Free PrEP in Alaska
Alaska has no PrEP DAP, but Medicaid expansion covers PrEP at $0 (with higher FPL thresholds due to cost-of-living). The Alaskan AIDS Assistance Association (Four A's) launched a same-day PrEP program in 2023. A 24-case HIV cluster in the Interior region (2022-2023) prompted increased statewide awareness.
Fastest Path to Free PrEP in Alaska
Contact Four A's
Same-day PrEP program launched Dec 2023. Statewide support for PrEP access barriers. Call (907) 263-2050 or 1-800-478-2437.
If you're on Medicaid
PrEP covered at $0. Alaska's FPL thresholds are higher than the lower 48. Call 1-800-780-9972.
If you're uninsured
Start with MISTR for free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).
For rural/bush communities
Use iKnowMine.org for free at-home STI screening kits mailed statewide. Telehealth PrEP through a telehealth PrEP provider reaches anywhere with mail service.
Alaska PrEP Programs & Assistance
Alaska Medicaid
Expanded Medicaid covers adults up to 138% FPL (Alaska FPL higher than lower 48). PrEP at $0.
Four A's (Alaskan AIDS Assistance Association)
Lead HIV/AIDS organization serving 91% of the state. Same-day PrEP program, statewide PrEP navigation, free HIV/HCV testing.
Gilead Advancing Access
Free Truvada/Descovy for uninsured at ≤500% FPL. No immigration requirement.
Clinics & Community Resources
Four A's — Anchorage
Same-day PrEP, free HIV/HCV testing (M-F 9am-4pm). Also offices in Juneau and Mat-Su Borough.
📍 1057 W. Fireweed Lane, Suite 102, Anchorage 99503
Anchorage Neighborhood Health Center
FQHC with sliding-scale fees.
📍 Anchorage
Interior AIDS Association
HIV services for Interior Alaska.
📍 Fairbanks
Telehealth PrEP Options
Online PrEP provider options
Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.
Compare providers →HIV & PrEP Data in Alaska
Alaska investigated a 24-case HIV cluster in the Interior region (Fairbanks area) over 2022-2023, linked to military members using dating apps. This prompted increased PrEP awareness statewide. Four A's serves 91% of the state and launched same-day PrEP in December 2023. iKnowMine.org provides free at-home STI screening kits — critical for rural communities.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0 cost-sharing.
Rural Access
Bush communities face extreme geographic barriers. Alaska Tribal Health System facilities vary in PrEP availability. Telehealth and iKnowMine mail-based testing are essential bridges.
Alaska Native Communities
Alaska Native people face health disparities including higher STI rates. Culturally appropriate outreach through tribal health organizations is essential.
HIV Laws
Alaska does not have HIV-specific criminal laws.