Free PrEP in Iowa
Iowa operates one of the most effective rural PrEP delivery systems in the country: Iowa TelePrEP, run by University of Iowa pharmacists, covers labs, visits, and medication at $0 for uninsured residents. Combined with Medicaid expansion and statewide PrEP navigation, Iowa punches above its weight despite no traditional PrEP DAP.
Fastest Path to Free PrEP in Iowa
Contact Iowa TelePrEP
Call (319) 467-8777 or visit prepiowa.org/teleprep. Free for Iowa residents — covers labs, visits, and medication. Self-referral accepted. Minors can enroll without guardian consent.
If you have insurance
PrEP is covered at $0 under the ACA. Iowa TelePrEP also covers copays and cost-sharing for insured patients.
If you're on Medicaid
PrEP is covered at $0. Apply through your MCO: Iowa Total Care or Wellpoint Iowa.
If you're uninsured
MISTR and Iowa TelePrEP both provide free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).
Get PrEP delivered free with MISTR
MISTR provides free telehealth PrEP in Iowa — consultations, at-home labs, medication, and delivery at $0. Complements Iowa's own TelePrEP program.
ANDR735
Use code ANDR735 when you sign up — it helps keep FreePrEP.org running so others can find free PrEP too.
Iowa PrEP Programs & Assistance
Iowa TelePrEP & Prevention Navigation
National model for rural PrEP. No income threshold. Covers labs, visits, telehealth, and medication for uninsured. 400+ patients served, 91% initiation rate. Also offers PEP and DoxyPEP. Run by University of Iowa Health Care pharmacists.
Iowa PrEP Navigation
Statewide prevention navigation coordinator. Self-referral accepted. Minors can enroll without guardian consent.
Iowa Medicaid
Expanded Medicaid covers adults up to 138% FPL. MCOs: Iowa Total Care, Wellpoint Iowa.
Gilead Advancing Access
Free Truvada/Descovy for uninsured individuals at ≤500% FPL. No immigration requirement.
Clinics & Community Resources
Primary Health Care — The Project
Sliding fee scale, PrEP for uninsured. Also in Ames and Marshalltown.
📍 1200 University Ave, Suite 120, Des Moines 50314
University of Iowa PrEP Clinic
Accepts self-referral. Both in-person and video visits. Home of the Iowa TelePrEP program.
📍 Iowa River Landing, Iowa City
Planned Parenthood North Central States
PrEP at Des Moines and Iowa City locations. Cedar Rapids temporarily closed for construction.
📍 Des Moines & Iowa City
Telehealth PrEP Options
MISTR
Free consultations, at-home labs, medication, and delivery.
Free — $0 for everything
ANDR735
Iowa TelePrEP
Run by UI Health Care pharmacists. HIPAA-compliant video visits, local labs, medication mailed home. 400+ patients, 91% initiation rate. HRSA-recognized Promising Practice.
Free for Iowa residents
prepiowa.org/teleprepHIV & PrEP Data in Iowa
Iowa has approximately 3,228 people living with HIV with 100–130 new diagnoses annually. Iowa was identified as one of only 7 states with a PrEP-to-Need Ratio below 2 for Black residents — indicating extreme unmet PrEP need in Black communities despite the state's overall lower HIV burden. Iowa's TelePrEP program is nationally recognized as a model for rural PrEP delivery, with a 91% initiation rate among enrolled patients.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0 cost-sharing. Iowa TelePrEP covers copays for insured patients.
Minor Consent
Iowa TelePrEP allows minors to enroll without guardian consent — one of the more accessible approaches nationally.
HIV Laws
Iowa reformed its HIV criminalization law in 2014, replacing a Class B felony (25 years) with a tiered system. Still imperfect but significantly improved.
Trans Protections
Iowa's gender-affirming care ban for minors (SF 538, 2023) was blocked by a judge in May 2025 on state constitutional grounds. One Iowa (oneiowa.org) provides LGBTQ+ advocacy.