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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