In February this year, the UK government announced that it was expanding NHS England’s initial rollout of long-acting injectable HIV PrEP to 2000 people rather than the 1000 it initially announced last November.
This number is less than 2% of the roughly 111,000 people who have ever started PrEP in England. Although the actual cost negotiated by the NHS is confidential, and likely to be considerably discounted, the list price for the six two-monthly injections of long-acting cabotegravir (Apretude) is roughly £7000 a year. This compares with less than £350 for generic daily PrEP using tenofovir disoproxil/emtricitabine (TDF/FTC) pills.
Given these supply and cost restrictions, local NHS trusts will have to develop their own access criteria for people in need of injectable PrEP. Two presentations at the 6th Joint BHIVA/BASHH Conference gave details of how this is being achieved.
Source : aidsmap
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