City Guide Published April 22, 2026 · 6 min read

How to Get PrEP for Free in Austin in 2026

Travis County is an EHE priority jurisdiction. Austin's HIV prevention is anchored by Kind Clinic (their flagship location), ASHWell, and Austin Public Health's STI Clinic. Here's every pathway to $0 PrEP in Austin.

TL;DR

Free PrEP in Austin: Texas Medicaid has limited eligibility; MISTR telehealth (free statewide, no clinic visit); and Gilead Advancing Access (free medication for uninsured, ≤500% FPL). See our Texas PrEP guide for complete state-level details.

Pathways to free PrEP in Austin

1
If insured (private)

PrEP is covered at $0 under the ACA — medication, labs, and visits. Use the Gilead Co-Pay Coupon (1-877-505-6986) for any remaining costs.

2
Texas has not expanded Medicaid

Texas Medicaid has limited eligibility. Many low-income adults fall into the coverage gap. FQHCs, MISTR, and Gilead Advancing Access are your best options if uninsured.

3
If uninsured — use MISTR or Gilead Advancing Access

Texas has no state PrEP-DAP and has not expanded Medicaid. Apply for Gilead Advancing Access for free Descovy or Yeztugo if you earn under 500% FPL. Call 1-800-226-2056.

4
Use MISTR telehealth

Free PrEP delivered to your Austin address — consultation, labs, and medication at $0. No clinic visit required.

Get free PrEP delivered anywhere in Austin

MISTR operates across all of Texas — PrEP delivered to your Austin address with no clinic visit required. Free consultation, free labs (at-home or local), and discreet home delivery.

Start free consultation →
ANDR735

Using this code at signup helps us achieve our mission of getting free PrEP out to all who need it. MISTR's $0 PrEP is funded through insurance reimbursement and 340B program partnerships — you pay nothing whether you have insurance or not.

Austin-area providers to know

Kind Clinic Austin — flagship

LGBTQ+ Health Clinic

Kind Clinic's original location. Walk-in PrEP, STI testing, doxy-PEP, gender-affirming care. Sliding-scale fees — most patients pay $0. Top PrEP prescriber in Texas. kindclinic.org

ASHWell Sexual Health & Wellness Center

ASO

Free HIV/STI testing and PrEP navigation. LGBTQ+ focused. ashwelltx.org

Austin Public Health — STI Clinic

City Health Department

Free and low-cost STI/HIV testing. PrEP referrals and navigation.

CommUnityCare Health Centers

FQHC

Multiple Austin locations. PrEP and primary care. Sliding-scale fees for uninsured patients. communitycaretx.org

Skip the clinic wait — get PrEP delivered in Austin

MISTR ships free PrEP to Austin addresses in 3–5 days. Great option if you want privacy or can't fit a clinic visit into your schedule.

Get started with MISTR →
ANDR735

Using this code at signup helps us achieve our mission of getting free PrEP out to all who need it.

State-level programs and links

Austin residents benefit from Texas's broader PrEP infrastructure. For state-level programs, eligibility details, and additional providers, see our Texas PrEP guide or the complete state-by-state directory.

Special populations in Austin

If you're undocumented: FQHCs serve patients regardless of immigration status. Gilead Advancing Access does not require SSN. MISTR is available without documentation.

If you're transgender: Community health centers and LGBTQ+ providers in Austin offer trans-affirming PrEP care. See our Texas guide for specific trans-affirming providers.

Not sure which Austin option is right for you?

A free MISTR consultation can help you decide. If telehealth works, MISTR handles everything. If you need in-person care, they can direct you to the right Austin provider.

Get started with MISTR →
ANDR735

Using this code at signup helps us achieve our mission of getting free PrEP out to all who need it.

Frequently asked questions

Can I get free PrEP in Austin without insurance?

Yes. MISTR provides free telehealth PrEP delivered to any Austin address. Gilead Advancing Access provides free medication for uninsured patients under 500% FPL. Local FQHCs serve patients on sliding-scale fees.

Does Texas Medicaid cover PrEP?

Texas has not expanded Medicaid. Texas Medicaid has limited eligibility — many low-income adults may not qualify. Use MISTR, Gilead Advancing Access, or a local FQHC instead.

Does MISTR work in Austin?

Yes. MISTR operates statewide in Texas and delivers to any Austin-area address. Free consultation, at-home or local labs, and discreet medication delivery.

Related guides

Sources & last updated
Information sourced from state and county health departments, CDC, NASTAD, AIDSVu, and verified provider websites. Last updated April 22, 2026.

FreePrEP.org is an independent public health resource. We maintain editorial independence from our affiliate partners. Information on this page is for educational purposes and is not medical advice. Always consult a licensed healthcare provider about PrEP.