MedicaidCoverageLow impact
PrEP Awareness Week begins Oct. 25
EmblemHealth·Family Medicine, Internal Medicine, Infectious Disease +1 more·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth confirms PrEP (HIV prevention medication) coverage across all LOB and state Medicaid programs, typically without prior authorization. Two FDA-approved PrEP medications are covered: Truvada and Descovy, with specific usage guidelines for different patient populations.
Action Required
No immediate action required. Be aware that PrEP medications (Truvada and Descovy) are covered by EmblemHealth plans and state Medicaid without prior authorization. Providers should reference CDC guidelines when prescribing and can call the National Clinicians Consultation Center PrEP Line at 1-855-448-7737 for questions.