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.
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.