Free PrEP in Honolulu
Hawaii's island geography creates unique PrEP access challenges. Honolulu (O'ahu) has the vast majority of providers, while residents on Maui, Big Island, Kaua'i, Moloka'i, and Lana'i often have zero local PrEP prescribers. Telehealth is essential — MISTR ships at-home lab kits and medication anywhere in the state. Hawaii Health & Harm Reduction Center (H3RC) anchors Honolulu's prevention efforts with its "Proud and PrEP'd" program. Med-QUEST (Medicaid) covers PrEP at $0.
HIV at a Glance
87 new diagnoses (2024) · ~5.5/100K rate · 5,175 cumulative diagnoses · O'ahu: vast majority
Fastest Path to Free PrEP in Honolulu
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 Med-QUEST
PrEP covered at $0 via Med-QUEST. Enroll: medquest.hawaii.gov or 1-800-316-8005.
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.
Get PrEP delivered free in Honolulu
MISTR provides free telehealth PrEP in Hawaii — consultations, at-home labs, medication, and delivery at $0.
ANDR735Use code ANDR735 when you sign up — it helps keep FreePrEP.org running so others can find free PrEP too.
Hawaii Programs & Assistance
Neighbor island residents (Maui, Big Island, Kaua'i, Moloka'i, Lana'i) face severe geographic barriers. Travel to O'ahu for specialty care is common but costly. Telehealth with at-home lab kits is the most practical solution for most neighbor island residents.
Clinics & Community Resources
Hawaii Health & Harm Reduction Center (H3RC)
Honolulu
PrEP services, HIV/STI testing, harm reduction. 'Proud and PrEP'd' events.
Life Foundation
Honolulu
HIV services organization. Testing, case management.
Waikiki Health
Honolulu
FQHC serving diverse populations including tourists and homeless.
Kumukahi Health + Wellness
Big Island
HIV care, PrEP, transgender care. AIAOLA sexual health clinic.