PrEPSaver - Exclusively at The PrEP Clinic by Ontario Prevention Clinic

Learn how we help most of our patients pay $0 for their PrEP medication.

PrEPSaverGuys

Since opening we have saved Ontarians over $150,000 on their PrEP with PrEPSaver!

PrEPSaver is our unique program to improve PrEP affordability. 

With PrEPSaver we are able to help patients save more, and many do not pay anything out of pocket for PrEP. Since 2019, we’ve been breaking down barriers and this includes on cost.

If you are brand new to PrEP and do not have insurance, the medication is also completely free for the first 3 months through the PrEPStart Program.

How does this work?

Our Patient Care Specialists find savings solutions. This is done through connecting you with private coverage, provincial programs, and unique patient support programs. Contact us today to see how much we can assist you to save!

Already have a prescription?

The PrEP Clinic is also a full-service pharmacy and you are welcome to just use our pharmacy services. To transfer to us have your healthcare provider fax your prescription to us at 416-961-1250.

Have questions? We are super accessible 7 days a week through phone, text, or email. If you are in the Toronto area you can also stop by our 344 Bloor St West location. We also offer free discreet shipping across Ontario.

Have questions about PrEPSaver?

This section provides information on drug coverage options and explains public coverage through the Ontario Drug Benefit Program. Contact us if you are having trouble paying for your medications or understanding your insurance coverage options.

PrEP is currently covered for many by the public Ontario Drug Benefit Program (ODB) and through private plans. For anyone new to PrEP without coverage the first 3 months are free through the PrEPStart program. 

The following people automatically have PrEP fully covered through public programs:

  • For anyone under 25 with an Ontario health card and no private insurance (OHIP+)
  • Seniors over 65 with an Ontario health card
  • If you are on ODSP (Ontario Disability Support Program) or OW (Ontario Works)
  • Veterans, or Armed Forces
  • If you are First Nations or Inuit and have coverage through NHIB

In addition, most workplace and school insurance plans provide some coverage for PrEP. Some plans require a special authorization form which we can assist with. 

If you are without coverage or need additional support, the Ontario government has a free program called Trillium that anyone with an Ontario health card can apply to and helps with medication costs. https://www.ontario.ca/page/get-coverage-prescription-drugs

Even if you have some drug coverage, if you’re still paying anything out of pocket there may be additional options. It’s possible your pharmacy may not have connected you to all coverage support options available to you. Different pharmacies can also have different mark-ups and dispensing fees. (We have some of the lowest in the industry). All these things can make the difference between having a co-pay and potentially paying $0 for PrEP.

If you are ineligible for any coverage options or just have partial coverage we can connect you with PrEPSaver. Through this most patient do not pay anything out of pocket for their PrEP with The PrEP Clinic. This is ongoing and not just limited to a few months.

The PrEP Clinic is also a full-service pharmacy and you are welcome just to use our pharmacy services. To transfer to us have your healthcare provider fax your prescription to 416-961-1250.

Have questions? We are super accessible 7 days a week through phone, text, or email. If you are in the Toronto area you can also stop by our 344 Bloor St West location. We also offer free discreet shipping across Ontario.

In 2021, it is very important to be careful. Some online services may advertise PrEP, but it is important to be sure to know where the medication is coming from. We operate a community pharmacy in Toronto, ON that is open to the public.

The PrEP Clinic is accredited by the Ontario College of Pharmacists. This is the accrediting body for pharmacy in Ontario and our team includes licensed Ontario pharmacists and licensed regulated pharmacy technicians. You can visit ocpinfo.com to verify any pharmacy. The medication we dispense is supplied by a leading Canadian drug manufacturer.

If you do not see a pharmacy accreditation number on a website, chances are it is not a licensed Ontario pharmacy. Our pharmacists include national leaders in PrEP care and ensure you get all of the right information & support you need. 

We are are an HIV speciality pharmacy with a lot of experience in this specific field. It’s what we do! We primarily only dispense HIV treatment and PrEP medication. Many patients who have switched to our services have benefitted.

Feel good about where you get your PrEP.

We are strong believers in community investment and since opening have donated over $25,000 to HIV/AIDS organization across the province. 

We currently do not receive any government funding and are proud to reinvest into our sexual health testing services, on-site walk-in sexual health clinics, mental wellness counselling, and condom/naloxone shipping program.

As the only Ontario-owned and operated province-wide service we are proud to provide jobs locally – where everyone on our team receives a fair living wage. We are also committed to providing an inclusive space and are the only province-wide service where both our clinic + pharmacy are LGBTQ+ owned and operated. Learn more about our history here. 

Drew Schonbe marching with ACT (AIDS Committee of Toronto)
Drew, HIV Pharmacist and Owner

More Drug Coverage Information

This section provides information on drug coverage options and explains public coverage through the Ontario Drug Benefit Program. Contact us if you are having trouble paying for your medications or understanding your insurance coverage options.

This is a private plan that may be through a family member, your workplace, or school. You or your workplace will cover the cost of this type of insurance. Depending on your plan only certain medications might be covered and those that are covered might not be covered fully. Some plans may also require a special authorization form for the prescriber to complete (we can help with this) before covering the medication.

If you have private insurance but do not have full coverage of your medications, you can apply to Trillium for additional support. (see below re: Trillium)

There are also free programs available from some drug companies to assist with the cost of your medication. This applies to certain brand name HIV treatments only (does not apply to PrEP or PEP). Gilead provides support through Gilead Max at www.mymaxsupports.ca and ViiV Healthcare provides support through www.viivsupports.ca

The drug company programs can be combined with ODB programs like Trillium (see below). We can assist you to get started on these as well.

Public coverage is provided through the Ontario Drug Benefit (ODB) for Ontario residents. The following are included in this coverage:

The ODB program has a list of medications that it covers – this is called the “formulary”. Not all medications are covered but PrEP, PEP, and many HIV treatment medications are. For medications that are not covered, your doctor may be able to request special coverage or switch you to something that is. You can check what is covered through this link: https://www.ontario.ca/page/check-medication-coverage/

You are automatically covered if you are an Ontario resident under 25 and do not have private insurance coverage. You will need to let us know that you do not have other coverage. There is no charge for medication covered through OHIP+. This means you will not be charged for PrEP, PEP, and many HIV medications. https://www.ontario.ca/page/learn-about-ohip-plus

To get coverage through Trillium you will need to submit a form from their website here. The program considers your income and sets a deductible to pay each quarter (every 3 months) before it will cover your remaining drug costs. The deductible is based on ~4% of your net income for the year (which is broken into every 3 months). You can calculate an estimated annual deductible here: http://hivnow.ca/deductible-calculator/

​If there are any changes to income Trillium will need to do a reassessment. Trillium has a $2 co-pay once you have reached your deductible, however we reduce this to $0 at our pharmacy.

Sample example: Trillium has set a patient’s deductible at $400 for the year with $100 set each quarter.  The patient will be expected to pay $100 out of pocket at the start of the first quarter and then the remaining amount of this medication will be fully covered until the next quarter.

If you are no longer working you may apply for support through Ontario Works (OW). If eligible work for OW you will also be eligible for drug coverage through ODB. Information on the application is here: https://www.mcss.gov.on.ca/en/mcss/programs/social/apply_online.aspx

This is a program for refugees that will cover medication costs if you do not have other government support or private insurance.  PrEP and HIV medication is covered under this program.

This program provides medication coverage for First Nations people if you do not have other medication coverage. PrEP and HIV medication is covered under this program.

This program provides covered for PrEP through Canadian Forces Health Care for Armed Forces Personnel.

This program will provide PrEP coverage for veterans enrolled in the Veteran’s Affairs Canada health programs.

If you are struggling to still afford your medication, speak to us and we can look into additional compassionate options. Give us a call at 416-961-1250.