PrEP Access in the United States: The Role of Telehealth

Disparities in uptake of pre-exposure prophylaxis (PrEP) exist along racial, ethnic, and gender lines. The use of telehealth to provide PrEP and associated services (“tele-PrEP”) is a trend that began before the COVID-19 pandemic, but we find it has increased for some providers along with the growing use of telehealth generally. However, little is known about the tele-PrEP environment. This brief provides an overview of the tele-PrEP landscape, including how PrEP services are provided and factors that facilitate its provision as well as barriers that remain. This policy brief is based on in-depth interviews conducted at the end of 2021 with representatives from the major national telehealth companies (those serving all or large portions of the U.S.) providing tele-PrEP and other select tele-PrEP programs. We also highlight two-state run programs – California and Iowa – and four community-based clinics that offer tele-PrEP programs. Collectively, the organizations included in this analysis are estimated to provide tele-PrEP services to over ten thousand clients.


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