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Free PrEP in Rhode Island

Rhode Island enacted landmark PrEP legislation in 2024 eliminating prior authorization, step therapy, and all cost-sharing on state-regulated insurance plans — only the second state to do so. Pharmacists can prescribe PrEP, the RIDOH PrEP Champions Network connects 15+ clinics statewide, and RI is among the top 5 states for per-capita PrEP use.

Landmark PrEP Access Law (2024) Medicaid Expanded Pharmacist PrEP Prescribing Top 5 Per-Capita PrEP Use

Fastest Path to Free PrEP in Rhode Island

1

Your insurance likely covers it at $0

Rhode Island's 2024 law eliminates all cost-sharing, prior auth, and step therapy for PrEP on state-regulated plans. Just ask your provider or pharmacist.

2

Visit a PrEP Champions Network clinic

RIDOH's network of 15+ clinics statewide. Find one at health.ri.gov/prep.

3

Visit a pharmacist

RI pharmacists can prescribe, dispense, and administer PrEP and PEP under standing orders or collaborative practice agreements.

4

If you're uninsured

Start with MISTR (officially endorsed by RIDOH), Nurx, or Q Care Plus. Also apply to Gilead Advancing Access.

Rhode Island PrEP Programs & Assistance

RI PrEP Access Law (2024)

H7625/S2255 eliminates prior authorization, step therapy, and all cost-sharing for PrEP on state-regulated insurance — only the second state to enact such comprehensive protections.

PrEP Champions Network

RIDOH-launched network of 15+ clinics statewide providing PrEP. RIDOH directly endorses MISTR, Nurx, and Q Care Plus.

health.ri.gov/prep

Rhode Island Medicaid

Expanded Medicaid covers adults up to 138% FPL. PrEP covered at $0.

Gilead Advancing Access

Free Truvada/Descovy for uninsured at ≤500% FPL. No immigration requirement.

📞 1-800-226-2056

gileadadvancingaccess.com

Clinics & Community Resources

LGBTQ+ Clinic

Open Door Health

Rhode Island's first LGBTQ+ clinic. Same-day PrEP, walk-in STI screening, gender-affirming care. 9,000+ patients.

📍 7 Central St, Providence 02907

📞 (401) 648-4700

odhpvd.org

Academic Medical

Miriam Hospital Immunology Center

Largest HIV outpatient provider in RI — 1,500+ HIV patients, 70%+ of RI's HIV+ population.

📍 180 Corliss St, Providence 02904

📞 (401) 793-2928

FQHC

Thundermist Health Center

Same-day PrEP, sliding scale. Multiple locations across Rhode Island.

📍 Wakefield, West Warwick, Woonsocket

📞 (401) 235-6898

Sexual Health

Planned Parenthood of Southern New England

Same-day PrEP, navigator for manufacturer assistance programs.

📍 175 Broad St, Providence 02903

📞 (800) 230-7526

Telehealth PrEP Options

Online PrEP provider options

Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.

Compare providers →

Q Care Plus

Available and endorsed by RIDOH. Gender-affirming care.

Usually $0

qcareplus.com

Nurx

Available and endorsed by RIDOH.

$0 with insurance; fees without

nurx.com

HIV & PrEP Data in Rhode Island

~2,796
People living with HIV
70
New diagnoses (2023)
Top 5
Per-capita PrEP use nationally
93%
PLWH diagnosed (exceeds national avg)

Rhode Island has approximately 2,796 people living with HIV with 70 new diagnoses in 2023. RI is among the top 5 states for per-capita PrEP use, with PrEP-to-Need Ratios well above the national average across all age groups. The HIV care continuum is strong: 93% diagnosed, 76% in care, 71% virally suppressed — all exceeding national averages. Notably, 31.4% of 2023 new diagnoses were born outside the US, highlighting immigrant health as an emerging priority.

Know Your Rights

PrEP Access Law

Rhode Island's 2024 law (H7625/S2255) eliminates prior authorization, step therapy, and all cost-sharing for PrEP on state-regulated insurance — only the second state with such comprehensive protections.

Pharmacist Prescribing

RI Gen. Laws § 27-18-93 authorizes pharmacists to prescribe, dispense, and administer PrEP and PEP under standing orders or collaborative practice agreements.

No HIV Criminalization

Rhode Island has no HIV-specific criminal statutes. An attempt to introduce criminalization (H 5245, 2015) failed. RI has strong anti-discrimination protections for PLWH.

Free Condoms

Rhode Island operates a statewide mail-order free condom program — any resident can request ~15 condoms monthly at health.ri.gov/findcondoms.

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