So we are using Truvada and tivikay because of ease of access to patient assistance for uninsured people. In women I am just ensuring they are not pregnant and encourage not to try during therapy. Birth control. Etc. The Isentress only has a mail in PAP which obviously not going to help.
For me one of the biggest barriers is accessing PEP ( via patients insurance). We have not yet created a great system to assure easy access to PEP meds unless the site has an onsite pharmacy ( we have very strict pharmacy "dispensing laws" so a provider providing a "starting pack" is hard). I have samples of Biktarvy, 7 days, it can be pretty easy to use
Christine S. Brennan PhD RN NP-BC Associate Professor Health Policy and System Management
School of Public Health
LSU Health Science Center firstname.lastname@example.org 504 905 7765