
Central Michigan District Health Department

Pre-Exposure
Prophylaxis (PrEP)
What is PrEP?
PrEP (pre-exposure prophylaxis) is a medication that reduces your chances of getting HIV from sex and/or injection drug use.
How effective is it?
When taken as prescribed, PrEP is highly effective for preventing HIV, reduces the risk of getting HIV from sex by about 99%, and reduces the risk of getting HIV from injection drug use by up to 74%.
How long does it take to work?
PrEP takes about 7-21 days to reach the level of protection, depending on injection drug use and/or types of sexual encounters. PrEP is safe, but some people experience side effects like diarrhea, nausea, headache, fatigue, and stomach pain. These side effects usually go away over time.
Who is eligible for PrEP?
You qualify if you:
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Test HIV negative or
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Have unprotected vaginal or anal sex with a partner of unknown HIV status or
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Have a partner who is living with HIV (especially if partner's HIV viral load is detectable or unknown) or
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Had a recent STI infection or
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Are an IV drug user.
What methods of PrEP are available?
PrEP is available in pills (Truvada or Descovy) or injections (Apretude).
Is PrEP expensive?
Most insurance plans and Medicaid programs cover PrEP medication. If you don't have insurance or you have a high deductible, there are programs available that provide co-pay assistance or PrEP for free.
What is the process to receive PrEP at CMDHD?
At your first appointment, we will test for HIV, STIs, and hep B & C, as well as run a metabolic panel. We will follow up in 30 days to check in on your progress with PrEP. Then you will see us every 3 months to check in on progress and get an HIV test. STI testing is optional every 3 months and recommended every 6 months.
Our Locations
Arenac County Office
4489 W M-62 - Suite 3
Standish, MI 48658
(989)-846-6541 ext. 1316
Clare County Office
815 N. Clare Ave. - Suite B
Harrison, MI 48625
(989)-539-6731 ext. 1216
Gladwin County Office
103 N. Bowery
Gladwin, MI 48624
(989)-426-9431 ext. 1316
Isabella County Office
2012 E Preston St - Door B
Mount Pleasant, MI 48858
(989)-773-5921 ext. 1406
Osceola County Office
22054 Professional Dr.
Suite D
Reed City, MI 49677
(231)-832-5532 ext. 1216
Roscommon County Office
200 Grand Ave - Suite A
Prudenville, MI 48651
(989)-366-9166 ext. 1316
PrEP Navigation
(989) 773-5921 ext. 1479
Call/Text (989) 824-8908
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Arenac
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Arenac
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