Free PrEP in North Dakota
North Dakota has no PrEP DAP, but Medicaid covers PrEP at $0 with generous telehealth reimbursement (all 4 modalities, no out-of-state authorization needed). In 2025, ND became the fourth state nationally to fully repeal its HIV-specific criminal statute — a landmark reform. Most services concentrate in Fargo.
Fastest Path to Free PrEP in North Dakota
If you have insurance
PrEP is covered at $0 under the ACA.
If you're on Medicaid
PrEP covered under open formulary. ND Medicaid reimburses all 4 telehealth modalities — out-of-state providers don't need authorization. Enroll at hhs.nd.gov/healthcare.
If you're uninsured
Start with MISTR for free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).
In Fargo
Visit Fargo Cass Public Health for rapid HIV testing (20 min) with Ryan White case manager. Or Planned Parenthood North Central States for PrEP.
Get PrEP delivered free with MISTR
MISTR provides free telehealth PrEP in North Dakota — 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.
North Dakota PrEP Programs & Assistance
North Dakota Medicaid
Expanded Medicaid. Managed care through BCBSND. Open formulary covers PrEP. Reimburses all 4 telehealth modalities; out-of-state providers accepted.
Gilead Advancing Access
Free Truvada/Descovy for uninsured at ≤500% FPL.
Clinics & Community Resources
Fargo Cass Public Health
STD/HIV testing (rapid results in 20 min). Ryan White case manager on-site.
📍 1240 25th St S, Fargo 58103
Planned Parenthood North Central States
PrEP, PEP, gender-affirming care, LGBTQ+ care coordination. Telehealth available.
📍 Fargo
Sanford Health
Major health system. Primary care providers prescribe PrEP.
📍 Fargo
Family HealthCare
Serves uninsured/underinsured patients.
📍 Fargo
Telehealth PrEP Options
HIV & PrEP Data in North Dakota
North Dakota has an estimated 600-700 PLWH with 25-40 new diagnoses annually. Cass County (Fargo) has the highest burden. Immigrant communities (particularly from sub-Saharan Africa) in Fargo represent a disproportionate share of new diagnoses. ND was among 7 states with the greatest unmet PrEP need among Black residents.
Know Your Rights
HIV Decriminalization
In 2025, ND became the fourth state nationally and first in the Midwest to fully repeal its HIV-specific criminal statute (HB 1217). A general STD statute remains.
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0.
Native American Communities
Spirit Lake, Turtle Mountain, Three Affiliated Tribes, Standing Rock Sioux. IHS hired a Great Plains Area Syndemic Coordinator (FY2024).
Immigrant Communities
New Americans/refugees in Fargo are an emerging priority population for HIV prevention.