i-base

London clinic to prescribe generic PrEP privately at £55 for 30 tablets

Simon Collins, HIV i-Base

On 10 February 2018, the sexual health clinic at 56 Dean Street in Soho launched a new programme that will provide generic tenofovir DF/emtricitabine, the dual pill that protects against HIV.

This will use private prescriptions in a way that will still let people access free NHS monitoring. The initial price is slightly more than the cheapest online supplier – approximately £55 compared to £35 for 30 tablets. Although online suppliers provide discounts for buying in bulk, sometimes buying PrEP online includes additional import taxes. The Dean Street price might also be reduced in the future. The price for the patent version is approximated £400.

Buying generic PrEP online is safe and legal for individuals, but clniics in England have, until now, not been able to provide private prescriptions for the generic formulations. This challenges the situation that allows NHS clinics Scotland to prescribe generic PrEP free to thier patients. Until now, drug commissioning services in England have been waiting for a decision on patent rights currently waiting in the European courts.

People will still have to make routine appointments for HIV testing and other monitoring for PrEP, but they will be able to opt in to private prescription for generic PrEP.

This programme is also an attempt to mangage the rapid enrolment in the ongoing PrEP IMPCT study. Launched in September 2017, the 56 Dean Street clinic was fully enrolled by November.

Even at sites where places are still available, the study has already recuited more than half of the original 10,000 allocation.

Although perhaps ten thousand of people in London are believed to be buying generic PrEP online – mainly gay and bisexual men – exact figures are not available.

It is unclear whether Gilead Sciences will challenge the new clinic programme.

For more details see the PrEPshop website:
http://dean.st/prepshop