TL;DR
Seattle residents have strong free PrEP access. Your fastest paths: MISTR telehealth (statewide, $0 all-inclusive), Gay City + Kelley-Ross Pharmacy partnership, Public Health — Seattle & King County STD Clinic at Harborview, and WA State PrEP DAP for residents up to 500% FPL. Washington Apple Health (Medicaid) covers PrEP at $0. King County also has leading doxy-PEP guidance — Seattle showed an ~46% decline in early syphilis among MSM following rollout.
The Seattle HIV picture
King County has been a leader in HIV prevention for decades — early to implement 340B-based delivery models, early to endorse U=U, and early to issue doxy-PEP guidance (updated January 2025). Population-level data showed an ~46% decline in early syphilis among MSM since local doxy-PEP guidance was released. Washington's PrEP DAP has been operating for years and serves as a model for other states. The combination of state program + strong local public health + pharmacist-partnered access models makes Seattle unusually well-served.
Your fastest paths to $0 PrEP in Seattle
- MISTR telehealth — Statewide, $0 medication, labs, and consults. Particularly valuable for rural WA residents but equally useful in Seattle.
- Gay City + Kelley-Ross Pharmacy — Gay City's certified PrEP Navigators coordinate testing and refer to Kelley-Ross for pharmacist-run PrEP prescribing. If you're uninsured, get PrEP DAP approval letter first to lower out-of-pocket costs. Call Gay City at (206) 860-6969.
- WA State PrEP DAP — Covers generic PrEP medication, labs, and visits for WA residents up to 500% FPL. Contracted providers/labs required. Serves uninsured and underinsured.
- Public Health — Seattle & King County STD Clinic at Harborview — DOH-funded PrEP clinic services on sliding-scale. Call (206) 744-3590.
- Apple Health (Medicaid) — All adults up to 138% FPL qualify. PrEP, labs, and visits at $0.
Start PrEP today from anywhere in Seattle
MISTR ships to anywhere in Washington — Capitol Hill, Ballard, Fremont, Queen Anne, Bellevue, Tacoma, and beyond. $0 medication, labs, and consults. First prescription typically ships within 24–48 hours.
ANDR735
Using this code helps keep FreePrEP.org running and connects more people to free PrEP.
Start with MISTR →Washington state programs that pay for PrEP
Washington PrEP DAP covers generic PrEP medication, labs, and visits for WA residents up to 500% FPL (~$6,650/month gross income for an individual in 2026). Coverage requires contracted providers and labs. If uninsured, you should have PrEP DAP approval letter in hand before scheduling appointments — this avoids upfront costs.
Apple Health (WA Medicaid) covers PrEP at $0 for all adults up to 138% FPL. Generic TDF/FTC, Descovy, and Apretude are all available on the formulary. Enrollment: wahealthplanfinder.org or 1-855-923-4633.
WA DOH Office of Infectious Disease coordinates HIV prevention statewide and maintains the Washington PrEP Prescribers Interactive Map at fortress.wa.gov/doh/prepgis/index.html — a valuable tool for finding PrEP providers in any zip code.
Pharmacist authority note: Unlike some western states, Washington does not currently have standalone pharmacist PrEP prescribing authority. However, pharmacist-run clinics like Kelley-Ross operate under collaborative practice agreements that function similarly.
Looking for the full Washington guide?
We have a dedicated page with every clinic, program, and telehealth option across the state.
Key clinics in Seattle
Seattle's primary LGBTQ+ center and PrEP navigation hub. Certified PrEP Navigators on staff. HIV/STI testing, PrEP appointment scheduling, and partnership with Kelley-Ross Pharmacy for affordable prescribing.
Pharmacist-run PrEP clinic in partnership with Gay City. PrEP start visit is $60–$250 out of pocket, reducible with Gay City testing first and/or PrEP DAP approval. Accepts managed Medicaid plans (not fee-for-service Medicaid).
DOH-funded PrEP clinic services with sliding-scale fees. Anchor public health resource for HIV/STI prevention in Seattle.
PrEP via telehealth and in-person at multiple locations. Core resource for women and across the gender spectrum.
Free HIV testing and PrEP services.
Telehealth options for Seattle residents
Washington has permissive telehealth laws and no specific restrictions on PrEP telehealth prescribing. Most national platforms serve Seattle, and MISTR is the cleanest all-inclusive option.
MISTR covers medication, quarterly lab work, consultations, and delivery at $0 in all 50 states. Works for insured and uninsured patients alike. Oral and injectable PrEP available. First prescription typically in 24–48 hours.
All available in Washington. FOLX integrates PrEP with HRT for trans patients. Compare options on our provider comparison page.
Not sure which path is right for you?
Use our eligibility tool — four questions, 60 seconds, no sign-up. We'll match you with every free PrEP program you qualify for in Washington.
Start the Eligibility Tool →Special situations in Seattle
If you want doxy-PEP for STI prevention
Seattle/King County has been a national leader in doxy-PEP rollout, issuing local guidance early (updated January 2025) and showing ~46% declines in early syphilis among MSM since. Doxy-PEP is a single dose of doxycycline taken within 72 hours after condomless sex — it cuts syphilis and chlamydia by ~80%. Gay City and Public Health — Seattle & King County both prescribe. See our doxy-PEP guide and free PrEP + doxy-PEP online guide.
If you're a minor
Washington allows minors to consent to STI/HIV testing and treatment. Youth-focused clinics like Gay City partner with providers who prescribe to adolescents. See our PrEP as a Minor guide.
If you're transgender
Seattle has strong trans-affirming PrEP access through Gay City, Kelley-Ross, and telehealth platforms like FOLX Health (HRT + PrEP). See our PrEP for Transgender Women guide.
If you're undocumented
FQHCs serve everyone regardless of immigration status. Gilead Advancing Access accepts undocumented patients. MISTR doesn't require documentation. See our PrEP for Undocumented Immigrants guide.
If you need PEP instead
If you've had a potential HIV exposure in the last 72 hours, you need PEP, not PrEP. Every Seattle ER (Harborview, UWMC, Virginia Mason, Swedish) can prescribe PEP. Public Health — Seattle & King County also offers PEP access. State clearly: "I had a potential HIV exposure in the last 72 hours and need PEP." Don't wait for HIV test results. After your 28-day PEP course, your provider should transition you to PrEP for ongoing protection — see our How to Get PEP guide.
Bottom line
Seattle has excellent free PrEP access. Between WA PrEP DAP's 500% FPL eligibility, Gay City's partnership with Kelley-Ross Pharmacy, Harborview's public STD clinic, Apple Health Medicaid, and national telehealth platforms like MISTR, every Seattle resident has multiple $0 pathways. If you're insured, use Gay City or any PrEP provider. If you're uninsured, apply to WA PrEP DAP first for the approval letter, then connect to a provider. If you want everything online, use MISTR.
Ready to start PrEP?
MISTR ships to anywhere in Seattle and the rest of Washington. $0 medication, labs, and consults — insured or not.
ANDR735
Using this code helps keep FreePrEP.org running and connects more people to free PrEP.
Get Started with MISTR →