FAQ
This page answers common questions about getting PrEP, PEP, testing, and support at participating pharmacies. If you do not see your question here, a pharmacy team member or health worker can help.
Getting PrEP at a Pharmacy
-
Yes. Most patients can get PrEP for free at participating pharmacies. If you have insurance, Medi-Cal, or Medicare, PrEP is usually covered. If you are uninsured or have limited coverage, state or manufacturer assistance programs can cover the cost. The pharmacy team or a navigator will help make sure cost does not block your care.
-
No. In California, trained pharmacists can start PrEP after a negative HIV test. You do not need to see a doctor first.
-
In many cases, you can start the same day you visit the pharmacy.
-
Most visits include a private check-in, a short intake questionnaire, HIV testing, and a conversation about your options. If you are eligible, you may receive PrEP at the pharmacy and leave with clear next steps.
PrEP and PEP Basics
-
PrEP is a prescribed medication that helps prevent HIV. When taken correctly, it reduces your risk of HIV infection by 99%.
-
PEP is medication used after a possible HIV exposure. It must be started within 72 hours and taken daily for 28 days.
-
If you think you may have been exposed to HIV through sex or sharing injection equipment, seek care right away. Waiting can make PEP less effective.
Testing and Follow-Up Care
-
To start PrEP at a pharmacy in California, the required test is a negative HIV test. Some locations may also offer STI and hepatitis C testing.
-
Pharmacies can provide up to a 90-day supply of PrEP to help you start quickly. To use PrEP safely over time, you'll need follow-up lab tests ordered by a healthcare provider. These tests help monitor your health and may include kidney function, cholesterol levels, and STI screening, depending on your chosen PrEP option.
These follow-up tests are part of standard PrEP care and help make sure the medication remains safe and effective for you.
-
That is okay. A health worker or a pharmacy team can help connect you with a provider or clinic for follow-up care.
Cost, Insurance, and Coverage
-
Most private insurance plans, Medi-Cal, and Medicare cover PrEP and PEP. If you have a copay, assistance programs might cover it, so your out-of-pocket cost could be minimal or none.
-
You can still get PrEP at no cost. California programs and manufacturer assistance programs may cover medication and related care. The pharmacy team can help you apply and enroll in these programs.
-
Contact the pharmacy or navigator right away. Billing issues can often be fixed.
Privacy and Confidentiality
-
Yes. Visits happen in private spaces, and your information is protected by health privacy laws.
By law, a positive HIV test must be reported to the local county health department using limited information. This reporting is only for public health follow-up and linkage to care and is not shared with employers, schools, immigration authorities, or other agencies.
-
If you have confidentiality concerns, you may qualify for confidential care options, including the California PrEP Assistance Program. Tell the pharmacy team or navigator so they can help.
-
No. PrEP does not affect immigration status, public charge, or insurance eligibility.
Support, Identity, and Respect
-
Yes. Care is respectful and inclusive of people of all genders and sexual orientations. You are welcome to share your name and pronouns so we can address you correctly.
-
Yes. Undocumented people can receive care. Immigration status is not required to receive PrEP, testing, or support, and getting care through this program does not affect immigration status. Confidential options may be available if you have concerns.
-
You can still receive care. Some pharmacies offer supplies and support to reduce health risks, including naloxone and fentanyl test strips. Services are nonjudgmental.
Taking PrEP
-
It happens. Talk with the pharmacy team or a health worker about how to get back on track. Missing an occasional dose does not mean PrEP has failed, but it’s important to talk with the care team.
-
Yes. You can stop at any time. Your pharmacist can explain how to stop safely and whether PEP may be needed.
-
Let the pharmacy team know. They can help plan refills or connect you to care in another location.
Getting Help and Emergencies
-
You can contact a participating pharmacy or ask to speak with a health worker for help with appointments, follow-up labs, or coverage.
-
If you may need PEP, seek care within 72 hours. If someone may be overdosing, call 911 and use naloxone if available.
Still Have Questions?
If you didn’t find what you were looking for here, help is available. You can talk with a pharmacy team member or a community health worker who can answer questions and help you decide next steps.