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Your PrEP prescription,
without the runaround.

At Spectrum by Equalis Health, getting the medication you need to protect yourself from HIV is straightforward, private, and completely judgment-free — all from your home in Alberta.

Accessing PrEP should never feel complicated. Yet for many Albertans, the barriers — clinic wait times, geographic distance, stigma at a walk-in — have historically stood between them and a medication that is more than 99% effective at preventing HIV. Spectrum exists to remove those barriers entirely.

Understanding Your Medication

What medications does Spectrum prescribe?

Spectrum by Equalis Health focuses on sexual health — and at the heart of that is PrEP (Pre-Exposure Prophylaxis), a daily medication taken by HIV-negative individuals to prevent acquiring HIV. We also prescribe Doxy-PEP for eligible patients as an added layer of protection against bacterial STIs. Here is a breakdown of the three primary medications we work with.

Daily PrEP

Truvada

emtricitabine / tenofovir disoproxil fumarate (TDF/FTC)

  • Health Canada approved for HIV prevention
  • Up to 99% effective when taken daily
  • Covered by most provincial & private drug plans
  • Suitable for all anatomies
  • Can be taken with or without food
  • On-demand dosing available (discuss with your clinician)

Daily PrEP

Descovy

emtricitabine / tenofovir alafenamide (TAF/FTC)

  • Newer formulation with improved kidney & bone safety profile
  • Fewer start-up side effects reported
  • Covered by ~85% of private insurance plans
  • Gilead patient assistance program available
  • Must be taken daily (no on-demand option)
  • Not recommended for those with vaginal tissue at risk via vaginal sex

Post-Exposure

Doxy-PEP

doxycycline 200 mg — taken after exposure

  • Taken within 72 hours of condomless sexual contact
  • Reduces risk of chlamydia, syphilis, and gonorrhea
  • Not a daily medication — used only after an exposure event
  • Requires counselling and consent documentation
  • Not recommended in pregnancy or for those on Hepatitis B treatment

Important: PrEP does not protect against other sexually transmitted infections. Regular STI testing every three months is a required part of your ongoing PrEP care. Condom use remains recommended for comprehensive protection.

The Spectrum Process

From first click to first refill — here's how it works

We have designed the entire consultation-to-prescription journey to be fast, private, and fully virtual. No waiting rooms. No awkward walk-ins. Just a straightforward clinical process led by our nurse practitioner, Jelissa Prosper, NP.

1

Book your appointment online

Use our online booking tool at spectrum.equalishealth.ca to schedule your initial virtual consultation. Appointments are conducted by phone or video — you choose the format that works for you.

2

Complete your initial consultation

Your clinician will take a detailed sexual health history, review your eligibility for PrEP, and answer any questions you have. This is a non-judgmental, stigma-free conversation. Your honesty helps us give you the best care.

3

Complete your baseline bloodwork

A lab requisition will be sent to you. Before starting PrEP, we require a baseline panel that includes HIV testing (4th generation), kidney function (creatinine/eGFR), Hepatitis A, B, and C serology, Syphilis RPR, urinalysis, and STI swabs. This ensures PrEP is safe and appropriate for you.

4

Receive your prescription

Once your labs confirm you are an eligible candidate, your prescription is sent directly to your preferred pharmacy. Your first prescription will typically be a 30-day supply, followed by 90-day refills with each renewal visit.

5

Stay on track with renewals

You will return for a check-in at 30 days, then every 90 days thereafter. Each renewal includes updated labs and a brief follow-up — keeping your health monitored and your prescription active. No gaps, no surprises.

Your privacy, protected. Spectrum by Equalis Health is a discreet, virtual clinic. Your mailing label reads "Equalis Health" only — nothing that identifies the nature of your care. All consultations are confidential under Alberta's Health Information Act (HIA).

Coverage & Cost — What to Expect

The cost of PrEP should never be a barrier. Most Albertans have access to coverage through provincial or private insurance — and where gaps exist, we will work with you to find options.

Truvada / Generic (TDF/FTC)

Covered by most private insurance plans and Alberta Health for Eligible individuals with active Alberta Health Card. Generic equivalents are typically lower cost and widely available at dispensing pharmacies across Alberta.

Descovy (TAF/FTC)

Covered by approximately 85% of private plans. Gilead Sciences offers a patient assistance program that can cover up to 30% of co-pay costs — making Descovy free for many qualifying patients.

Your dispensing pharmacy will verify your coverage and apply for any applicable support programs before your prescription is filled. You will be informed of any out-of-pocket costs in advance.

Ongoing Care

What your monitoring schedule looks like

PrEP is not a set-it-and-forget-it medication. Regular lab work and clinical check-ins are a required part of responsible PrEP care — and they are also how we catch and treat STIs early, before they cause complications.

Before Starting

Baseline Labs

  • HIV 1&2 (4th generation)
  • Hepatitis A, B, and C serology
  • Creatinine + eGFR
  • Syphilis RPR
  • Urinalysis
  • GC/CT swabs

30-Day Check-In

First Follow-Up

  • HIV test
  • Kidney function review
  • Side effect check
  • Adherence support
  • Brief clinical consultation

Every 90 Days

Renewal Visit

  • HIV test (mandatory)
  • Full STI panel
  • Creatinine + eGFR
  • Prescription renewal
  • Doxy-PEP review if applicable

Your Safety

Things to watch for while on PrEP

Most people tolerate PrEP very well. Common early side effects — mild nausea, headache, or stomach discomfort — typically resolve within the first two to three weeks of starting. Taking your tablet with a meal can help. The following, however, require immediate attention.

Stop PrEP and contact us immediately if you develop: fever, chills, night sweats, rash, swollen glands, sore throat, or extreme fatigue. These may be signs of acute HIV seroconversion — do not wait for your next scheduled appointment.

If you miss a dose, take it as soon as you remember. If your next scheduled dose is less than 12 hours away, skip the missed dose and continue your regular schedule. Never take two doses at the same time to compensate for a missed one.

Ready to Start?

Protect yourself.
We'll handle the rest.

Book your initial virtual PrEP consultation with Spectrum by Equalis Health today. Available to all Albertans — wherever you are in the province.

Book Your Appointment

Or call us at 403-800-5400  ·  Fax: 403-800-5400

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“Starting PrEP felt overwhelming at first, but the team made the entire process straightforward and judgment-free. They explained my options clearly, handled all the lab work efficiently, and followed up consistently. I felt supported at every step.”

Teagan L, Calgary Downtown Resident

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