Fastest Path to Free PrEP
PrEP is covered at $0 under ACA. Use the Gilead Co-Pay Coupon (1-877-505-6986) for any remaining costs.
Parents must earn under 18% FPL (~$4,650/year) to qualify. Childless adults have no pathway. 128,000-340,000 in coverage gap.
Start with MISTR — completely free in Alabama. Or apply to Gilead Advancing Access: 1-800-226-2056.
Largest HIV clinic in Alabama (3,600+ patients). Offers ALL PrEP options including injectable and DoxyPEP: (205) 975-9232.
MISTR — Free Telehealth PrEP
Free in Alabama — $99/quarter fee waived. Completely free consultations, labs, medication, and delivery. The standout option.
Using this code supports our mission of helping provide free PrEP to everyone who needs it.
Visit MISTR →State Programs & Assistance
No State PrEP DAP
Alabama has no PrEP DAP. ADAP is for HIV-positive individuals only.
Phone: 1-866-574-9964
Alabama Medicaid (NOT Expanded)
Parents must earn under 18% FPL. Childless adults ineligible. 52% of those in coverage gap are people of color.
ADPH Home Testing
ADPH offers home specimen collection/lab testing kits by mail statewide, with one test every 3 months for PrEP monitoring.
Start Talking Alabama
ADPH campaign for HIV awareness and stigma reduction.
Clinics & Community Resources
UAB 1917 Clinic
Academic Medical Center
Dewberry Building, 2nd Floor, 3220 5th Ave S, Birmingham
(205) 975-9232 (PrEP)
Largest HIV unit in AL (3,600+ patients). ALL PrEP options including injectable Apretude and DoxyPEP. Walk-in HIV testing.
AIDS Alabama — Living Well PrEP
ASO
3522 7th Ave South, Birmingham
(205) 324-9822
PrEP for uninsured, HIV/STI testing, gender-affirming care. Houses Alabama Latino AIDS Coalition (ALAC) with Spanish-speaking staff.
Medical Advocacy & Outreach (MAO)
Regional Health Org
Montgomery, Dothan, Atmore, Selma + 11 satellites
(800) 510-4704
Largest org of its kind in South Alabama. Covers 28 counties. Operates "Alabama e-Health" telemedicine.
Website →Thrive Alabama
Community Health
3500 Memorial Pkwy SW, Huntsville
(256) 536-4700
Also in Florence and Albertville. PrEP, HIV care, pediatrics, ThriveMobile.
Telehealth PrEP Options
MISTR
Free in Alabama
$99/quarter waived. Completely free consultations, labs, medication, and delivery. The standout option.
Using this code supports our mission of helping provide free PrEP to everyone who needs it.
Visit MISTR →HIV & PrEP Data
Birmingham-Hoover metro has the highest HIV rates. Rural counties paradoxically have highest rates per 100,000. Only 18% of PrEP patients at UAB are Black MSM, despite 50% of new cases in Jefferson County — severe uptake disparity.
Know Your Rights
Minor Consent
Alabama Code §22-8-4 allows minors 14+ to consent to medical services including STI testing/treatment. Threat: SB 101 (2025) would raise consent age to 18.
Gender-Affirming Care
SB 184 (2022) makes providing gender-affirming care to anyone under 19 a Class C felony (up to 10 years, $15,000 fine). First state with criminal penalties.
HIV Criminalization
Communicable disease exposure statute and "assault with bodily fluids" felony enhancement deter testing.
Undocumented Residents
HB 56 (2011) is among strictest anti-immigration laws nationally. MISTR requires no documentation. ALAC at AIDS Alabama provides Spanish-speaking staff: (205) 324-9822.