Free PrEP in Kentucky
Kentucky has no state PrEP DAP, but Medicaid expansion through kynect covers nearly 1.5 million residents. Derby City PrEP Clinic in Louisville serves 1,000+ patients at $0, and Kentucky is an EHE priority state with $9.3M in federal funding. Telehealth is critical — 76 of 120 counties lack an OB-GYN.
Fastest Path to Free PrEP in Kentucky
If you have insurance
PrEP is covered at $0 under the ACA. Use the Gilead Co-Pay Coupon for any remaining costs.
If you're on Medicaid (kynect)
PrEP is covered at $0. Nearly 1.5M Kentuckians are on Medicaid. Apply at kynect.ky.gov or call 1-855-459-6328.
If you're uninsured
Start with MISTR for free PrEP. Also call KPAP (Kentucky Prescription Assistance Program) at 1-800-633-8100 for help with manufacturer assistance.
In Louisville or Lexington
Visit Derby City PrEP Clinic — most patients pay $0. Call (502) 546-6069. Also offers TelePrEP for patients outside Louisville.
Compare PrEP access options
Telehealth providers, local clinics, state programs, Medicaid, and manufacturer assistance can all be valid routes. Compare cost, lab method, medication options, location, privacy, and follow-up instead of defaulting to one provider.
Compare providers and programs →Kentucky PrEP Programs & Assistance
Kentucky Medicaid (kynect)
Expanded Medicaid covers adults up to 138% FPL. PrEP covered at $0 as preventive service. MCOs include Aetna Better Health, Humana Healthy Horizons, and others.
KPAP (KY Prescription Assistance Program)
Connects residents to manufacturer assistance programs. Not a DAP, but a navigation resource for free medication.
Gilead Advancing Access
Free Truvada/Descovy for uninsured individuals at ≤500% FPL. No immigration requirement.
KIRP (KY Intervention Resource Project)
Regional PrEP provider directories covering the entire state.
Clinics & Community Resources
Derby City PrEP Clinic
PrEP, PEP, STI testing, TelePrEP for rural patients. Most patients pay $0. LGBTQ+-affirming. 1,000+ patients served.
📍 1101 E Washington St Suite A, Louisville 40206
Bluegrass Care Clinic
UK HealthCare. HIV primary care and PrEP services.
📍 3101 Beaumont Centre Circle, Lexington 40513
AVOL Kentucky
Free HIV testing, PrEP navigation, housing support.
📍 Lexington
Volunteers of America Mid-States
Free STD testing and HIV services.
📍 933 Goss Ave, Louisville 40204
Planned Parenthood Louisville
PrEP provider. Also operates Kentucky Virtual Health Center for telehealth.
📍 842 S 7th St, Louisville 40203
Family Health Centers
Sliding fee scale for uninsured/underinsured patients.
📍 Louisville
Telehealth PrEP Options
Online PrEP provider options
Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.
Compare providers →Derby City TelePrEP
Extension of Derby City PrEP Clinic serving patients outside Louisville.
$0 for most patients
derbycityprep.orgFreddie
PrEP for men and transmasculine individuals. Available in Kentucky.
$0 for 90%+ of patients
gofreddie.comQ Care Plus
Available in Kentucky with $0 cost for 99% of insured patients.
Usually $0
qcareplus.comHIV & PrEP Data in Kentucky
Kentucky reported 401 new HIV diagnoses in 2023 (rate: 8.9 per 100,000) with 8,132 people living with HIV. Black residents represent 28% of new diagnoses but only 9% of the population (~3× overrepresentation). Hispanic residents account for 15% of new diagnoses but 4% of the population. Jefferson County (Louisville) and Fayette County (Lexington) have the highest burden. 54 counties are identified as high-risk for IDU-related HIV/HCV outbreaks.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0 cost-sharing. This was upheld by the Supreme Court in June 2025.
Minor Consent
KRS §214.185 allows minors of any age to consent to STI testing/treatment without parental consent, but PrEP is not explicitly addressed as it's classified as prevention.
Telehealth Parity
Kentucky has robust telehealth parity laws — critical given that 76 of 120 counties lack an OB-GYN. Derby City TelePrEP and national platforms serve the whole state.
HIV Criminalization
KRS §529.090 makes it a felony for an HIV+ person to engage in prostitution. Wanton endangerment statutes have been used for nondisclosure, with 32+ arrests since 2006.