Want to use PrEP? We’ll tell you how!


NOTE: there is a finan­cial cost for using PrEP in the Nether­lands. Depend­ing on where you do your tests, expect at least 20 euro per month min­i­mum if you take PrEP on a dai­ly basis.

Step 1: Choose your doctor

If you want to take PrEP, you need a doctor to monitor your test results and give you a prescription. In the Netherlands, there are 3 options:
    • Fam­i­ly doctor
      Ask your fam­i­ly doctor/GP to pre­scribe PrEP. While most doc­tors see the ben­e­fit of PrEP, we know from expe­ri­ence that some are not too excit­ed to pre­scribe PrEP. Don’t be dis­cour­aged imme­di­ate­ly if this is the case with your doc­tor. Con­sid­er print­ing the pro­fes­sion­al PrEP guide­line and bring this with you to your appoint­ment. These guide­lines describe in detail how your doc­tor can assist you with using PrEP. Rule of thumb: if it requires a lot of effort to con­vince your (fam­i­ly) doc­tor to give you a pre­scrip­tion for PrEP, look for a dif­fer­ent doctor.

      PrEP­nu has a a list of fam­i­ly doc­tors who are will­ing to pre­scribe PrEP. If you can­not find a fam­i­ly doc­tor near you try one of the alter­na­tives below.

      Down­side of get­ting PrEP through your fam­i­ly doc­tor is that you need to buy your PrEP med­ica­tion at a phar­ma­cy (± €30 / 30 pillen); the cost of STI tests ordered by your fam­i­ly doc­tor amount to the deductible of your health insurance.


    • GGD
      Since August 1, 2019 the STI clin­ics of the GGD also pro­vide PrEP care. The big advan­tage of this is that you have every­thing under one roof, from test­ing to buy­ing the PrEP med­ica­tion. More­over, the cost of the med­ica­tion is con­sid­er­ably low­er, name­ly €7,50 per month. The down­side is that there is only lim­it­ed capac­i­ty in the GGD PrEP pro­gramme. There­fore, this ser­vice is most­ly meant for peo­ple who have lim­it­ed finan­cial resources or can­not be helped by their fam­i­ly doc­tor. You can find the near­est GGD STI clin­ic in your area here.


  • HIV-treat­ment centre
    Con­tact your near­est HIV-treat­ment cen­tre. The HIV-spe­cial­ists can pre­scribe PrEP for you. Since the HIV-spe­cial­ist is expen­sive this will cost you your deductible excess (‘eigen risi­co’). You also need a refer­ral from your fam­i­ly doc­tor. Ask the HIV-spe­cial­ist for help if your fam­i­ly doc­tor is not cooperating. 
If you expe­ri­ence dif­fi­cul­ties find­ing the right doc­tor, send us a mes­sage.
Step 2: Get tested

Before starting PrEP, you need to get tested for a number of things. These tests need to be repeated on a regular basis..
    • HIV (before start­ing PrEP, a month after start­ing PrEP, and every 3 months from then on)
    • Kid­ney func­tion (before start­ing PrEP, a month after start­ing PrEP, and every 3 to 6 months from then on)
    • Chlamy­dia, gon­or­rhea, syphilis, and hepati­tis C (every 3 months)
    • Hepati­tis B (only before start­ing PrEP)

It is advised to get vac­ci­nates for hepati­tis A and hepati­tis B.


To save cost, you can get test­ed for HIV, chlamy­dia, gon­or­rhea, syphilis and hepati­tis B for free at your local GGD STI clin­ic, or you can arrange a test online via Man­tot­Man Test­lab.

Test­ing your kid­ney func­tion and hepati­tis C is usu­al­ly only be pos­si­ble via your fam­i­ly doc­tor, and these two tests togeth­er will incur a charge of about €15,- on your deductible excess (‘eigen risi­co’) every time you get tested.

Of course, it is pos­si­ble to get all tests done at your fam­i­ly doctor’s office, but the cost for STD test­ing is charged on your deductible. All tests togeth­er will cost about €210,- every time. If you have already met your deductible, it does not mat­ter where you get test­ed, since STD tests are then cov­ered under Dutch health insur­ance (‘basisverzek­er­ing’).

You can read more about the rea­sons for each of the var­i­ous tests under Fre­quent­ly Asked Ques­tions.

IMPORTANT: If you use PrEP, you need to get test­ed for HIV, kid­ney func­tion, chlamy­dia, gon­or­rhea, syphilis, and hepati­tis C EVERY 3 MONTHS.

Your doc­tor will not give you a new pre­scrip­tion if you did not get test­ed, so it is impor­tant that you real­ly keep up with the tests and that you make a new appoint­ment with your doc­tor in time.

Step 3: Get your prescription

Once you’ve gotten all the tests done, and your doctor does not find any obstructions for prescribing PrEP, it is time for your prescription.

Ask your doc­tor to pre­scribe gener­ic Emtric­itabine-Teno­fovir diso­prox­il. These are the two med­ica­tions that togeth­er make PrEP. There should not be a brand name on the prescription.

IMPORTANT: do you use oth­er med­ica­tions besides PrEP? Be sure to tell your doc­tor. Cer­tain med­ica­tions do not go well togeth­er with PrEP. Your phar­ma­cy can also check this for you.

Tip: once you get your pre­scrip­tion, make your next doctor’s appoint­ment right away!

Step 4: Buy your PrEP

You can buy PrEP at the pharmacy. You will need to bring your prescription to the pharmacy.

Unfor­tu­nate­ly, PrEP is not cov­ered by Dutch health insur­ance, so you will have to pay for it your­self. PrEP costs at least some €20 per 30 pills.

PrEP is pro­duced by sev­er­al dif­fer­ent phar­ma­ceu­ti­cal com­pa­nies, with dif­fer­ent brand names and price tags.

Despite the dif­fer­ent brand names, all of the options work equal­ly well. The only excep­tion is Cen­tra­farm, which pos­si­bly has a lim­it­ed expi­ra­tion date. This is only a prob­lem if you do not use PrEP every day. In that case, ask for one of the oth­er brands.

PrEP­nu has made a list of phar­ma­cies which sell PrEP. We looked at the cheap­est option at each of these pharmacies.

This is only a small selec­tion of phar­ma­cies. Every phar­ma­cy should be able to pro­vide you with PrEP for a low price. Ask if there is a cheap PrEP option at your local pharmacy.

If this does not work for you, or your phar­ma­cy does not coop­er­ate, please con­tact PrEP­nu here. We will help you.