HIV Treatment and Prevention

Preventing HIV is an important step to protecting your health. Your prescription drug coverage through Express Scripts provides benefits for Pre-exposure Prophylaxis (PREP) for members who do not have a history of HIV.

Benefit Spotlight

Express Scripts will fully cover the following medication for HIV treatment and prevention:
  • Emtricitabine/tenofovir disoproxil fumarate (TDF) generic (200 mg/300 mg dose only)
Since this medication is classified as preventive, you do not have to pay a copay or deductible. If you are not approved for this medication, you may request a formal appeal or grievance from Express Scripts.

Please contact Express Scripts Customer Service at 1-800-711-0917 for any questions about HIV Treatment/Prevention medication or for assistance with filing an appeal/grievance.

Don’t Forget

If you need assistance, reach out to a benefit advocate at fitforlifebenefits@oceanspray.com.