Are people getting PrEP illegally? I would think that would be ridiculously expensive in the US as most states or insurance companies have some sort of plan to

Are people getting PrEP illegally? I would think that would be ridiculously expensive in the US as most states or insurance companies have some sort of plan to cover it (if not the coupon program from the manufacturer, Gilead. In New York State it's essentially free. It would also be dangerous to be taking PrEP and not getting the required kidney function tests with it ever 90 days (the older version of PrEP can be hard on some people's kidneys). I do see advertisements for legitimate mail-order services where you do consult with a doctor, and perform the tests at home. Looking at one site, if you have no coverage, it's $164 for kidney and STI testing, $94 for just the required kidney tests. So some may just opt out to save money. But again, I would be surprised if there's many people paying out of pocket for the whole treatment.