Paying for PrEP in Canada
Private Drug Coverage in Canada
You may already have coverage for PrEP through work benefits, a family member’s coverage or private insurance you pay for yourself. If you already have private drug coverage through your work or a family member or because you pay for it yourself, your plan likely covers at least some of the cost of PrEP. The amount you pay for a prescription and the amount your insurance company pays depends on your plan.
If you want to know whether your plan covers PrEP and how much it will cost you to fill your prescription, talk to a pharmacist. The pharmacist will need to see the card from your insurance provider and will also need the drug identification number (DIN) to see if your plan covers that medication.
Here are various brands of PrEP with their corresponding drug identification number:
Teva-Emtricitabine/Tenofovir - DIN: 02399059
APO-Emtricitabine/Tenofovir - DIN: 02452006
Mylan-Emtricitabine/Tenofovir - DIN: 02443902
Truvada (name-brand) - DIN: 02274906
Descovy (tenofovir alafenamide/emtricitabine) - DIN: 02454424
If the amount that you have to pay is still high, you may be able to use the Trillium Drug Plan to help with those costs.
Source: https://ontarioprep.ca/for-health-care-providers/pay/
