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.
NC expanded Medicaid Dec 2023. Labs, medication, and visits are 100% covered at $0. Enroll: Medicaid.nc.gov or call 1-833-870-5500.
Start with Q Care Plus via Triad Health Project — free PrEP, labs, and visits for all 100 counties. Or use MISTR (free in select counties).
Gilead Advancing Access has no immigration requirement. FQHCs serve all patients. Q Care Plus and MISTR require no documentation.
Compare PrEP access options
Telehealth providers, local clinics, state programs, Medicaid, and manufacturer assistance can all be valid routes. Compare cost, lab method, medication options, location, privacy, and follow-up instead of defaulting to one provider.
Compare providers and programs →State Programs & Assistance
No State PrEP DAP
North Carolina does not have a standalone state PrEP Drug Assistance Program. Q Care Plus via Triad Health Project and WNCAP serve as community-based alternatives.
NC Medicaid (Expanded Dec 2023)
Adults 19-64 at ≤138% FPL. PrEP covered at $0 including medication, labs, and clinical visits. Enrollment reached 570,000+ within 11 months.
Phone: 1-833-870-5500
Website: medicaid.nc.gov
NC DHHS HIV Prevention
Statewide EHE jurisdiction plus Charlotte/Mecklenburg EHE county. Ryan White services cover 95/100 counties via 10 Regional Networks. CDC funding: $34.5M in FY2024.
Phone: 1-888-448-4732 (HIV4REAL)
Q Care Plus via Triad Health Project
Free PrEP medications, labs, and provider visits via telemedicine for all 100 NC counties for uninsured clients.
Website: qcareplus.com
WNCAP
Western NC Community Action Program ships PrEP medications monthly with financial assistance for western NC residents.
Website: wncap.org/prep
Clinics & Community Resources
Duke PrEP Clinic
Academic Medical Center
40 Duke Medicine Circle, Durham
(919) 385-0436
Wednesdays 1-4pm. Walk-in HIV testing available.
Wake County Public Health
County Health Department
200 Swinburne St, Raleigh
(919) 250-4410
STD services at no charge. "Wake Up to PrEP" campaign (2025).
Amity Medical Group
AAHIVM-Certified
10508 Park Rd, Suite 130, Charlotte
(866) 389-2727
AAHIVM-certified provider. Ages 13+.
RAO Community Health
Community Organization
Charlotte, NC
(704) 237-8793
PrEP navigation for uninsured/underinsured.
ALFA + MISTR Partnership
Rural TelePrEP
9 rural NW NC counties
Free TelePrEP for Alexander, Alleghany, Ashe, Burke, Caldwell, Catawba, Lincoln, Watauga, Wilkes counties.
Website →Telehealth PrEP Options
Q Care Plus
Free
Primary state-endorsed option. Free PrEP, labs, and visits for all 100 NC counties via Triad Health Project.
Learn more →HIV & PrEP Data
Wake County saw 161 new diagnoses in 2024 — up 13.3% from 2023. Black/African Americans represent 56.5% of newly diagnosed individuals in Wake County. Hispanic/Latine rates are increasing (30/100K in 2024). HIV diagnosis rates in high-poverty areas (29.0/100K) are nearly 4× those in lowest-poverty areas (7.8/100K).
Know Your Rights
Minor Consent
NC G.S. 90-21.5 allows minors of any age to consent to STI/HIV testing and treatment. The 2023 Parents' Bill of Rights did not change STI consent provisions.
Insurance Coverage
Private insurance must cover PrEP at $0 under ACA (confirmed by Braidwood v. Becerra, June 2025). Medicaid covers PrEP at $0 including labs and visits.
Pharmacist PrEP
North Carolina authorizes pharmacists to prescribe PEP. PrEP pharmacist authority status is evolving — check with your pharmacist.
Gender-Affirming Care
HB 808 (2023) bans gender-affirming care initiation for minors. PrEP access is not affected. PATH Program (Charlotte) provides financial assistance for trans healthcare.