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PrEP, the HIV prevention pill, must now be totally free under almost all insurance plans Benjamin Ryan © BSIP Image: Truvada. (BSIP / Universal Images Group via Getty) In a move that is expected to prove transformative to the national HIV-prevention effort, the federal government has announced that almost all health insurers must cover the HIV prevention pill, known as PrEP, or pre-exposure prophylaxis, with no cost sharing including for the drug itself and, crucially, for clinic visits and lab tests. This means the entire experience of maintaining a prescription to Truvada or Descovy, the two approved forms of PrEP, should now be totally free for almost all insured individuals. A prescribing physician, however, must persuade an insurer that Descovy in particular is medically necessary for any specific patient to qualify for zero cost sharing for that drug’s use as HIV prevention. 

United statesChicagoIllinoisAaronj sieglerKenyon farrowCarl schmidJim pickettRobert greenwaldCenters for diseaseHarvard law schoolGilead sciencesFoundation chicagoDrug administrationHepatitis policy instituteDepartment of laborImages group