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.
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.