Free PrEP in Portland
Portland anchors Oregon's HIV prevention infrastructure. Pharmacists can prescribe PrEP under Oregon's Protocol Compendium — expanded by SB 295 effective January 2026. Cascade AIDS Project, Oregon's oldest HIV organization, and Outside In provide PrEP navigation and youth-focused services. Multnomah County accounts for roughly half of Oregon's HIV diagnoses.
HIV at a Glance
~250 new diagnoses/yr statewide · Multnomah County ~50% of cases · ~8,000 PLWH
Fastest Path to Free PrEP in Portland
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 Oregon Health Plan (OHP)
PrEP covered at $0 via Oregon Health Plan (OHP). Enroll: oregonhealthcare.gov or 1-800-699-9075.
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 →Oregon Programs & Assistance
Oregon provides state-funded Medicaid to income-eligible undocumented adults through the Cover All People expansion — a critical safety net unavailable in most states.
Clinics & Community Resources
Cascade AIDS Project (CAP)
520 NW Davis St, Suite 215
Oregon's oldest and largest HIV services org. PrEP navigation, HIV testing, case management.
Outside In
1132 SW 13th Ave
PrEP, HIV/STI testing, and harm reduction. Serves youth and young adults.
Multnomah County STD Clinic
426 SW Stark St
Free STI/HIV testing and PrEP referrals.