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PrEP program status tracker

Which assistance programs, coverage rules and providers are working right now. Every row shows the date we last confirmed it.

Updated October 6, 2026

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.