Free PrEP in St. Louis
Missouri is a statewide EHE priority jurisdiction — one of only 7 states designated for substantial rural HIV burden. St. Louis anchors the state's HIV infrastructure, but the legislative environment is among the nation's most hostile: 67 anti-trans bills tracked in 2025, gender-affirming care banned at all ages via Medicaid. Thirteen Missouri counties rank in the CDC's top 5% most vulnerable to HIV outbreaks. EHE funding has established 3 new PrEP clinics in previously unserved rural southeast Missouri.
HIV at a Glance
~600 new diagnoses/yr · 13 counties in CDC top 5% vulnerability · EHE statewide
Fastest Path to Free PrEP in St. Louis
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 MO HealthNet
PrEP covered at $0 via MO HealthNet. Enroll: mydss.mo.gov or 855-373-4636.
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 St. Louis
MISTR provides free telehealth PrEP in Missouri — 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.
Missouri Programs & Assistance
Missouri expanded Medicaid in 2021. MO HealthNet covers PrEP at $0 as a preventive service. However, Missouri's anti-LGBTQ+ legislative environment creates a chilling effect on accessing sexual health services.
Clinics & Community Resources
Planned Parenthood Great Rivers
St. Louis
PrEP at all locations and via telehealth for MO and IL residents.
Vivent Health St. Louis
St. Louis
PrEP, testing, case management, pharmacy. Formerly AIDS Foundation.
Vivent Health Kansas City
Kansas City
Serves KC metro including Kansas residents.
AIDS Project of the Ozarks
1636 S. Glenstone Ave, Suite 100, Springfield
Walk-in testing Mon-Thu. PrEP for uninsured on sliding scale. Covers 29 SW Missouri counties.