PrEP Services

PrEP (Pre-Exposure Prophylaxis) is a highly effective method of HIV prevention. With PrEP, people who are HIV-negative take a pill (Truvada) once a day to reduce the risk of getting infected if they’re exposed to HIV. Truvada is a combination pill composed of two medications: tenofovir disoproxil fumarate and emtricitabine.

PrEP is an additional method of HIV prevention that is recommended to be used with other strategies like condoms. Learn more about PrEP at

Ready to schedule a PrEP appointment in San Francisco?

Book a free appointment at Strut

What will happen at my PrEP appointment?

Your appointment may be up to 2 hours long.

Here’s what will happen during your PrEP appointment:

  • You will meet with one of our nurse practitioners who will do a complete medical evaluation, including HIV tests, STI testing and a metabolic panel.
  • You will meet with one of our benefits navigators who will help you take advantage of patient assistance programs, insurance benefits, and other options to help you pay for PrEP.
  • If you’re ready to begin PrEP after meeting with our staff, and our medical staff determine that it’s safe for you to take PrEP, you’ll leave your first appointment with a prescription for PrEP in hand.
  • We’ll follow-up with you by phone three days later, and then we’ll ask you return a month later for a follow-up visit. Then, you’ll be scheduled for PrEP follow-up appointments every three months.

How do I pay for PrEP?

  • All of our services are free and not billed to you or your insurance.
  • The cost of the medication will go through your insurance. There is copay assistance available to cover your share of the cost.
  • If you are uninsured and make less than $60,300 a year, you are eligible to get the medication for free from the pharmaceutical company. We will do all the paperwork for you. Please bring your ID to your appointment.
  • If you are uninsured and make more than $60,300, please contact our PrEP Benefits team to discuss your options at 415.437.3450

(Unfortunately, we are not able to see clients with Kaiser or VA health insurance since these plans don’t cover outside prescriptions.)

Who is PrEP for?

PrEP is for people who are HIV-negative people and at risk for HIV infection. That can include people who have one or more partners who are living with HIV, people who have one or more partners whose status they don’t know, men who have sex with men, trans masculine people who have sex with men, trans feminine people who have sex with men, people who have had sex without condoms, sex workers, people who use injection drugs, and other people who may be worried about HIV infection.

If you have sex and have difficulty using condoms or don’t like to use condoms, PrEP is a way you can reduce your risk for HIV. For many people, PrEP reduces worry and anxiety around sex—enabling people to have healthier, safer sex lives.

How effective is PrEP?

PrEP is very effective at preventing HIV infection. When used every day, it reduces the risk of HIV infection by up to 99%. When combined with other HIV prevention strategies, like condoms or treatment as prevention, there is even greater protection.

PrEP does not protect against sexually transmitted infections including gonorrhea, syphilis or chlamydia.
Learn more about PrEP at