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HIV PrEP guide

HIV PrEP (pre-exposure prophylaxis) online in Virginia and West Virginia

This guide is for starting or continuing daily HIV PrEP for ongoing prevention needs, with a recent negative HIV test and kidney function labs. PrEP is not for a recent high-risk exposure — that needs PEP, which is urgent in-person or ER care within hours, not PrEP.

在线开始

HIV PrEP 开始一次 $59 的在线审核。

PrEP (pre-exposure prophylaxis) is a daily pill that's highly effective at preventing HIV when taken consistently, for people with ongoing risk of exposure. If you have a recent negative HIV test and normal kidney function, online review can often start or continue PrEP quickly. PrEP is different from PEP (post-exposure prophylaxis) — if you've already had a high-risk exposure in the last 72 hours, you need PEP, which is urgent in-person or ER care, not PrEP.

如果治疗合适,医生可以将非管制药物处方发送到您的药房,并通过门户网站向您提供说明。

快速信息

  • 在提出请求时,您必须身处弗吉尼亚州和西弗吉尼亚州
  • $59 起
  • 无需保险
  • 无需下载应用程序
  • 随时可进行医疗审核
  • 在适当的情况下,非管制药物处方可以发送到您的药房
  • 在医学上适当的情况下,可附上用于工作或学校的证明
  • 响应时间窗口:24/7,每天全天候

常见症状

  • Wanting to start daily HIV PrEP for ongoing prevention
  • Continuing PrEP you already take and need a refill
  • No symptoms — PrEP is prevention, not treatment for an existing infection

可能适合在线护理

  • 18 岁或以上的成年人
  • A photo of a negative HIV test from within the past 7 days
  • A photo of a creatinine (kidney function) result from within the past 6 months showing adequate kidney function
  • Known hepatitis B status
  • No high-risk HIV exposure within the last 72 hours, and no fever/rash/sore throat/swollen lymph nodes after a recent exposure

请寻求其他类型的护理

  • A high-risk HIV exposure within the last 72 hours (you need PEP, not PrEP — seek care within hours)
  • Fever, rash, sore throat, or swollen lymph nodes after a recent exposure (possible acute HIV — needs in-person testing first)
  • No HIV test from the past 7 days, or no creatinine from the past 6 months
  • Reduced kidney function (eGFR under 60), or age under 18

需要准备什么

  • A clear photo of your negative HIV test result (within the last 7 days)
  • A clear photo of your creatinine (kidney function) lab result (within the last 6 months)
  • Your hepatitis B status, if known
  • Whether you've had any high-risk exposure in the last 72 hours (if so, seek PEP care instead)

接下来会发生什么

在网站上开始提交请求,回答快速审核的问题,并选择您偏好的响应时间。如果该病例仍然适合,医生会进行审核,并在您访问门户网站后向您发送一份安全的更新。在适当的情况下,非管制药物处方可以发送到您的药房,并可由医生酌情附上一份用于工作或学校的基本证明。

What's the difference between PrEP and PEP?

PrEP (pre-exposure prophylaxis) is taken before a possible exposure to prevent HIV — it's an ongoing daily (or on-demand) medication for people at continued risk. PEP (post-exposure prophylaxis) is taken after a specific, already-happened high-risk exposure and must be started within 72 hours, ideally much sooner. If you've already been exposed, PrEP will not work retroactively — you need PEP through urgent in-person or emergency care.

Why do I need a negative HIV test to start PrEP?

PrEP is not a full treatment regimen for existing HIV infection, so it's essential to confirm you're HIV-negative before starting, and periodically afterward. Starting PrEP with an undiagnosed HIV infection can allow the virus to develop resistance to the medication.

What is on-demand ('2-1-1') dosing?

On-demand dosing is an alternative to daily PrEP, studied specifically in men who have sex with men, involving a loading dose before sex and follow-up doses afterward. It requires planning ahead and precise timing, and is not established for vaginal sex. It's available as a shared decision after discussing whether it fits your situation.