Program details checked October 6, 2026
Your PrEP bill should come to $0.00
PrEP lowers the chance of getting HIV from sex by about 99% when taken as prescribed. In the U.S., most people can get the medication, the lab tests and the visits without paying. The receipt shows who covers each part.
FreePrEP.orgYour PrEP, itemized
Checked
Oct 6, 2026
- Medication$0.00Your health plan. Most private plans must cover PrEP with no copay or deductible.
- HIV & STI tests$0.00Your plan. Required PrEP lab work is part of the covered service.
- Clinician visits$0.00Your plan, or a $0 telehealth service that bills it for you.
- Surprise copay$0.00Gilead or ViiV copay programs cover leftover drug costs for eligible commercially insured patients.
Plans can require prior approval or a preferred drug.
See the insured path- Medication$0.00Gilead Advancing Access or the ViiV Patient Assistance Program, if you meet their income rules.
- HIV & STI tests$0.00State PrEP programs, community health centers or some telehealth services.
- Clinician visits$0.00Community health centers charge on a sliding scale, often $0. Some telehealth services cover visits.
- Getting the pills$0.00Assistance programs and many telehealth services mail medication to you.
You'll usually need proof of income and residency.
See the uninsured path- Yeztugo or Apretude$0.00Your plan, a Gilead or ViiV copay program, or manufacturer patient assistance. Some plans don't cover Yeztugo yet or charge cost-sharing.
- Injection visits$0.00Given in person. Gilead's copay program pays up to $100 per Yeztugo visit for eligible insured patients.
- HIV tests$0.00Required before each shot. Covered by your plan, a clinic or a state program.
- How often2–7/yrYeztugo every 6 months. Apretude every 2 months after two starter shots a month apart, so 7 in the first year.
Check your plan covers the shot, and ask where it's given.
See injectable optionsWhat changed this fall
PrEP access shifts every few months. Here's what moved since our summer check and what it means for you.
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Grindr is buying the company behind Freddie
Grindr announced a $250 million deal for PurposeMed, which runs the Freddie PrEP telehealth service, and plans a new Grindr Health division. The deal is expected to close by the end of 2026. If you get PrEP through Freddie, watch for emails about account or privacy changes.
Compare online PrEP providers -
New members appointed to the task force behind $0 coverage
HHS named eight new members to the U.S. Preventive Services Task Force. Its PrEP recommendation is what requires most private plans to cover PrEP with no cost-sharing. That recommendation has not changed. We'll update this page if it does.
Why insurers must cover PrEP -
D.C., Massachusetts and Delaware add PrEP protections
According to the HIV+Hepatitis Policy Institute, the three now protect PrEP coverage without cost-sharing or prior authorization, including the newer long-acting shots.
Check your state's rules
Online PrEP providers, side by side
Telehealth handles the visit, the lab kit and delivery. Listed alphabetically. No provider pays for placement or ranking on FreePrEP.org.
| Provider | What you pay, per the provider | At-home lab kits | Help if uninsured | Worth knowing |
|---|---|---|---|---|
| Freddie | $0 for most patients | Yes | Yes | Being acquired by Grindr; the deal was announced Oct 2, 2026. |
| MISTR | $0, with or without insurance | Yes | Yes | Also offers STI testing, DoxyPEP and HIV care. |
| Nurx | $30 consult, plus lab fees | Yes | Fees apply | Nurx lists lab fees of $94–$164 without insurance. |
| Q Care Plus | $0 for most insured patients | Yes | Limited | Available in select states. |
Costs are what each provider publishes. Confirm on the provider's site before you sign up. Local clinics and state programs are often $0 too; find yours by state.
Assistance programs right now
Manufacturer and charity programs fill the gaps insurance leaves. Status as of October 6, 2026.
- OpenHow to apply
Gilead Advancing Access: medication assistance
Free Gilead PrEP medication for eligible people without insurance who live in the U.S., Puerto Rico or a U.S. territory. Enrollment lasts up to 12 months, with eligibility checks along the way. Call 1-800-226-2056.
- OpenCopay card guide
Gilead copay savings program
For eligible commercially insured patients: up to $8,000 a year for Yeztugo, including up to $100 per injection visit, and up to $7,200 a year for Descovy or Truvada.
- OpenApretude costs
ViiVConnect for Apretude
ViiV's access coordinators check what your plan covers, enroll insured patients in savings programs and find options if you're uninsured. Call 1-844-588-3288.
- Opens and closesLive fund status
TotalAssist: HIV treatment and prevention fund
Copay, coinsurance and deductible help for people with Medicare, Medicaid or TRICARE who meet income limits. Run by Patient Advocate Foundation since July 2026. Funds open and close as donations allow, so check the live status before you apply.
- EndedWhat replaced it
Ready, Set, PrEP
The federal program ended in July 2025 and has no direct replacement. Some websites still list it as active.
Free PrEP help in every state
State PrEP assistance programs, Medicaid rules, community clinics and the fastest $0 path where you live.
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Guides people read most
- How to get PrEP for freeEvery $0 route, with and without insurance.
- PrEP without insuranceAssistance programs, clinics and what to bring.
- Injectable PrEPYeztugo and Apretude: schedules, coverage and where to get the shot.
- What PrEP really costsList prices versus what people actually pay.
- Descovy vs. TruvadaSide effects, cost and who should take which.
- How to get PEP after an exposureThe 72-hour window and where to go tonight.
Questions people ask before starting
Can I really get PrEP for $0?
Many people can. Most private health plans must cover PrEP without cost-sharing, and manufacturer assistance, state programs, community health centers and some telehealth providers cover people without insurance. Check all four costs: medication, lab tests, clinician visits and, for shots, the injection visit.
Can I get PrEP without insurance?
Yes. Gilead Advancing Access and the ViiV Healthcare Patient Assistance Program provide medication to eligible uninsured people. State PrEP programs, community health centers and some telehealth providers can cover the labs and visits.
Can injectable PrEP be done entirely online?
No. Screening and insurance checks can start online, but Apretude and Yeztugo injections must be given in person by a healthcare professional. Ask where your shot will be given before you enroll.
What if I may have been exposed already?
PrEP is for before an exposure. After a possible exposure you need PEP, which must start as soon as possible and no later than 72 hours after the exposure. Go to urgent care, an emergency department or a healthcare provider right away.
Does PrEP prevent other STIs?
No. PrEP prevents HIV only. It does not prevent gonorrhea, chlamydia or syphilis. Regular STI testing and other prevention, such as condoms or DoxyPEP, can help.
Do I have to prove I'm high risk?
No. CDC guidance says clinicians should prescribe PrEP to anyone who asks for it, including people who don't report a specific risk. You still need an HIV test and a clinical check before starting.
How we checked this page
On October 6, 2026 we rechecked program terms and news on this page against the sources below. Eligibility, formularies and charity funding can change without notice, so confirm with the program before you apply. Read our editorial policy.