This bill authorizes pharmacists in New Jersey to dispense HIV preexposure prophylaxis (PrEP) and postexposure prophylaxis (PEP) without an individual prescription, provided they have a standing order from the Commissioner of Health and have completed an approved training program. Pharmacists must ensure that patients are HIV-negative, provide necessary counseling, and document the services in pharmacy records. Additionally, they are required to notify the patient's primary care provider about the dispensation unless the patient opts out. The bill also allows pharmacists to provide a complete course of PEP to patients who may have been exposed to HIV within the last 72 hours, contingent on meeting specific clinical criteria and undergoing HIV testing.
Furthermore, the bill mandates that health insurance contracts, including those for Medicaid and state employee health plans, must cover PrEP and PEP without requiring prior authorization or step therapy. It specifies that patients can receive up to a 60-day supply of these medications without a prescription within a two-year period, after which a prescription will be necessary for continued treatment. The legislation prohibits insurance contracts from restricting pharmacists' ability to dispense these medications and ensures that at least one version of the medication is available without barriers. Overall, the bill aims to enhance access to HIV prevention and treatment services while ensuring patient safety and proper documentation.