How to Get PrEP for Free in Miami in 2026

Miami's HIV landscape

The Miami-Fort Lauderdale metro has the highest HIV diagnosis rate in the country at 30.8 per 100,000 — nearly triple the national average. Florida as a whole ranks 3rd nationally in HIV diagnosis rates, and Miami-Dade concentrates a disproportionate share of that burden. The county has significant Haitian, Cuban, and Latin American immigrant populations, creating complex access considerations. Federal EHE priority jurisdiction status brings additional prevention funding, though federal HIV funding has come under significant pressure in 2025-2026.

Three main pathways to free PrEP in Miami

Pathway 1: Florida Department of Health — Miami-Dade County

Florida does not have a formal state PrEP Drug Assistance Program, but the Florida Department of Health operates PrEP services through county health departments. Miami-Dade County has multiple locations providing PrEP regardless of insurance status.

• Miami-Dade FDOH main line: 305-324-5052
• Services: Free PrEP medication, HIV/STI testing, referrals; serves patients regardless of documentation status
• Website: miamidade.floridahealth.gov

Pathway 2: Care Resource Community Health Centers

Care Resource is South Florida's largest LGBTQ+-focused federally qualified health center, with multiple Miami locations. Provides PrEP on sliding-scale basis with most patients paying $0.

• Phone: (305) 576-1234
• Services: PrEP, PEP, gender-affirming care, HIV testing and treatment, STI treatment
• Website: careresource.org
• Populations served: LGBTQ+, Latino communities, uninsured

Pathway 3: Online telehealth platforms

Online telehealth platforms like MISTR provide free PrEP delivered to any Miami address — including consultation, labs, and medication — regardless of insurance status. For many Miami residents, this is the fastest path to $0 PrEP, especially for people who prefer privacy or can't make a daytime clinic appointment.

Miami-area providers to know

State-level programs and links

Miami residents benefit from Florida's broader PrEP infrastructure. For state-level programs, eligibility details, and statewide resources, see our Florida PrEP guide or the complete state-by-state directory.

Florida-specific notes: Florida has NOT expanded Medicaid, so Medicaid eligibility is limited to specific populations (parents, disabled, pregnant women, etc. under low income limits). This creates a significant coverage gap for low-income childless adults. Florida's permissive telehealth laws make telePrEP one of the most accessible pathways for Floridians without Medicaid eligibility.

Special populations in Miami

If you're undocumented: Florida Department of Health Miami-Dade clinics generally serve regardless of documentation. Care Resource serves undocumented residents. MISTR requires no insurance, ID, or documentation. Gilead Advancing Access serves undocumented patients for Descovy and Yeztugo. Note: Florida has passed legislation creating a hostile climate for undocumented residents, which can create chilling effects on care-seeking.

If you're a minor: Florida Statute §384.30 allows minors of any age to consent to STI examination and treatment. PrEP is not expressly covered in the statute, but many providers interpret the STI consent framework to include PrEP.

If you're transgender: Gender-affirming care for minors is banned in Florida. A "License to Discriminate" law allows provider refusal. PrEP itself isn't restricted, but the hostile climate deters care-seeking. Trans-affirming telehealth options (FOLX Health, Q Care Plus) provide privacy.

Frequently asked questions