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PEP Use
New York State
In 2023, there were 2,451 PEP recipients, a 26% decrease from the peak in 2019.
PEP Use
Notes
- Data Source: NYS Medicaid Data Warehouse (MDW)
- Administrative billing data. Interpret with caution.
- Medicaid Program: Fee for service, managed care status determined at the time of initial PEP claim.
- Age: Ages are calculated at the time of initial Truvada claim for PEP. Data is only shown for individuals ages 13+.
- Sex, Race/ethnicity, Geographic Region: Sex/Race/Region are based on the latest information as of data extract date. Region is based on residence of Medicaid beneficiary. Claims and encounter data are subject to errors and omissions, specifically with regard to the race and ethnicity of recipients.
- Data not shown is suppressed due to small cell sizes.
Additional Notes
- Enrollees counted if filled at least one Truvada and Raltegravir or Dolutegravir within 1 day of each other during the analysis time period.
- Count of beneficiaries are not cumulative and cannot be aggregated across time periods. Counts pertain only to the 6 or 12 month time period within which they are measured.
- Exclusions:
- Having a diagnosis of HIV (ICD-9 042 or V08 and ICD-10 B20 or Z21) which occurred on two separate encounters, 2 years prior to the first use of Truvada.
- Having pharmacy claims for the following ARV agents during the analysis time period: W5C, W5I, W5J, W5K, W5L, W5M, W5N, W5P, W5Q, W5T, W5X, W5Z (therapeutic class).
- Being on Truvada and Raltegravir and Dolutegravir at the same time.