CMS ini­ti­ates cov­er­age analy­sis for provider-ad­min­is­tered PrEP to pre­vent HIV

The Cen­ters for Medicare and Med­ic­aid Ser­vices late last week kicked off a new na­tion­al cov­er­age analy­sis for pre­ex­po­sure pro­phy­lax­is (PrEP) us­ing an­ti­retro­vi­ral ther­a­py to pre­vent HIV in­fec­tions.

Medicare cov­er­age of PrEP cur­rent­ly varies by state or coun­ty and plan, but the av­er­age cost for the pro­phy­lax­is, ac­cord­ing to one 2020 study, is be­tween $2276 and $2430 (in­clud­ing de­ductibles, month­ly pre­mi­ums, co­pays and coin­sur­ance) per year.

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