Our facility uses Truvada as post-exposure prophylaxis med. Our process was to give the patient a 5 day supply of Isentress and Truvada at the emergency encounter to last them until they could be seen and evaluated by Occupational Health. The issue is that Truvada is a moisture-sensitive medication and the manufacturer states it can only be dispensed in the original container. We contacted the manufacturer and they would not recommend ANY time out of the original container. There is no unit-dose Truvada commercially available so that is not an option.

Has anyone else come up with a process to address this? Have you found any literature to support any other packaging?

We have had to go to dispensing 5 tabs in the original container and DISCARDING the remaining 25 (or contacting the occupational health provider and changing the rx to 30 tabs if appropriate). Considering the cost $$$$ of this med, this borders on the insane.

Let me know if you've come up with a solution to this mess.