Can I buy PrEP? You cannot buy oral PrEP or injectable PrEP over the counter in the US without a prescription. You need an HIV-negative test, kidney function labs, hepatitis B screening, and screening for other STIs before starting, and repeat HIV testing every 3 months while on PrEP. That requires a clinician. You can get PrEP through several routes: primary care doctor, sexual health clinic, LGBTQ clinic, Planned Parenthood, local health department, and many telehealth services that prescribe PrEP online and mail medication after at-home labs. Generic Truvada is available at most retail pharmacies with a prescription, and discount programs make it affordable. Injectable Apretude must be given in a clinic. Be cautious about buying PrEP from unregulated online sellers or outside the US, because product authenticity, dosing, and storage cannot be assured, and you would miss needed testing. If cost or access is a barrier, ask about 340B pharmacies, federally qualified health centers, and patient assistance programs. A pharmacist or PrEP navigator can help you find a prescriber near you.
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