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; MISTR telehealth (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
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.
PrEP is covered as a preventive service. Enroll at marylandhealthconnection.gov or call 1-855-642-8572.
Maryland's PrEP program covers medication, lab work, and clinical visits for uninsured residents. Administered through local health departments and Ryan White clinics.
Free PrEP delivered to your Baltimore address — consultation, labs, and medication at $0. No clinic visit required.
Get free PrEP delivered anywhere in Baltimore
MISTR operates across all of Maryland — PrEP delivered to your Baltimore address with no clinic visit required. Free consultation, free labs (at-home or local), and discreet home delivery.
Start free consultation →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.
Baltimore-area providers to know
Chase Brexton Health Care
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
Free STI/HIV testing, PrEP services, and PrEP navigation. Multiple clinic locations.
Johns Hopkins — Center for HIV Care
PrEP and comprehensive HIV care through one of the nation's leading research institutions.
Total Health Care
Multiple Baltimore locations. Primary care including PrEP services. Sliding-scale fees.
Skip the clinic wait — get PrEP delivered in Baltimore
MISTR ships free PrEP to Baltimore 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 →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
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.
Not sure which Baltimore 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 Baltimore provider.
Get started with MISTR →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 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.
Does MISTR work in Baltimore?
Yes. MISTR operates statewide in Maryland and delivers to any Baltimore-area address. Free consultation, at-home or local labs, and discreet medication delivery.
Related guides
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.