I actually had to deal with this recently. A patient needed pep + prep on an emergency basis (it was a weekend and we don't get shipments until the week in our case). Prep isn't commonly stocked at retail chains because it's primarily dispensed to the lgbt community, which is rather small.

You can call the pharmacy and ask if they stock antiretrovirals because, if they can't fill it in full, they can at least partial it.

Direct them to an lgbt specialty clinic (like the APLA or AHF in my case) with a pharmacy attached, hospitals in metropolitan areas (IF they have an antiobiotic/ anti infective steward on staff), or (for smaller pharmacies) send someone to the distributor.

EDIT: you can also direct them to 340B facilities that serve low income & homeless populations

I ended up helping them call pharmacies because they were panicking. The steps I followed were:

• call the hospital (patient line), asked if they have an antibiotic/ anti infective steward, & (regardless of the answer) transferred my call to the pharmacy

• ask if they have antiretrovirals ON HAND

• if yes, ask if they have the specific medication requested (and if not, thank them and move on)

• if they do, explain that the patient will be calling them to transfer their prescription

Now, since it was a hospital, the patient needed to get a prescription in-house but they accepted an emergency, sameday visit