Free PrEP in Arkansas
Arkansas has no state PrEP Drug Assistance Program, but Medicaid expansion (ARHOME) covers PrEP at $0 for qualifying residents. UAMS TelePrEP and national telehealth platforms like MISTR provide critical access — especially in rural areas where transportation is the #1 barrier to HIV care.
Fastest Path to Free PrEP in Arkansas
If you have insurance
PrEP is covered at $0 under the ACA. If you face any remaining copays, use the Gilead Co-Pay Coupon (up to $7,200/year).
If you're on Medicaid (ARHOME)
PrEP medication, labs, and visits are covered at $0. Apply at access.arkansas.gov or call 1-855-372-1084.
If you're uninsured
Start with MISTR — completely free PrEP delivered to your door. Also apply to Gilead Advancing Access (1-800-226-2056) for free medication if income ≤500% FPL.
If you're in a rural area
Use UAMS TelePrEP — Arkansas's own academic telehealth PrEP program, available 8am–8pm, 7 days/week. Call (501) 686-7000.
Get PrEP delivered free with MISTR
MISTR provides free telehealth PrEP in Arkansas — consultations, at-home labs, medication, and delivery all included at $0 cost.
ANDR735
Use code ANDR735 when you sign up — it helps keep FreePrEP.org running so others can find free PrEP too.
Arkansas PrEP Programs & Assistance
Arkansas Medicaid (ARHOME)
Expanded Medicaid covers adults 19-64 at ≤138% FPL. PrEP covered as preventive service at $0 cost-sharing. Uses private QHPs through BCBS or Ambetter.
Gilead Advancing Access
Free Truvada/Descovy for uninsured individuals at ≤500% FPL. No immigration status requirement. Urgent requests processed in 5–10 minutes.
ADH HIV Prevention Program
Arkansas Department of Health coordinates HIV prevention statewide. One of 7 EHE rural priority states. CDC awarded $4.1M in FY2024. Publishes formal HIV PrEP and PEP protocols.
Engaging Arkansas Communities (EAC)
PrEPared for Life Program helps find PrEP enrollment statewide. Positive Miles provides free transportation to HIV care across the state.
Clinics & Community Resources
UAMS HealthNow TelePrEP
Arkansas's primary academic telehealth PrEP program. Available 8am–8pm, 7 days/week. Designed to address rural transportation barriers.
Diversity Family Health
First LGBTQ+-focused clinic in Arkansas. PrEP, gender-affirming care, primary care.
📍 Little Rock, AR
Healthy Connections Community Health Network
Federally Qualified Health Center with sliding-scale fees and PrEP services.
📍 Little Rock Midtown
Planned Parenthood Great Plains
PrEP for uninsured patients. Note: NOT a Medicaid provider in Arkansas.
📍 1501 Aldersgate Rd, Little Rock
ARcare
Multiple locations statewide. Sliding-scale fees, PrEP services.
📍 8924 Kanis Rd, Little Rock
Telehealth PrEP Options
MISTR
Free consultations, at-home labs, medication, and delivery. No insurance needed.
Free — $0 for everything
ANDR735
UAMS TelePrEP
Arkansas's academic TelePrEP — 8am–8pm, 7 days/week. Designed for rural access.
Insurance accepted; sliding scale
uamshealth.comNurx
Available in Arkansas. ~40% of patients are in Southern states.
$0 with insurance; fees without
nurx.comHIV & PrEP Data in Arkansas
Arkansas has 7,700 people living with HIV with a diagnosis rate of 9.6 per 100,000. Only 81.7% of Arkansans with HIV know their status — significantly below the national average of 87.2%. Black Arkansans account for 47% of new HIV cases despite being only 16% of the population. The PrEP-to-Need Ratio for Black residents is less than 2 — among the 7 worst states nationally for Black PrEP equity. Pulaski County and Southeast Arkansas have the highest burden.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0 cost-sharing, including medication, labs, and clinic visits. This was upheld by the Supreme Court in June 2025.
Minor Consent
Arkansas Code §20-16-508 allows minors with STIs to consent to care, but a physician may disclose to parents. PrEP (prevention) is not expressly covered by the statute.
Undocumented Residents
ARHOME Medicaid requires citizenship/legal status. However, FQHCs serve all patients regardless of immigration status, and Gilead's PAP has no immigration requirement.
HIV Criminalization
Arkansas imposes a 6–30 year prison sentence for HIV exposure without disclosure, even if virally suppressed. This is among the harshest in the nation and deters testing.