescribe and deliver another three-month supply of PrEP.

easy at-home testing

PrEP is only for people who are currently not living with HIV. So, in order to get your prescription, you’ll need to first be screened for HIV and get some other lab work done as well. To stay on PrEP, you’ll need to have these tests done every three months. We've made this easy with our PrEP Home Test Kits — learn how to use them in this video.

What will I be tested for?

Getting your first PrEP prescription, and getting refills every three months, requires lab testing. To ensure you’re eligible for PrEP, you will be tested for:

HIV: PrEP is only beneficial for those who are currently not living with HIV.
Kidney Function: Because PrEP can sometimes add strain to your kidneys, we test blood creatinine levels to ensure your kidneys are staying healthy.
Hepatitis B: PrEP can also interact with the hepatitis B virus (HBV), so we’ll want to provide some additional medical oversight to ensure you don’t have any negative interactions.
Pregnancy: Though PrEP is safe to use during pregnancy, we always refer pregnant women to their OB/GYN.
STIs: We screen for gonorrhea, chlamydia and syphilis, curable infections that benefit from early treatment. Note about syphilis: This syphilis test cannot differentiate between a new syphilis infection and a syphilis infection in the past that was treated. If you have had syphilis in the past you will need to take a different type of test to detect any new infection.

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ABOUT OUR ACCREDITED PARTNER LAB

Your Nurx home tests will be analyzed at our partner laboratory, Molecular Testing Labs™ (or MTL for short). MTL is a state-of-the-art lab that specializes in complex molecular testing and is CAP-accredited, meaning that it meets the scientifically rigorous standards of the College of American Pathologists. MTL is also CLIA-approved, achieving the US government’s standards of quality and safety under the Clinical Laboratory Improvement Amendments. Your personal information is always anonymized and your personal health information is protected according to HIPAA law.

Please note, if you pay with insurance, MTL will bill the cost of the lab testing to your insurance (does not include price at checkout). Any out of pocket costs after your insurance is billed will depend on whether your insurance is in-network with the lab, and your specific plan’s coverage.

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Doctor Signature

Meet your medical team

We are doctors, nurse practitioners, physician assistants, nurses and pharmacists who are passionate about providing patient care. The Nurx medical team believes that everyone deserves access to personalized, non-judgmental healthcare, and that open and honest communication is key.

Cristin Hackel BS, RNC, MSN, WHNP

Get The Facts

PrEP offers you the freedom to enjoy safer sex, but we understand you may have questions. How does it work? Is it right for you? We have answers to all of your PrEP and HIV prevention questions.

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