COVID-19 and PrEPDAP

IMPORTANT UPDATES FOR THE MASSACHUSETTS PRE-EXPOSURE PROPHYLAXIS PROGRAM

EFFECTIVE 3/30/2020

 Temporary Changes to PrEPDAP Policies Related to the State of Emergency

Community Research Initiative (CRI) is closely monitoring the situation around COVID-19. The safety of our clients, supporters and staff is of paramount importance to us. We continue to work closely with the Department of Public Health (DPH) to ensure our clients receive essential coverage and care during these uncertain times.

To ensure that PrEPDAP clients do not experience a gap in coverage or access to medications or pre-exposure prophylaxis (PrEP) during this public health emergency, the following modifications are being made to PrEPDAP enrollment procedures and coverage, effective immediately. 

PrEPDAP Policy Modifications:

EXISTING PrEPDAP Client Coverage Extensions:

PrEPDAP will continue to process and approve applications received for PrEPDAP. Providers should submit applications for clients due to recertify as soon as possible.

If providers are unable to submit a recertification application or other required documentation for an EXISTING PrEPDAP client whose PrEPDAP coverage is about to terminate, PrEPDAP can accept a written notification from a provider attesting that a client continues to meet PrEPDAP eligibility and requirements. Upon receipt of this notification, the client will receive a provisional approval for an additional three months, at which time the provisional approval may be extended or additional documentation required.  Please contact Kevin Herwig at 617-502-1737 or Katt Baker at 617-502-1767 with any questions. 

Early Fills of PrEP Medications

PrEPDAP will reimburse pharmacies for prescription charges submitted for “early” fills (prescriptions filled before the usual refill approval date). 

60- and 90-day Fills of PrEP Medications

PrEPDAP will reimburse pharmacies for prescription charges submitted for 60- or 90-day fills when prescribed. As of 1/1/21, this policy only applies to insured clients, with prescription co-pays; it does not apply to full-pay clients

EFFECTIVE 1/1/2021

 Temporary Changes to PrEPDAP Policies Related to the State of Emergency

As of January 1st, 2021, the Massachusetts Pre-Exposure Prophylaxis Program (PrEPDAP) will return to its policy of approving uninsured individuals applying for PrEP full-cost prescription drug coverage for one month pending enrollment in insurance. PrEPDAP will no longer be covering 60- or 90-day fills for full cost prescription coverage of PrEP. If you are uninsured and need assistance with finding insurance or would like to find a pharmacy that can do prescription mail-order for the month, please contact our PrEPDAP team by telephone at 617-502-1737 or 617-502-1767 or email at prepdap@crine.org.

Please visit www.crine.org/prepdap for detailed information on how to contact PrEPDAP staff.