Bi-married and wanting PreP so i can feel freer sexually - a few concerns

[Guest hardandhung4fun]

How well is anonymity handled when getting PreP?  Bi-married here and would like to keep my wife unaware of my side play.  Also, my insurances formulary lists Truvada as "limited availability" - does this mean they wont cover the medication?

[justsexnowatl]

You'd have to find out from your specific insurance company how they handle it.  I used to get mine through Humana and they had a mail order system.  I had it sent to me at work, which was discrete enough, but it still said "Humana Specialty Pharmacy" on it.  Obviously that would raise questions from a spouse.  But also Humana sent out a quarterly statement of ALL benefits received, and it would show this huge amount under prescriptions.  If you get a statement like that and your wife sees it, I'm sure that would raise a red flag.  Also depends on how YOUR PLAN covers Truvada.  Mine covered it but as a tier 4 drug.  I paid 25% of the retail cost, which came to $380 per month (my cost).  Gilead (the manufacturer) gave $3000 copay assistance per year, but that ran out around August of each year, then I had a $380 new expense that you might need to explain.

I'm not trying to discourage you at all.  I think you should find a way to get on it if you're fucking around bareback.  I don't believe in monagamy, but I don't wanna see unsuspecting wives get hiv when they don't have a clue or get to at least enjoy the fun part lol.  Sounds like you're a bottom for guys, so at least if you catch an std it'll be in the ass, so you prob wouldn't pass that along.  I fucked and bred a young bi frat type with a gf last month for a quickie, and it was hot.  I'm sure he was fucking his gf later that night.  No idea if he was on Prep or not, but I could tell from his hole he was experienced and asked me right up front to breed him Loved it selfishly, but kinda wonder how long before he catches something and gives it to her.

Bottom line - you just need to check with your insurance how they handle it, and also depends how you handle your finances with your wife.....how co-mingled are credit cards. etc.  And are you and your wife on your own or separate insurance (can you get any statements online, etc?).  Good luck - hope you get it and can fully enjoy without worry getting cock AND seeded!

[Wantsloads]

You can ‘opt out’ of mail order and have it delivered to your pharmacy.  It was a bit of a phone process but I did it.  I never look at statements and prescriptions usually have their own separate accounts depending on plans.  My insurance covers about 1500 if the 1800 cost.  Gilead copay covers the rest.  Some insurance companies may cover more or less.  Good luck and happy breeding!  

[bicep]

Some insurers have different coverage for Truvada whether or not a person has HIV. I don’t know what fourth tier means. Call your insurer and ask specifically about costs. If your cost exceeds the $3,600 in co pay assistance, you can buy generic Truvada from overseas for about $50 a month or less. The PrEP Facebook group has details on the recommended companies for generic PrEP.  When I enrolled in the Gilead copay program, a physical card was sent to my home. Be aware of this and use a work address. Also, I am tested twice a year for HIV and kidney health, according to protocol. Bills are sent to my home for the doctor’s visits and laboratory tests. You might want to have an alternate address for these mailings. Only certain doctors are able to prescribe PrEP. My doctor is an HIV specialist at a specialty health clinic for HIV positive men and well known in the gay community. If his name or clinic were Googled, it would be obvious for the purpose of the visit. I’m openly gay so it is not an issue for me but it could be a problem for those who absolutely need privacy.

[Manlyfkneeds]

My issue us my wife works at a pharmacy and can see all my meds I get

[Bibaldbtm]

May be a dumb question but can I get PrEP without going to the doctor?  Like I do my other blue pill?

[fillmyholeftl]

1 hour ago, Bibaldbtm said:

May be a dumb question but can I get PrEP without going to the doctor?  Like I do my other blue pill?

You may be able to purchase it from an Indian Pharmacy (Generic Truvada) however you REALLY need to have the proper testing and evaluation prior to taking and regular (every 3 mos) monitoring of any side effects or latent HIV.  You are really doing yourself serious harm if you take it without the proper medical supervision.

[Bibaldbtm]

If u are sure you are Negative what would be the serious health risks?..  Not questioning your remarks just trying to understand.

[408curious]

6 hours ago, Bibaldbtm said:

May be a dumb question but can I get PrEP without going to the doctor?  Like I do my other blue pill?

No.  They need to monitor your kidney function and test for HIV.  I don't know the details, but taking PreP while infected may make the infection worse. 

You may check into "Plushcare" it's a telephone doctor service. 

[fillmyholeftl]

11 hours ago, Bibaldbtm said:

If u are sure you are Negative what would be the serious health risks?..  Not questioning your remarks just trying to understand.

#1. If you contract HIV or if initially it wasn't diagnosed you run the risk of developing a resistance to the medications in Truvada.

#2. There are known Kidney and bone density issues with Truvada that need to be monitored.

 

Those are the 2 most important issues

[GermanFucker]

Correct. Antiretroviral therapy for HIV-positive patients usually consists of three or more components, i.e. three different classes of antiretroviral drugs (e.g. NRTI + NNRTI + NtRTI  ). Simply speaking this way combination therapy has the virus effectively "cornered", leaving no viable direction in which to mutate. If you only have one or two active ingredients (like in the case of truvada: tenofovir disoproxil fumarate + emtricitabine), the virus will develop resistance much easier and faster (some remember the hight of the AIDS epidemic where an AZT / zidovudine monotherapy could only hold off AIDS for so long).

If for some reason you should get infected (e.g. because the medication you bought over the internet did not contain the necessary amounts of active ingredient to be effective, or simply because you forgot to take you PrEP regularly during the time periods when you were sexually active), it is imperative that your doctor changes your medication regime to be effective as a therapy. This might just mean adding a second pill or changing to a one-pill-per-day-regime which also contains tenofovir disoproxil fumarate + emtricitabine. Or it could mean switching meds completely, because your virus is already resistant to either tenofovir disoproxil fumarate or emtricitabine.

Think of it this way: PrEP is for sex pigs. If you have sex with strangers only twice a year and don't mind using condoms, use condoms. Guys who consider PrEP know why they need PrEP. And if you know you need PrEP, you have sex often and adventurously enough to warrant 4 trips to the doctor per year. That way you can also get your regular check-ups for gono, syph etc.. And if you don't want to use your regular doctor, you will certainly find an excuse to drive 100 miles to the next big city to visit a specialist there, if it is only four times a year. Call it a fishing trip or whatever ;).