Tou+PrEP : Your Online PrEP and Doxy-PEP Clinic in Québec

Signing up is simple, fast, and takes just three easy steps.

The entire process is designed to be completely confidential and does not require a doctor's referral.

1. Create your secure account

Click the "Get Started" button to access our platform. There, you will create your account and fill out a short medical questionnaire to assess your needs.

2. Schedule your consultation

Once the questionnaire is submitted, you can choose a time slot for your consultation. You can have it by phone or in person at the pharmacy, whichever you prefer.

3. Meet with a professional

During this meeting, one of our healthcare professionals will confirm that PrEP is a good option for you, answer your questions, and, if appropriate, can prescribe the treatment.

We will guide you to easily complete the initial workup. Several options are available:

• At an STI screening clinic: You can choose a clinic that performs sexual health screenings. We will send you a requisition for the additional required tests (e.g., for kidney function) which you can give to the clinic at the time of your appointment. You can find a list of sexual health clinics in Quebec here.

• At a medical analysis laboratory: We will send you a requisition to perform the required tests. You can then go to a lab of your choice for the blood draw and sample collections. If you choose a private lab, most private insurance plans reimburse the fees.

• At our pharmacy: With our clinical nurse, we offer appointments for HIV, STI, and complete sample collection for patients followed by our PrEP clinic. The $45 fee is all-inclusive and is reimbursed by most private insurance plans. Book an appointment on our Clic Santé page.

In any case, the procedure will be explained to you step by step.

Yes, and this ability is at the heart of our service to offer you simple and fast access to PrEP.

Access to PrEP prescriptions by pharmacists in Quebec is evolving. Here are the two models that make this possible:

Our current model: collaboration via a collective prescription

Currently, our pharmacy operates with a collective prescription. This is a care protocol that we have developed in close partnership with a doctor specializing in sexual health.

This protocol recognizes our expertise and formally authorizes us to perform the assessment, initiation, and follow-up for PrEP, under their authorization. It is a proven collaborative model that greatly facilitates access to PrEP.

The near future: professional autonomy with Bill 67

Very soon, the role of pharmacists will be even greater thanks to Bill 67, which modernizes access to care in Quebec.

This law will give qualified pharmacists the right to prescribe PrEP autonomously, without a collective ordinance. Of course, this right comes with responsibilities: only pharmacists who have completed the appropriate training and possess the required expertise will be able to do so, in order to always guarantee safe, personalized, and human support.

Whether through our current model or with future autonomy, our commitment remains the same: to eliminate barriers so you can access PrEP easily.

The good news: many solutions exist to make PrEP accessible, regardless of your situation.

The final cost to you depends on your insurance coverage. Here is how it generally works in Quebec:

If you are covered by RAMQ (public plan)

PrEP (generic and certain brand names) is covered. You will only pay a portion of the cost each month until you reach a maximum annual cap, which makes the expense predictable.

If you are covered by private insurance

All private plans in Quebec cover PrEP, but the reimbursed amount varies. A personalized quote is therefore essential to know your share of the cost.

How can so many people say they pay $0?

This is thanks to the financial support programs from drug manufacturers. These programs often cover the portion you would normally have to pay after your insurance (public or private) pays its share, making the final out-of-pocket cost minimal or even zero for many people.

Why can't we display prices?

Our code of ethics prohibits us, as pharmacists, from publicly advertising the price of prescription drugs. This rule ensures that the discussion about cost takes place within a professional consultation where we can analyze your overall situation but sadly prevents us from providing more detailed information.

The best way to know: a simple and confidential quote

The best first step is to contact us. With your insurance card, our team can tell you, free of charge and confidentially, exactly how much each PrEP option would cost you. We will also check your eligibility for support programs to find the most advantageous option.

Please note: Injectable PrEP is also covered by all Quebec insurance plans, including RAMQ.

Want more information?

Visit https://maprep.org/accessibilite/ (only in french) or for more information in english, visit gofreddie.com/prep-cost

Both approaches are effective and recognized; the best choice depends on your needs.

The important thing is that you receive quality support with which you are comfortable. Both remote consultations and in-person meetings have their advantages.

Why is a remote consultation an essential option?

Recommended by studies and organizations like the World Health Organization (WHO), telehealth is a crucial tool for improving access to HIV prevention. It offers:

• Discretion and comfort: Many people find it easier to discuss sexuality or identity without the stress of a face-to-face meeting.
• Accessibility: It is a vital solution for people in remote regions or in environments where stigma is a barrier to care.
• Time savings: It eliminates the travel and waiting room time often associated with traditional appointments.

The importance of trust and expertise

Whether remote or in-person, the bond of trust with your healthcare professional is paramount. Optimal PrEP follow-up requires more than just a prescription; it demands sharp expertise.

While the law allows all pharmacists in Quebec to prescribe PrEP, safe and adapted support requires specific sensitivity and knowledge (of LGBTQ+ issues, transcultural realities, etc.). Our team is dedicated to sexual health and undergoes continuous training to guarantee this level of expertise.

What if I prefer an in-person meeting?

That is absolutely possible, and we will welcome you warmly. Direct human contact is valuable, and we offer confidential consultations at our pharmacy for those who prefer it. You can also choose a local pharmacist with whom you already have a relationship of trust.

The limits of remote services to be aware of

Transparency is essential. Telehealth has its limits:

• Certain urgent situations, like PEP (post-exposure prophylaxis), or the need for a physical exam (blood pressure check, etc.) are not suitable for this format.
• Technology carries inherent risks to confidentiality, even with secure platforms.

In any case, an in-person follow-up can be arranged if needed.

Clic here for a list of other PrEP ressources in Quebec!