PrEP Lab Monitoring & STI Testing for Telehealth and Clinic Partners

CDC guidance calls for an HIV antigen/antibody test plus an HIV-1 RNA test before starting PrEP and at follow-up visits. Oral PrEP also needs kidney function (creatinine/eCrCl) and hepatitis B screening. Sexually active patients need syphilis, gonorrhea and chlamydia screening at the sites indicated. For LGBTQ+ men, that means throat, rectal and urine samples. Patients on F/TAF need lipids. Your clinicians decide the final order, and IHDLab configures panels to match. (Source: CDC Clinical Guidance for PrEP.)

On oral PrEP, HIV testing happens at least every 3 months, and refills are limited to 90 days until the next test. Kidney function is checked every 6 to 12 months, depending on age and baseline. On injectable cabotegravir, HIV testing happens at month 1 and then every 2 months. STI screening runs every 3 to 6 months depending on risk. (Source: CDC Clinical Guidance for PrEP.)

HIV-1/2 Ag/Ab, HIV-1 RNA, creatinine, hepatitis B and C, syphilis, chlamydia and gonorrhea (1-site or 3-site), trichomoniasis, Mycoplasma genitalium, HSV-1/2 and lipids, in standard or custom panels. See the At-Home Test Menu for Partners for the full list.

→ See the At-Home Test Menu for Partners

Yes, for urine and self-collected swabs, including the rectal and throat swabs that 3-site chlamydia and gonorrhea testing for men who have sex with men requires. Kits ship in discreet packaging. HIV testing for PrEP uses a blood specimen. Patients in California can have blood drawn at one of our 24 patient service centers. Ask us about collection options for other states.

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Turnaround depends on the tests in the panel. We agree target turnaround times for your program during onboarding, and results are released to your platform by API or to our HIPAA-compliant portal as soon as they are final.

We notify your designated clinical contact right away, support confirmatory testing on a new blood specimen in line with CDC guidance, and handle the public-health reporting the lab is required to do. Your clinicians manage patient follow-up and linkage to care.

PrEP has a USPSTF Grade A recommendation, so most private plans and Medicaid expansion programs must cover PrEP-related labs without cost-sharing. IHDLab will set up the right billing model for your program.

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Yes. Kits can be IHDLab-branded or fully white-labeled for your program, and results can be delivered to your platform through the LabFlow API or viewed in IHDLab's HIPAA-compliant portal.

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