HIV PrEP Prescription Fill Patterns: Role of the Clinician's Specialty

As documented in a U.S. pharmacy claim database, two thirds of filled PrEP prescriptions were written by primary care providers, but those written by ID specialists were associated with the highest adherence.

HIV preexposure prophylaxis (PrEP) remains underutilized, but understanding the factors underlying higher adherence can guide improvement. Investigators matched pharmacy claims for new insurer-approved PrEP prescriptions from 2015–2019 with national provider data representing up to 85% of all U.S. PrEP prescriptions. Clinicians' specialties were categorized into primary care (PC), infectious disease (ID), and other advanced practice (AP; e.g., OB/GYN, emergency medicine). Rates of reversal (initial prescriptions filled but not picked up) and abandonment (reversed prescriptions not picked up for 1 year) were assessed across specialties.

Among 37,000 patients, PrEP prescriptions were received from PC (67%), AP (24%), and ID specialists (10%). …

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

HIV PrEP Prescription Fill Patterns: Role of the Clinician's Specialty

Topics

Reviewing Author