Free PrEP in Florida

Florida has the 3rd highest HIV rate in the U.S. and hasn't expanded Medicaid — but all 67 county health departments provide a free 90-day PrEP supply, and telehealth platform MISTR is completely free statewide. Here's every pathway to $0 PrEP in Florida.

No PrEP DAP Medicaid not expanded No pharmacist PrEP 7 EHE jurisdictions

Your fastest path to free PrEP in Florida

Step 1: If you have private insurance, PrEP must be covered at $0 under the ACA — medication, labs, and visits. If you're billed, push back using our guide for insured patients.

Step 2: If you're uninsured, go to MISTR — it's completely free in Florida, including the consultation, at-home lab kits, medication, and delivery. No insurance, no ID, no SSN required.

Step 3: Visit any of Florida's 67 county health departments for a free 90-day PrEP supply with baseline testing. Call the Florida AIDS Hotline at 1-800-352-2437 to find your nearest location.

Step 4: Apply for Gilead Advancing Access for free Descovy or Yeztugo if you earn under 500% FPL (~$79,950/year). Call 1-800-226-2056. No immigration status requirement.

MISTR is free in Florida — medication, labs, everything.

MISTR is headquartered in Miami and covers Florida at $0 for both insured and uninsured patients through 340B partnerships. At-home testing, virtual consultation, prescription, and monthly delivery included.

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Florida PrEP programs

County health departments (free 90-day supply)

Since January 2018, all 67 county health departments provide an initial 90-day supply of PrEP medication at no cost, along with baseline HIV/STI testing and counseling. After 90 days, patients are transitioned to community pharmacies and connected with insurance, manufacturer assistance, or other programs.

Florida DOH HIV/AIDS Section

Provides 90-day free PrEP through all county health departments. PEP also available through county health departments, ERs, and urgent care.

Florida AIDS Hotline: 1-800-352-2437 (Mon–Fri 8am–9pm)

Medicaid

Florida has NOT expanded Medicaid. An estimated 388,000 Floridians fall into the coverage gap. Adults must have a dependent child and earn under ~30% FPL (~$7,000/year) to qualify. Childless adults cannot qualify at any income level.

If you do qualify: Enrollment: myflorida.com/accessflorida | Phone: 1-866-762-2237

ADAP (for people living with HIV)

2026 alert: Florida's ADAP eligibility was slashed from 400% FPL to 130% FPL on March 1, 2026, threatening coverage for ~16,000 people. The legislature passed emergency HB 697 ($31M) to restore eligibility through June 2026. ADAP Help Desk: 844-381-2327.

Note: Florida ADAP does not cover PrEP — it is exclusively for people living with HIV. PrEP is covered through the county health department program above.

Clinics & community resources

AIDS Healthcare Foundation (AHF)

AHF Fort Lauderdale Downtown
700 SE 3rd Ave, Ste 301 • (954) 767-0887
AHF Fort Lauderdale Northpoint
6333 N Federal Hwy • (954) 598-3900
AHF Miami
3661 S Miami Ave, Ste 806
AHF Delray Beach
200 Congress Park Dr, Ste 200 • (561) 279-0991
AHF Jacksonville
2 Shircliff Way, DePaul Bldg, Ste 900
AHF Pensacola
4300 Bayou Blvd, Ste 17D

AHF free testing line: (833) 243-7411 • aidshealth.org

Tampa Bay

Metro Healthy Communities (formerly Metro Inclusive Health)
Locations in St. Petersburg, Tampa, Clearwater, New Port Richey, Brandon. Offers PrEP including Yeztugo injectable. "Copay It Forward" pharmacy program. • metrotampabay.org

Miami

Care Resource
(305) 576-1234 • PrEP, HIV care, primary care

Orlando

Hope and Help Center
PrEP navigation, HIV testing, case management

Planned Parenthood of Florida

11+ health centers across the state. PrEP consultations available including via telehealth. Still operating as of 2026 despite federal defunding efforts. plannedparenthood.org

Telehealth PrEP in Florida

Florida has permissive telehealth laws with no restrictions on PrEP prescribing. These platforms ship medication directly to your door.

Q Care Plus
Usually free via PAPs
Gender-affirming care focus
Nurx
$30 consultation; $0 with insurance for labs. Acquired by Thirty Madison.
PlushCare
End-to-end care; requires local lab visit
FOLX Health
LGBTQ+-focused; PrEP + HRT
Freddie
$0 for 90%+ of patients. Men/transmasc.

HIV in Florida

New HIV diagnoses (2023)4,725
Diagnosis rate20.8 per 100,000 — nearly 2× national average
National ranking3rd highest diagnosis rate
People living with HIV~116,142
Highest burden areaMiami-Fort Lauderdale: 30.8/100K (#1 metro in US)
Racial disparityBlack diagnosis rate is 8× the white rate

EHE priority jurisdictions in Florida

Seven Florida counties receive enhanced federal Ending the HIV Epidemic funding: Miami-Dade, Broward, Orange (Orlando), Hillsborough (Tampa), Duval (Jacksonville), Palm Beach, and Pinellas.

Know your rights

Minors

Florida Statute §384.30 allows minors of any age to consent to STI examination and treatment without parental consent. PrEP is not expressly named in the statute. A 2025 legislative effort (HB 1505) to require parental consent for STI treatment was advanced but ultimately stopped.

Undocumented residents

County health departments generally serve regardless of documentation. MISTR requires no insurance, ID, or documentation. Gilead Advancing Access has no immigration requirement. However, a hospital immigration status questioning law creates a chilling effect on care-seeking.

Transgender individuals

Gender-affirming care for minors is banned in Florida. A "License to Discriminate" law allows healthcare providers to refuse service based on religious or moral beliefs. PrEP itself is not restricted, but the hostile legislative climate deters many transgender people from engaging with healthcare. Trans-affirming PrEP providers include Metro Healthy Communities, Planned Parenthood, FOLX Health, and Q Care Plus.

HIV criminalization

Florida has HIV-specific criminal statutes. Knowingly transmitting HIV is a felony. These laws can deter people from getting tested and disclosing their status, which undermines prevention efforts.

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Data sourced from Florida DOH, CDC, AIDSVu, NASTAD, and verified provider websites. Last updated April 2026. Full disclosure