San Francisco AIDS Foundation locations, including Strut, will be closed on Monday, May 27, 2019, for the Memorial Day Holiday. The Harm Reduction Center will be open from 9:00 am to 12:00pm. We will resume normal operating hours on Tuesday, May 28, 2019.

PrEP & PEP

PrEP, or pre-exposure prophylaxis, is more than 99% effective at preventing HIV infection. You take it before you come into contact with HIV.

Exposed to HIV?

PEP, or post-exposure prophylaxis, is for people who have potentially been exposed to HIV in the previous 72 hours. PEP is a month-long medication treatment that we are able to provide on a limited basis. PEP is also available in most hospital emergency departments.

If you think you need PEP, call us at 415-581-1600 before coming to Magnet so that we can be sure that we can see you. If we are unable to see you, we can refer you to another clinic for PEP. PEP should be taken as soon as possible and within 72 hours after the potential HIV exposure. Every hour counts. Do not wait – call us right away.


GET PEP

What is PrEP?

PrEP (Pre-Exposure Prophylaxis) is a highly effective method of HIV prevention. With PrEP, people who are HIV-negative take a pill (Truvada) to reduce the risk of getting infected if they’re exposed to HIV. PrEP is an additional method of HIV prevention that is recommended to be used with other strategies like condoms and regular HIV and STI testing.

We offers both daily PrEP and PrEP 2-1-1 dosing options.

Want to be connected to PrEP, but live outside of the San Francisco Bay Area? Find a PrEP provider near you.

Schedule a PrEP enrollment appointment

If you’re new or don’t have an Online Client Portal account, you’ll need to verify your phone number to complete appointment registration. The system will send you an instant phone call or text message to verify it’s you. Once the appointment form is complete, remember to click “Book”.

Note: Although there is no fee for PrEP services, the appointment system will ask about payment. (We are unable to remove this question.) Please select “Cash Pay”. There are no costs to access care. The cost of the medication will go through your insurance if you have it. There is also copay assistance available to cover your medication cost. If you’re uninsured, we can help you with your options. Call us at 415-437-3450.

Important: Unfortunately, we are unable to prescribe medication for individuals who have Kaiser Permanente or Veterans Health Administration (VA) health care because these plans require prescriptions from providers within their networks. If you have Kaiser or VA health insurance, contact your member services to enroll onto their PrEP programs. If you are unable to get PrEP through them, please call our PrEP team line at 415-437-3450 to explore options.


Main Office Magnet at Strut

Schedule a PrEP follow-up appointment


Follow-Up at Main Office Follow-Up at Strut

Possible HIV Exposure?

Post-exposure prophylaxis (PEP) is for people who have potentially been exposed to HIV in the previous 72 hours. PEP is month-long medication treatment that we are able to provide on a limited basis. The sooner you start taking PEP, the better.

Get PEP

PrEP services at QTPOC at Strut

Drop-in PrEP services are available for queer and trans people of color at this weekly event. No appointment needed.

Learn More

FAQs

Who is PrEP for?

PrEP is for people who are HIV-negative 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 and non-binary people who have sex with men, people who have had sex without condoms, people in the sex trade, 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.

You can talk to your health provider to find out if you’re a good candidate.

How effective is PrEP?

PrEP is very effective at preventing HIV infection–up to or more than 99% when used as prescribed. PrEP does not protect against STIs including gonorrhea, chlamydia and syphilis.

What's the difference between PrEP and PEP?

PrEP is when you take medication as prescribed before a possible HIV risk event, like having sex or injecting. PrEP is an acronym for “pre-exposure prophylaxis.” There are specific ways to take PrEP either daily dosing or around the times of anal sex.

PEP is when you take medicine as prescribed fewer than 72 hours after possible HIV exposure, like with an accidental needle stick or sex without a condom with someone with a detectable viral load. PEP stands for “post-exposure prophylaxis.” PEP should be limited to emergency situations.

How do I get PrEP?

Make an appointment online to visit one of our sites to get PrEP. If you’re concerned about cost, we can help.

  • 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 and the last two months of pay stubs if you are currently working.
  • If you are uninsured and make more than $60,300, please contact our PrEP Benefits team to discuss your options at 415-437-3450.

* If you have Kaiser, VA or want to discuss options, please call us.

What will happen at my PrEP appointment?

Here’s what you can expect during your visit.

  • Your appointment may be up to two hours long.
  • One of our nurse practitioners will do a complete medical evaluation, including HIV tests, STI testing and a metabolic panel.
  • One of our benefits navigators 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.

Do I take PrEP every day?

Daily PrEP is one way to take PrEP. It is the only way to take PrEP approved by the FDA in the U.S. People who take daily PrEP take one tablet of Truvada once per day. Read more about daily PrEP.

Daily PEP

Can I take PrEP around the times I have sex?

In addition to taking daily PrEP, there is another effective way to take PrEP called PrEP 2-1-1. PrEP 2-1-1 is only effective for people having anal sex and people who are not taking hormones. Read more about how to take PrEP 2-1-1.

PrEP 2-1-1

Download materials about PrEP appointments & services

Flyers: English | Español

Postcards: English | Español

Our PrEP Team

Pierre-Cédric B. Crouch, PhD, ANP-BC, ACRN

Director of Nursing

Pronouns: He/him/his
Read Bio

Pronouns: He/him/his

Pierre-Cédric B. Crouch, PhD, ANP-BC, ACRN

Director of Nursing

Pierre-Cédric Crouch leads the delivery of sexual health services including PrEP, PrEP 211, Rapid HIV treatment initiation and re-engagement programs, and hepatitis C testing and treatment at San Francisco AIDS Foundation. He developed our PrEP Health Program at Magnet, which is the largest nurse-led PrEP program in the world and has garnered world-wide recognition.

Pierre is from New Orleans where he obtained his B.S.N. from the Louisiana State University Health Science Center. He had an early passion for HIV care and technology, which lead him to move to San Francisco where he received his M.S.N. (nurse practitioner) and Ph.D. from the University of California, San Francisco. He geeks out over technologies that connect clients to their health and the development of nurse-delivered community based care. He leads in Health Care 3.0, which supports nurses practicing to the fullest extent of their license and taking a client-centered approach to remove traditional barriers to accessing health care.

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