Can I Get PrEP Without Insurance?
Yes — and in most cases, for $0. After Ready, Set, PrEP ended in July 2025, the landscape changed. Here's every pathway to free PrEP without insurance in 2026.
Your Options, Ranked by Speed
MISTR Telehealth — fastest, fully free
$0 everything — consultations, at-home labs, medication, delivery. Works in all 50 states. No insurance card needed. No SSN needed. Sign up at heymistr.com. Can have you on PrEP within days.
Gilead Advancing Access — free brand Descovy or Yeztugo
Free medication for uninsured patients with income ≤500% FPL (~$79,800/year individual). No SSN required. Medication ships FedEx overnight. Call 1-800-226-2056 or visit gileadadvancingaccess.com. Note: covers medication only — you still need a provider for prescribing and labs.
ViiVConnect — free injectable Apretude
Free Apretude (bimonthly injection) for uninsured patients under 500% FPL. Call 1-844-588-3288 or visit viivconnect.com.
State PrEP Drug Assistance Program (12 states)
California, Colorado, DC, Illinois, Indiana, Iowa, Massachusetts, New Mexico, New York, Oklahoma, Virginia, and Washington operate state-funded PrEP programs. Coverage varies — some cover medication + labs + visits; others cover medication only. Find your state's details →
Federally Qualified Health Centers (FQHCs)
Nearly 1,400 FQHCs at ~15,000 sites nationwide offer sliding-fee services. Many prescribe PrEP. Find one at findahealthcenter.hrsa.gov. Costs are based on income — often $0.
What Changed in 2025
The workaround: if you're uninsured and in a state without a PrEP DAP, your best options are telehealth (MISTR provides everything at $0 through 340B partnerships) or Gilead Advancing Access (which covers brand Descovy and Yeztugo, but not generic). The cost paradox is real — the $2,000/month brand drug is easier to get free than the $30/month generic.
Skip the cost — get PrEP delivered free with MISTR
MISTR provides $0 PrEP in all 50 states — consultations, at-home labs, medication, and delivery included. Works with or without insurance.
ANDR735
Using this code helps sustain FreePrEP.org and fund free PrEP access for others.
Special Situations
Undocumented Residents
Students
Minors
Should I Just Get Insurance?
If you're eligible, yes — insurance simplifies everything. Under the ACA, all private plans must cover PrEP at $0, and Medicaid expansion (available in 40 states + DC) covers adults up to 138% FPL with PrEP at $0. Open enrollment for ACA marketplace plans typically runs November through January, with year-round enrollment available through Medicaid.
But don't wait for insurance to start PrEP. The options above — especially MISTR and Gilead Advancing Access — can get you covered within days while you work on longer-term insurance enrollment.