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NYS Medicaid Pharmacy Programs

emtricitabine/tenofovir disoproxil fumarate (Truvada®)

emtricitabine/tenofovir disoproxil fumarate (Truvada®)

Prior Authorization Call Line: 1-877-309-9493

Prior Authorization Fax Line: 1-800-268-2990

Prior authorization of Truvada® has been implemented to reinforce appropriate use and to ensure utilization consistent with approved indications. Requests for prior authorization of Truvada® can be initiated by either prescribers or their authorized agents. An authorized agent is an employee of the prescribing practitioner and has access to the patient's medical records (i.e. nurse, medical assistant).

Prior authorization requirements:

  • All prescriptions for Truvada® for Pre-Exposure Prophylaxis (PrEP) must be prior authorized under the Clinical Drug Review Program (CDRP).
  • Prescribers or authorized agents are required to respond to a series of questions that identify the prescriber, the patient and the reason for prescribing Truvada®.
  • Prescribers or authorized agents must indicate whether Truvada® has been prescribed for HIV pre-exposure prophylaxis (PrEP) or treatment of HIV/AIDS. If Truvada® has been prescribed for prophylaxis, the date of last negative HIV test must also be provided.