Free PrEP in New Hampshire
New Hampshire has no PrEP DAP but Medicaid (Granite Advantage) covers PrEP at $0. Among the lowest HIV diagnosis rates nationally (~2.8 per 100,000), with a PrEP-to-Need Ratio of 28-44 — well above the national average. Harbor Care in Nashua is the primary FQHC providing PrEP, and PPNNE operates several health centers.
Fastest Path to Free PrEP in New Hampshire
If you have insurance
PrEP is covered at $0 under the ACA.
If you're on Medicaid
Granite Advantage covers PrEP at $0. MCOs: AmeriHealth Caritas and Well Sense. Enroll at nheasy.nh.gov or call 1-844-275-3447.
If you're uninsured
Start with MISTR for free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).
In southern NH
Contact Harbor Care in Nashua at 603-821-7788. Or PPNNE at 866-476-1321 for PrEP at Manchester, Derry, Exeter, or Keene.
Get PrEP delivered free with MISTR
MISTR provides free telehealth PrEP in New Hampshire — consultations, at-home labs, medication, and delivery at $0.
ANDR735
Use code ANDR735 when you sign up — it helps keep FreePrEP.org running so others can find free PrEP too.
New Hampshire PrEP Programs & Assistance
Granite Advantage (Medicaid)
Expanded Medicaid via managed care. MCOs: AmeriHealth Caritas and Well Sense. PrEP covered at $0.
Gilead Advancing Access
Free Truvada/Descovy for uninsured at ≤500% FPL.
Clinics & Community Resources
Harbor Care
PrEP/PEP, HIV case management, peer support, HOPWA housing. Also serves Keene.
📍 45 High St, Nashua 03060
PPNNE
PrEP and PEP services at multiple NH locations.
📍 Manchester, Derry, Exeter, Keene
AIDS Response Seacoast
HIV services for the seacoast region.
📍 Portsmouth
MVAP
Merrimack Valley Assistance Program. HIV services across central NH.
📍 Manchester, Concord, Laconia
HIV/HCV Resource Center
Serves both VT and NH for HIV/HCV services.
📍 Lebanon 03766
Telehealth PrEP Options
HIV & PrEP Data in New Hampshire
New Hampshire has an HIV diagnosis rate of approximately 2.8 per 100,000 — among the lowest nationally — with 35-40 new diagnoses annually. The PrEP-to-Need Ratio of 28-44 is well above the national average of 15.6. Hillsborough County (Manchester/Nashua) and Rockingham County (seacoast) have the highest burden. The opioid crisis has increased IDU-related HIV risk.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0.
No HIV Criminal Laws
New Hampshire does not have HIV-specific criminal statutes. Nondiscrimination protections cover sexual orientation and gender identity.
Rural Access
Northern NH has very limited HIV services — distances can be extreme. Telehealth is essential.
Opioid Crisis
The opioid crisis has increased IDU-related HIV risk. Harbor Care integrates healthcare and housing for people experiencing homelessness.