HIV/AIDS Comprehensive Care Program Contact Information
The UW Health HIV/AIDS Comprehensive Care Program is committed to preventing HIV infection. Therefore, we offer Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) services to help individuals prevent HIV infection.
Pre-Exposure Prophlaxis (PrEP)
Pre-Exposure Prophlaxis (PrEP) is when an individual at higher risk for HIV takes HIV medicines daily to lower their chances of getting infected. It is highly effective for preventing HIV if used as prescribed. A person taking PrEP must be tested for HIV and have certain labs drawn regularly to monitor their health status.
Post-Exposure Prophylaxis (PEP)
Post-Exposure Prophylaxis (PEP) is when a person who may have been exposed to HIV in the last 72 hours takes HIV medicines daily for 28 days to lower their chances of getting infected. The sooner the person starts PEP the better. PEP should be used in emergency situations. If you are at high risk for HIV, you should consider taking daily PrEP to prevent HIV.
Medicaid, Medicare, and most insurance covers the costs of PrEP and PEP; however, the Ryan White program and the AIDS Drug Assistance Program (ADAP) do not. Some patients may be eligible for pharmaceutical manufacturer assistance programs to help with medication costs or copays.
HIV Biomedical Prevention: PrEP and PEP
- PEP Line and PrEP Line - Rapid, up-to-date clinical telephone consultation for PrEP and PEP decision-making.
- PEP 101 - Explains how PEP (Post-Exposure Prophylaxis) works to prevent HIV infection after being potentially exposed to HIV
- PrEP 101 - Explains what PrEP (Pre-Exposure Prophylaxis) is, how it works to prevent HIV infection, and answers frequently asked questions about PrEP.
- PrEPFacts.org - Specific information on PrEP tailored to specific populations.
- What is PrEP? - Short video with information about PrEP and how it can work inside the body to prevent HIV infection.
- PrEP in Wisconsin - Information on getting, and paying for, PrEP in Wisconsin.
- NASTAD Fact Sheet - Information on patient assistance programs, from the National Alliance of State & Territorial AIDS Directors.
U=U: Undetectable = Untransmittable
U=U is the slogan for a movement launched by the Prevention Access Campaign. In 2016, a group of people living with HIV (PLWH) created a Consensus Statement about the risk of sexual transmission of HIV from a PLWH who has an undetectable HIV viral load. This statement explained the scientific evidence showing people on effective antiretroviral (ART) will reduce the level of HIV to "undetectable" levels, which protects their health and makes them incapable of transmitting HIV to their sexual partners, or what we call "Undetectable = Untransmittable," or U=U for short.
In addition to the consensus statement, the Centers for Disease Control and Prevention (CDC) issued a Dear Colleague letter stating that "across three different studies, including thousands of couples and many thousand acts of sex without a condom or pre-exposure (PrEP), no HIV transmissions to an HIV-negative partner were observed when the HIV-positive person was virally suppressed. This means that people who take ART daily as prescribed, and achieve and maintain an undetectable viral load have effectively no risk of sexually transmitting the virus to an HIV-negative partner."
The movement and U=U slogan can be empowering information for PLWH. The U=U message may help to reduce the shame and fear many PLWH (people living with HIV/AIDS) have around sexual transmission of HIV. The message also promotes the fact that people can live a long and healthy life with HIV, which may be useful in dismantling stigma around HIV.
More information on U=U:
- Prevention Access Campaign – Information and resources on U=U, including the consensus statement endorsed by numerous organizations worldwide.
- 10 Things to Know About HIV Suppression – Videos, FAQs and other resources on sexual transmission of HIV and what it means to be "durably undetectable." From the National Institute of Allergy and Infectious Disease (NIAID).
- Dear Colleague: September 27, 2017 – CDC's letter endorsing the science behind U=U.
HIV Pre-Exposure Prophylaxis (PrEP) is when individuals at very high risk for HIV take medications daily to lower their chances of getting infected. Our PrEP Navigator provides patient support and navigation services to HIV negative individuals who are at higher risk for becoming infected by HIV and/or who may have barriers to accessing and adhering to PrEP care.
The PrEP Navigator can assist with HIV screening and PrEP decision support to at-risk individuals, health benefit screening and enrollment and linkage to mental health services and other medical providers. PrEP navigation services are provided either in-person or via phone at the UW Health HIV Clinic, throughout UW Health clinical locations and at off-site local community locations throughout Dane County. The PrEP Navigator also conducts community outreach efforts.