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Free PrEP in Massachusetts

Massachusetts operates a PrEP DAP covering medication costs at ≤500% FPL. Pharmacists can prescribe PrEP. Fenway Health is the nation's premier LGBTQ+ health center.

Has PrEP DAPMedicaid ExpandedPharmacist PrEP (2024)EHE Priority (Boston)

Fastest Path to Free PrEP

1
If insured (private)

PrEP is covered at $0 under ACA. MA PrEPDAP can also cover copays and deductibles.

2
If on MassHealth

PrEP covered at $0. Generic F/TDF requires no prior authorization (PA removed July 2023). Enroll: (800) 841-2900.

3
If uninsured

Apply for MA PrEPDAP: 617-502-1700, Option 4. Covers full cost of PrEP medication at ≤500% FPL. 24-48 hour approval.

4
Visit Fenway Health

Premier LGBTQ+ FQHC. Full PrEP services, sliding scale. Sidney Borum program serves ages 12-29: (617) 267-0900.

State Programs & Assistance

Massachusetts PrEPDAP

Administered by Community Research Initiative (CRI). Covers medication copays/coinsurance for insured, or full medication cost for uninsured. Includes generic F/TDF, Truvada, Descovy, Apretude. Also runs nPEP DAP. Processing: 24-48 hours. Recertification every 6 months.

Phone: 617-502-1700 (Option 4)

Website: crihealth.org/prevention/prepdap

MassHealth

Covers PrEP at $0. Generic F/TDF requires no prior authorization. Brand Truvada requires PA.

Phone: (800) 841-2900

Website: mass.gov/masshealth

Pharmacist PrEP Prescribing (2024)

St. 2024, c. 342. Pharmacists can prescribe up to 60-month supply per patient once every two years, with negative HIV test within 7 days.

Clinics & Community Resources

Fenway Health

Premier LGBTQ+ FQHC

1340 Boylston St, Boston 02215

(617) 267-0900

Largest HIV panel in New England. Sidney Borum Jr. Program (ages 12-29) at 142 Berkeley St. Full PrEP services.

Website →

Boston Medical Center

Academic Medical Center

725 Albany St, Boston 02118

Free Boston STD Clinic on-site. PrEP through Infectious Disease dept.

Website →

Boston Healthcare for the Homeless

Homeless Health

Boston, MA

(857) 654-1105

HIV screening, PrEP navigation at 30+ shelter/clinic sites.

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Planned Parenthood League of MA

Reproductive Health

Statewide

(800) 258-4448

PrEP available at all PPLM health centers statewide.

Telehealth PrEP Options

Q Care Plus

Usually free

Gender-affirming telehealth PrEP.

Learn more →

Nurx

$30 consult + $94 labs

Available in MA.

Learn more →

FOLX Health

$90+/month

LGBTQ+-focused. PrEP + HRT. Does not accept insurance.

Learn more →

HIV & PrEP Data

540
New HIV diagnoses (2023, +21% from 2022)
24,119
People living with HIV
36.5%
PrEP coverage rate (of those indicated)

EHE jurisdiction: Boston/Suffolk County. Diagnoses returned to pre-pandemic levels in 2023. The "Care That Fits You" initiative targets MSM awareness. No HIV-specific criminal statutes in Massachusetts.

Know Your Rights

Minor Consent for PrEP

MA explicitly amended M.G.L. Chapter 112, Section 12F to allow sexually active minors to consent to PrEP without parental permission.

PrEP DAP for Confidentiality

MA PrEPDAP serves clients unwilling to use insurance for confidentiality reasons — not just uninsured individuals.

No HIV Criminalization

Massachusetts has no HIV-specific criminal statutes.

Pharmacist PrEP

Enacted 2024. Pharmacists can prescribe up to 60-month supply with negative HIV test within 7 days.

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