Free PrEP in Birmingham
Alabama is a statewide EHE priority jurisdiction — one of only 7 states designated for substantial rural HIV burden. Birmingham's UAB 1917 Clinic is the largest HIV healthcare unit in Alabama with 3,600+ patients, and AIDS Alabama's Living Well PrEP Clinic provides PrEP for uninsured patients including gender-affirming care. Alabama has not expanded Medicaid, leaving an estimated 128,000-340,000 adults in the coverage gap. MISTR's quarterly fee is waived in Alabama — completely free consultations, labs, medication, and delivery.
HIV at a Glance
EHE statewide · ~128,000-340,000 in Medicaid coverage gap · 52% people of color
Fastest Path to Free PrEP in Birmingham
Start with MISTR (fastest)
Free telehealth PrEP — consultations, at-home labs, medication delivery, all at $0. Works whether you have insurance or not. No ID required.
If you have insurance
PrEP is legally free under the ACA (upheld June 2025). Your insurer must cover medication, labs, and visits at $0. If charged, file a complaint with your state insurance commissioner.
Check Medicaid eligibility
Alabama Medicaid — limited eligibility. See special note below. Enroll: medicaid.alabama.gov.
If uninsured: Gilead Advancing Access
Free medication for uninsured at ≤500% FPL. No immigration requirement. Covers Truvada, Descovy, and Yeztugo. Call 1-800-226-2056. Pair with an FQHC for free labs.
Compare PrEP access options
Telehealth providers, local clinics, state programs, Medicaid, and manufacturer assistance can all be valid routes. Compare cost, lab method, medication options, location, privacy, and follow-up instead of defaulting to one provider.
Compare providers and programs →Alabama Programs & Assistance
Alabama has NOT expanded Medicaid. Parents must earn under 18% FPL (~$4,650/yr). Childless adults are categorically ineligible. MISTR is free in Alabama — the best option for uninsured residents.
Clinics & Community Resources
UAB 1917 Clinic / PrEP Clinic
3220 5th Ave S, Dewberry Building, 2nd Floor
Largest HIV unit in Alabama (3,600+ patients). ALL PrEP options including injectable Apretude and DoxyPEP. Walk-in HIV testing.
AIDS Alabama — Living Well PrEP Clinic
3522 7th Ave South
PrEP including for uninsured, HIV/STI testing, gender-affirming care. Houses Alabama Latino AIDS Coalition.
Medical Advocacy & Outreach (MAO)
Montgomery, Dothan, Selma + 11 satellite clinics
Largest org of its kind in South Alabama. 28 counties. Alabama e-Health telemedicine.
Thrive Alabama
3500 Memorial Parkway SW, Huntsville
PrEP, HIV care, pediatrics, ThriveMobile. Also Florence and Albertville.