PrEP is reimbursed in Lithuania — you get the medication at significantly reduced cost through the national health system. Access goes through an infektologas (infectious disease specialist) at one of the approved centres. This is one of the more accessible PrEP systems in the Baltic and Central European region.
The Key Facts
- PrEP is reimbursed through Lithuania's national drug reimbursement system
- Prescription required from an infektologas at an authorised centre
- Patient co-pay is a fraction of the medication cost
- Monitoring every 3 months required
Where to Get PrEP
Santaros Klinikos — Infektologijos centras (Infectious Diseases) Santariškių g. 14, Vilnius Santaros is the primary centre for PrEP in Lithuania. The infectious disease outpatient clinic (poliklinika) manages PrEP prescriptions and monitoring. Book an appointment with the infektologas.
Kauno Klinikos (Lithuanian University of Health Sciences Hospital) Eivenių g. 2, Kaunas Lithuania's second major clinical university hospital. Kaunas-based gay and bisexual men can access PrEP via the infectious disease department here without needing to travel to Vilnius.
LGL navigation: LGL (lgl.lt) can advise on the current fastest route to a PrEP prescription and may know of other authorised centres.
The PrEP Process
Initial appointment: Your infektologas will take your history, confirm HIV negativity, check kidney function (kreatininas), and screen for hepatitis B and STIs. This is routine and required before starting PrEP.
Prescription: Reimbursed generic tenofovir/emtricitabine (TDF/FTC). You collect from a regular pharmacy (vaistinė) with the reimbursed prescription.
Monitoring: Every 3 months: HIV test, STI panel, kidney function. You can combine this with your Demetra visit for HIV and syphilis, supplementing with a private lab or Santaros for kidney function.
On-Demand PrEP
On-demand dosing (2 tablets 2–24 hours before sex, then 1 tablet for 2 days after) is a valid option for less frequent sex — fewer pills, lower cost even with reimbursement. Discuss with your infektologas whether this suits your pattern.
See PrEP Mechanics for the full detail.
For Non-Residents
If you don't have Lithuanian health insurance (draudimas), reimbursed PrEP is not available. Private prescription: ask Santaros or a private clinic about private-rate prescriptions. Cost without reimbursement: approximately €30–60/month for generics.