Fastest Path to Free PrEP
PrEP is covered at $0 under ACA. Use the Gilead Co-Pay Coupon (1-877-505-6986) for any remaining costs.
Missouri expanded Medicaid Oct 2021. PrEP covered at $0. Enroll: mydss.mo.gov or 1-800-392-2161.
Contact Gilead Advancing Access (1-800-226-2056) for free medication, then visit an FQHC for sliding-scale labs. Or use MISTR.
Vivent Health St. Louis (314-645-6451) or KC CARE Health Center (816-753-5144) — both offer comprehensive PrEP with sliding scale.
MISTR — Free Telehealth PrEP
Virtual consultations, at-home lab kits, and free medication delivery. Available statewide in Missouri.
Using this code supports our mission of helping provide free PrEP to everyone who needs it.
Visit MISTR →State Programs & Assistance
No State PrEP DAP
Missouri has no PrEP DAP. ADAP covers HIV-positive individuals only.
Phone: 888-252-8045 (ADAP)
MO HealthNet (Medicaid)
Expanded Oct 2021 after ballot initiative. Pharmacy benefit via fee-for-service. SmartPA system for prior auth.
Phone: 1-800-392-2161
Statewide EHE Priority
One of 7 states designated for substantial rural HIV burden. ~500+ new diagnoses/year.
Clinics & Community Resources
Vivent Health St. Louis
HIV Medical Home
2653 Locust St, St. Louis 63103
(314) 645-6451
Missouri's only HIV Medical Home. Free testing, PrEP, integrated care, dental, pharmacy, food pantry.
Website →KC CARE Health Center
FQHC
3515 Broadway St, Kansas City 64111
(816) 753-5144
PrEP/PEP, free testing, sliding scale. Mon-Tue 8am-8pm, Wed-Fri 8am-5pm.
Website →BlaqOut
Black MSM Services
Kansas City, MO
(816) 561-8784
Serves Black MSM with PrEP visits, labs, and medication at no cost. Covers KS and MO residents.
Doorways
Housing + Clinic
1101 N. Jefferson Ave, St. Louis 63106
219 apartments, on-campus pharmacy and clinic serving 3,000+ clients across 124 MO/IL counties.
Website →AIDS Project of the Ozarks
Regional ASO
1636 S. Glenstone Ave, Suite 100, Springfield
(417) 881-1900
Covers 29 counties in southwest Missouri. Toll-free: 800-743-5767.
Website →Telehealth PrEP Options
MISTR
Free for most users
At-home lab kits, virtual consults, medication delivery.
Using this code supports our mission of helping provide free PrEP to everyone who needs it.
Visit MISTR →HIV & PrEP Data
Overall diagnosis rate ~8.3 per 100,000. St. Louis HIV Care Region accounts for 49% of new diagnoses despite 35% of population. Missouri is one of 7 statewide EHE priority states for substantial rural HIV burden.
Know Your Rights
HIV Criminalization
Missouri maintains punitive felony-level HIV criminalization that does not account for viral suppression, condom use, or modern HIV science.
Gender-Affirming Care
SB 49 (2023) bans gender-affirming care for minors, upheld by MO Supreme Court Jan 2026. Medicaid exclusion at all ages.
Pharmacist PrEP
Pharmacists can dispense PEP independently (HB 476) but PrEP was removed from final legislation. PrEP requires collaborative practice agreement.
Insurance Coverage
Private insurance covers PrEP at $0 under ACA. MO HealthNet covers PrEP as preventive service.