PrEP program status tracker
Which assistance programs, coverage rules and providers are working right now. Every row shows the date we last confirmed it.
Drugmaker programs
- Open
Gilead Advancing Access: medication assistance
Free Gilead PrEP medication for eligible people without insurance who live in the U.S., Puerto Rico or a U.S. territory. Enrollment lasts up to 12 months, with eligibility checks along the way. Call 1-800-226-2056.
Confirmed Oct 6, 2026 on gileadadvancingaccess.com
- Open
Gilead copay savings program
For eligible commercially insured patients: up to $8,000 a year for Yeztugo, including up to $100 per injection visit, and up to $7,200 a year each for Descovy and Truvada. No monthly cap.
Confirmed Oct 6, 2026 on gileadadvancingaccess.com
- Open
ViiVConnect for Apretude
ViiV's access coordinators check what your plan covers, enroll insured patients in savings programs and look for options if you're uninsured. Call 1-844-588-3288.
Confirmed Oct 6, 2026 on viivconnect.com
- Ended Jan 2025
Truvada in Gilead's patient assistance program
Gilead stopped covering Truvada through its patient assistance program on January 31, 2025 (new enrollments closed December 31, 2024), citing broad generic availability. Generic PrEP is still widely covered by insurance and sold at low cash prices. See generic Truvada costs.
Historical record
Coverage rules
- In effect, watching
No-cost PrEP on most private insurance
Most private plans must cover PrEP, plus the related tests and visits, with no cost-sharing. The Supreme Court upheld the system behind this rule in June 2025. HHS appointed eight new members to the U.S. Preventive Services Task Force on September 17, 2026. The PrEP recommendation, last updated in 2023, hasn't changed. Because Yeztugo was approved after that, federal rules don't yet clearly require $0 coverage for it, and some plans don't cover it or charge cost-sharing.
Confirmed Oct 6, 2026
- In effect
Medicare Part B PrEP coverage
Medicare Part B covers FDA-approved PrEP medication with no cost-sharing under a national coverage decision finalized in 2024. See PrEP and Medicare.
Confirmed Oct 6, 2026
- Ended July 2025
Ready, Set, PrEP
The federal free-PrEP program stopped new enrollments July 30, 2024 and ended July 18, 2025. There's no federal replacement. What to use instead.
Historical record
Charity copay funds
- Opens and closes
TotalAssist: HIV treatment and prevention fund
Patient Advocate Foundation and PAN Foundation combined their programs into TotalAssist on July 1, 2026. This fund helps people with Medicare, Medicaid or TRICARE who meet income limits pay copays, coinsurance and deductibles. It doesn't list private insurance as eligible. Funds open and close as donations allow. Check the live status before you apply, or call 1-866-512-3861.
Eligibility confirmed Oct 6, 2026; live status changes daily
- Opens and closes
Good Days
Copay help for some Medicare and military health plan members, subject to income limits. The fund opens and closes based on available money.
Last confirmed March 2026
Online PrEP providers
- Ownership changing
Freddie
Grindr announced on October 2, 2026 that it will buy PurposeMed, Freddie's parent company, for $250 million and fold it into a new Grindr Health division. The deal is expected to close in the fourth quarter of 2026.
Confirmed Oct 6, 2026
- Operating
MISTR
Says it offers free online visits, lab work, STI testing and medication delivery, with or without insurance.
Confirmed Oct 6, 2026 on heymistr.com
- Operating
Q Care Plus
$0 for most insured patients through community partner organizations. Limited help for uninsured patients, and not in every state.
Last confirmed May 2026
- Fees apply
Nurx
Charges a $30 consultation fee plus lab fees, which Nurx lists at $94–$164 without insurance.
Confirmed Oct 6, 2026 on nurx.com
Full details and methods: compare online PrEP providers.
State programs
- New protections
D.C., Massachusetts and Delaware
All three now protect PrEP coverage without cost-sharing or prior authorization, including long-acting shots, according to the HIV+Hepatitis Policy Institute.
Announced Sep 2, 2026
- Varies by state
State PrEP assistance programs
Many states run their own PrEP assistance programs, covering some mix of medication, lab work and visits. What's covered, and who qualifies, varies a lot. Others help through Medicaid, community clinics and local programs. Check your state.
Details on each state page
Program rules change without notice. Confirm eligibility with the program before you apply. Know of a change? Tell us.