About PEP

• Facts about PEP in PDF format
• PEP stands for post-exposure prophylaxis. It’s like Plan B or the HIV morning after pill.
  
• PEP is for HIV-negative people who may have been exposed to HIV by a needle stick or unprotected sex. PEP may prevent them from getting HIV after exposure.
  
• People on PEP take HIV drugs for 28 days.
  
• PEP works best if started within 2-3 hours, but it must be started within 72 hours after exposure.
• PEP basics, CDC
• For pre-exposure prophylaxis (PrEP), visit www.kingcounty.gov/prep

What is involved in getting PEP

___ Exposure

______ Doctor assessment

_________ Start PEP and get HIV/STD tests

____________ Meds 28 days

_______________ HIV test to see if PEP worked

Where to get PEP

Madison Clinic at Harborview Medical Center (HMC), 325 9th Ave, Seattle, WA 98104

• During business hours, call 206-744-5100. Please communicate the reason for your visit or call.
• During clinic hours you can visit Madison Clinic at HMC to schedule future appointments. Visit the Madison Clinic website above for current hours.
  
• After hours, go to Harborview Emergency Department.

The cost of PEP

Harborview will assure you can get PEP regardless of your ability to pay. The cost of PEP ranges from $600 to over $1000. Many health insurance plans, including Medicaid, cover PEP in full or in part. If you don’t have insurance, talk to your medical provider about available drug assistance programs.

Information for medical providers

• Antiretroviral Postexposure Prophylaxis After Sexual, Injection-Drug Use, or Other Nonoccupational Exposure to HIV in the United States: Recommendations from the U.S. Department of Health and Human Services
  MMWR, Recommendations and Reports, January 21, 2005/vol. 54/ No. RR-2
  
  
• Peer-to-Peer Advice on HIV/AIDS Management
  Expert advice on preventing and treating HIV, from initiating treatment to managing advanced disease.
  
  
• The National Clinicians' Post-Exposure Prophylaxis Hotline (PEPline) 
  Offers treating clinicians up-to-the-minute advice on managing occupational exposures (i. e., needlesticks, splashes, etc.) to HIV, hepatitis and other blood-borne pathogens. Phone: 1-888-448-4911 PEPline clinicians will respond to your call between 9 am and 2 am (EST).

• Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis
  Morbidity and Mortality Weekly Report, September 30, 2005.
  
  
• Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis 
  Morbidity and Mortality Weekly Report, June 29, 2001. 
  
  
  • APPENDIX A. Practice Recommendations for Health-Care Facilities Implementing the U.S. Public Health Service Guidelines for Management of Occupational Exposures to Bloodborne Pathogens 
    
    
  • APPENDIX B. Management of Occupational Blood Exposures 
    
    
  • APPENDIX C. Basic and Expanded HIV Postexposure Prophylaxis Regimens
    
    
• What You Should Know About...PEP! (The "Morning After" Pill)

Link/share our site at www.kingcounty.gov/pep