Free PrEP in Nashville
Nashville (Davidson County) is an EHE priority jurisdiction navigating a funding crisis. In 2023, Governor Lee returned $8.3M in CDC HIV prevention grants. The CDC rerouted $4M to United Way of Greater Nashville, but that grant expired July 2025. Despite this, Music City PrEP Clinic has served 18,000+ patients since 2019 with a goal of $0 out-of-pocket for everyone — and their Tele-PrEP program covers the entire state.
HIV at a Glance
~710 new infections/yr statewide · ~20,200 PLWH · 41 counties at IDU outbreak risk
Fastest Path to Free PrEP in Nashville
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
TennCare — limited eligibility. See special note below. Enroll: TennCareConnect.tn.gov or 855-259-0701.
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 →Tennessee Programs & Assistance
Tennessee has NOT expanded Medicaid. Childless adults have no coverage pathway. TennCare is limited to parents at ≤105% FPL, pregnant women, and aged/blind/disabled individuals.
Clinics & Community Resources
Music City PrEP Clinic
Multiple locations + Tele-PrEP
18,000+ patients since 2019. $0 out-of-pocket goal. In-clinic and statewide telehealth.
Nashville CARES
633 Thompson Lane
PrEP navigation, testing, case management. 24-hr hotline: (615) 761-4474.
Vanderbilt PrEP Clinic
Nashville
Comprehensive PrEP services through Vanderbilt University Medical Center.
Metro Nashville Sexual Health Center
2500 Charlotte Ave (Lentz Public Health Center)
$10 per visit regardless of insurance.