Free PrEP in Montana
Montana has no formal PrEP DAP but pharmacists can prescribe PrEP under SB 112 (2023) — a critical tool for the 4th largest state by area. Medicaid expansion covers ~95,000 residents but faces a legislative sunset risk. 37% of Montanans with HIV had AIDS at diagnosis, indicating extremely late testing.
Fastest Path to Free PrEP in Montana
Visit a pharmacist
SB 112 (2023) grants pharmacists broad prescribing authority including PrEP. No doctor visit needed.
If you're on Medicaid
PrEP covered at $0. ~95,000 enrolled via expansion. Apply at apply.mt.gov or call 888-706-1535. Watch for sunset risk.
If you're uninsured
Start with MISTR for free PrEP. Also call DPHHS PrEP Assistance Coordination at 406-444-3565.
In Billings
Contact Yellowstone AIDS Project — covers 39 eastern MT counties. Call (406) 245-2029.
Montana PrEP Programs & Assistance
Montana Medicaid (HELP Act)
Expanded in 2016. ~95,000 enrolled. Adults up to 138% FPL. Critical risk: faces legislative sunset — ~80,000 could lose coverage.
DPHHS PrEP Assistance Coordination
Connects patients to manufacturer PAPs and coverage. Not a full DAP but provides navigation.
Gilead Advancing Access
Free Truvada/Descovy for uninsured at ≤500% FPL.
Clinics & Community Resources
Yellowstone AIDS Project
Serves 30% of MT PLWH across 39 eastern counties. Free HIV testing. Sexual Health Text Line.
📍 2906 1st Ave N Suite 200, Billings 59101
RiverStone Health
HRSA-funded ($1.4M). HIV care, syringe services.
📍 123 S 27th, Billings 59101
Planned Parenthood of Montana
4 in-person centers plus statewide Virtual Health Center for telehealth PrEP.
📍 Billings, Missoula, Great Falls, Helena
Cascade City-County Health Dept
Provides PrEP directly.
📍 115 4th St S, Great Falls 59401
One Health
Rural FQHC network across eastern Montana.
📍 Miles City, Glendive, Hardin + more
Telehealth PrEP Options
Online PrEP provider options
Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.
Compare providers →PP Montana Virtual Health Center
Statewide telehealth PrEP through Planned Parenthood.
Varies
Planned Parenthood telehealthHIV & PrEP Data in Montana
Montana has approximately 800 PLWH with 15-25 new diagnoses annually. 37% had AIDS at diagnosis in 2020 (up from 23%), indicating extremely late testing. Yellowstone County (Billings) has the highest burden. Montana is the 4th largest state by area but 44th by population — in eastern Montana, YAP is the only HIV organization covering 39 counties.
Know Your Rights
Pharmacist Prescribing
SB 112 (2023) grants pharmacists broad prescribing authority for non-controlled substances including PrEP. A significant rural access tool.
Medicaid Sunset Risk
Montana's Medicaid expansion faces a legislative sunset provision. If not reauthorized, ~80,000 people could lose coverage — devastating for PrEP access.
HIV Laws
No HIV-specific criminal statute, but a general STI misdemeanor can apply.
Native American Communities
7 federally recognized tribes. IHS facilities can prescribe PrEP but capacity varies. One Health FQHCs serve reservation-adjacent communities.