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  • Pep Drug Replacement Form. Form To Request Replacement Post Exposure Prophylaxis Drugs. - Health

Get Pep Drug Replacement Form. Form To Request Replacement Post Exposure Prophylaxis Drugs. - Health

Attachment 3 NonOccupational HIV PostExposure Prophylaxis Drug Replacement Form Optional heading here. Change font size to suit Please complete this form for each person who has been prescribed PEP.

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Pharmacies have the PEP medications in stock; Pharmacists are trained, caring people who can help you in a confidential way; If you are concerned about confidentiality, you can ask to speak to the pharmacist privately.

In these situations, ing to CDC guidance, the preferred PEP regimen is , , and .

The medication now used for PEP is a single tablet of disoproxil/ (also known as ) and two tablets of . Side effects from PEP are likely to be mild ones in the first few days, such as nausea, headaches or tiredness.

PEP is a combination of three drugs. You take them once or twice a day for 28 days: For adults, the CDC recommends , (these two drugs come in one pill), and a third drug, either or dolutegravir.

Two-drug prophylaxis consists of 2 nucleoside reverse-transcriptase inhibitors ( and ); 3-drug PEP consists of and plus a protease inhibitor ( or ). The virus from the source patient may be susceptible or resistant to the PEP regimen that is used.

Go to an emergency room, clinic or NYC Sexual Health Clinic and ask for emergency PEP to prevent HIV, or call the NYC PEP Hotline at (844) 3-PEPNYC (844-373-7692). The Hotline is available 24/7 and can help you get started on PEP right away. Take PEP for 28 Days. PEP is taken in pill form for 28 days.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232