Skip to main content

Possible HIV exposure in the last 72 hours? You need PEP, not PrEP. Get PEP guidance now

City Guide Published April 22, 2026 · 6 min read

How to Get PrEP for Free in Baltimore in 2026

Baltimore City is an EHE priority jurisdiction with one of the highest HIV prevalence rates on the East Coast. Chase Brexton Health Care is the anchor LGBTQ+ health provider, and the Baltimore City Health Department operates comprehensive sexual health services. Here's every pathway to $0 PrEP in Baltimore.

TL;DR

Free PrEP in Baltimore: Maryland PrEP Program (state program); Maryland Medicaid covers PrEP as preventive service; telehealth PrEP (free statewide, no clinic visit); and Gilead Advancing Access (free medication for uninsured, ≤500% FPL). See our Maryland PrEP guide for complete state-level details.

Pathways to free PrEP in Baltimore

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
If on Maryland Medicaid

PrEP is covered as a preventive service. Enroll at marylandhealthconnection.gov or call 1-855-642-8572.

3
If uninsured — apply for Maryland PrEP Program

Maryland's PrEP program covers medication, lab work, and clinical visits for uninsured residents. Administered through local health departments and Ryan White clinics.

4
Use telehealth PrEP

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

Baltimore-area providers to know

Chase Brexton Health Care

FQHC / LGBTQ+ Health

Baltimore's primary LGBTQ+ health center. PrEP, HIV care, primary care, behavioral health, gender-affirming care. Multiple locations. Sliding-scale fees. chasebrexton.org

Baltimore City Health Department — Sexual Health Clinics

City Health Department

Free STI/HIV testing, PrEP services, and PrEP navigation. Multiple clinic locations.

Johns Hopkins — Center for HIV Care

Academic Medical Center

PrEP and comprehensive HIV care through one of the nation's leading research institutions.

Total Health Care

FQHC

Multiple Baltimore locations. Primary care including PrEP services. Sliding-scale fees.

State-level programs and links

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

Special populations in Baltimore

If you're undocumented: Maryland PrEP Program may serve undocumented residents — check eligibility. 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 Baltimore offer trans-affirming PrEP care. See our Maryland guide for specific trans-affirming providers.

Frequently asked questions

Can I get free PrEP in Baltimore without insurance?

Yes. MISTR provides free telehealth PrEP delivered to any Baltimore address. Maryland PrEP Program covers PrEP costs for eligible residents. Gilead Advancing Access provides free medication for uninsured patients under 500% FPL. Local FQHCs serve patients on sliding-scale fees.

Does Maryland Medicaid cover PrEP?

Yes. Maryland Medicaid covers PrEP as a preventive service. Enroll at marylandhealthconnection.gov or call 1-855-642-8572.

Related guides

Sources & last updated
Information sourced from state and county health departments, CDC, NASTAD, AIDSVu, and verified provider websites. Last updated October 6, 2026.

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