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What is Injectable PrEP?
Injectable PrEP (long-acting cabotegravir) has recently been approved for use in Canada. This breakthrough allows for bi-monthly injections, offering a convenient alternative to daily pills. It is highly effective at HIV prevention and can be used by all genders. (The twice a year shot is not yet available in Canada)
While it’s not a vaccine, regular administration ensures continuous HIV prevention, empowering you to maintain your health with confidence. Most pay $0 for it with us now too!
How to get Injectable PrEP?
Step 1: Register Online
Please fill out the form above, and our team will be in touch within 24 hours.
Step 2: Consultation
In-person consultation with a Nurse Practitioner and the initial on-site lab testing.
Step 3: 1st Injection
When the results come in, return to the clinic for the first injection.
Step 4: 2nd and Ongoing Injections
Return within a month for additional lab work & the next injection on same vist, then every 2 months
How is PrEP Injected?
Each dose is administered as a single injection into the gluteal area of the body (buttocks).
After the initial dose, there is another injection in one month, followed by injections every 2 months. Lab testing is completed just before each new injection.
Our in-person clinics in Toronto, Brampton, and Ottawa offer on-site injection and lab test services during the same visit!
Most Pay $0
with us
Toronto - Brampton - Ottawa
Our in-person clinics offer full-service care for all your injectable PrEP needs.
Not near our clinics? We also offer an online distance care option too!
How do I Get $0 Injectable PrEP?
Coverage for the injection option is now available through government programs and most private insurance plans! Have at least 50% coverage for the injection? You pay $0 with us!
If you have a health card, with income under $70,000, you too are eligible for $0 injectable PrEP!
Need help checking coverage?
Our pharmacy team is here for you. Email us at info@prepclinic.ca or text 416-420-1250, and a team member will assist you.
Check out below for more coverage details:
I have an Ontario health card and no insurance.
PrEP is currently covered for many Ontarians by the public Ontario Drug Benefit Program (ODB) and other public programs.
The following people automatically have PrEP fully covered through public programs:
- For anyone under 25 with an Ontario health card and no private insurance (OHIP+)
- Seniors over 65 with an Ontario health card
- If you are on ODSP (Ontario Disability Support Program) or OW (Ontario Works)
- Veterans, or Armed Forces
- If you are First Nations or Inuit and have coverage through NHIB
Trillium Drug Program
For individuals not eligible for above they can apply to the Trillium Drug Program. This is a government program anyone with an Ontario health card can apply to. It offers financial assistance to help manage high medication costs, including PrEP. There is no cost to apply and register.
How it works:
After completing an enrollment form, the Ontario government sets a threshold for how much of your medication costs you are expected to cover. Once this amount is reached, they step in to help with the remainder. This amount is known as a “deductible” and it’s broken up into every three months of the year.
For example:
A person has an annual deductible of $500. So every 3 months when someone has spent $125 on their medication the government will help with any amounts over this. (For any oral tablets covered under the Trillium Program).
How we help:
Our patient support program provides financial assistance for the deductible. So the person in our example would pay $0 with us.
How to Register:
Register for Trillium by completing the form here. If you have any questions our team is happy to help through text, phone email, phone or in-person.
I have private medication insurance.
Some insurance plans have started covering injectable PrEP. To find out if your plan includes coverage, check with your insurance provider using the Drug Identification Number (DIN): 02547473, and see if you have an annual plan maximum too. Some may require a special authorization form which we can assist with.
If the medication isn’t fully covered, a support program is available to help with partial costs up to 50%.
Our team can connect you with this program and also assist in verifying whether your plan includes coverage for injectable PrEP.
I have no health card and no insurance.
The injection is provided at no cost to individuals enrolled in the Interim Federal Health Program (IFH), which offers coverage for refugees registered with the government.
Without coverage each injection costs approximately $1900. However, supports are available to help with up to 50% of this cost.
How should I PrEP?
PrEP Pills
- Labwork every 3 months
- Can be taken once daily, or on-demand
- First 3 months free, covered by most plans
- Coverage from ODB / OHIP+ / Trillium
- Most pay $0 with our PrEPSaver Program
Bi-monthly Injectable PrEP
- Labwork every 2 months
- A single injection every 2 months
- Covered by some private insurance plans
- Now covered under ODB / OHIP+ / Trillium
- Most now pay $0 with our PrEPSaver Program
Frequently Asked Questions
Who is a good candidate for the injection?
You may be a good candidate for injectable PrEP if you do not want to take pills or have difficulty remembering to take them, and are comfortable receiving regular injections at the gluteal (buttocks) site.
If you tend to come perfectly on time when lab work and refills are due and are open to more frequent lab work, then injectable PrEP may be a good option for you.
Who may not be a good candidate for the injection?
If you are not open to more frequent lab testing or you are not comfortable receiving injections, injectable PrEP may not be the best option for you.
You may be a better candidate for pills if you are sometimes late for lab work, or prefer the flexibility in stopping, starting, or switching between daily and on-demand PrEP use.
If you do not have private insurance or government coverage the injection cost is significant.
What are the side effects of injectable PrEP?
- Most common: Injection site reactions (pain, redness, swelling)
- Headache
- Fever
- Fatigue
- Weight gain
How effective is injectable PrEP?
Like the tablet option, Injectable PrEP is highly effective in preventing HIV and reduces the risk by over 99%.
How often do I need to get injections for PrEP?
For injectable PrEP, you need to receive an injection every two months (bimonthly). If an injection is missed pills may be used. An action plan detailing this will be provided to you by the clinic in the event of missed injections.
Are pills still an option?
Yes, they are still an option and the majority of people will continue on what works best for them.
You can also switch from oral PrEP to injectable PrEP (and back again!). Discuss with your Nurse Practitioner on the team to determine the best transition plan and ensure continuous HIV protection.
Where can I get injectable PrEP?
Injectable PrEP services are available at our Toronto, Brampton, and Ottawa clinic locations. We also offer a distance care option anywhere in Ontario too.
Learn more about our in-person locations and hours here.
Is the semi-annual (every 6 months) injection available in Canada yet?
A semi-annual injection was recently approved for use in the USA. It is not yet available in Canada, although it is estimated it will become available in 2026.
Sign up for our newsletter to get updates when this will be available.
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