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.
TennCare has NOT expanded. Only covers adults with children at ≤105% FPL, pregnant women, aged/blind/disabled. Apply: 855-259-0701.
Compare online and local PrEP access options before choosing a provider. Apply to Gilead Advancing Access: 1-800-226-2056.
Music City PrEP Clinic has multiple locations, 18,000+ patients since 2019. Nashville CARES: (615) 499-7406.
State Programs & Assistance
No State PrEP DAP
Tennessee has no PrEP DAP. ADAP requires HIV-positive diagnosis (≤400% FPL).
TennCare (NOT Expanded)
Eligibility restricted to parents at ≤105% FPL, pregnant women, aged/blind/disabled. Childless adults have no coverage pathway.
Phone: 855-259-0701
Funding Crisis
In Jan 2023, Governor Lee returned ~$8.3M in annual CDC HIV prevention funding. CDC rerouted $4M to United Way of Greater Nashville but that grant expired July 2025. Projected: 166 additional HIV transmissions and 190 additional deaths over 10 years.
Clinics & Community Resources
Music City PrEP Clinic
PrEP Specialty
Nashville (multiple locations)
Goal of $0 out-of-pocket. 18,000+ patients since 2019. In-clinic + Tele-PrEP. Memphis location opening June 2025.
Nashville CARES
ASO
633 Thompson Lane, Nashville
(615) 499-7406
24-hour hotline: (615) 761-4474. PrEP navigation, testing, support services.
Vanderbilt PrEP Clinic
Academic Medical Center
Nashville, TN
(615) 875-5111
Academic PrEP program.
Metro Nashville Sexual Health
Public Health
2500 Charlotte Ave (Lentz PHC), Nashville
(615) 340-5647
$10 per visit regardless of insurance.
Friends For All
ASO
43 N Cleveland St, Memphis
(901) 272-0855
1,000+ PrEP/PEP patients in 2022-23. Largest ASO in Mid-South.
Telehealth PrEP Options
Music City PrEP Tele-PrEP
$0 goal
TN-focused. Already serving 400+ Memphis patients remotely.
HIV & PrEP Data
Shelby County (Memphis) ranks 2nd nationally for new diagnoses and 1st for new AIDS diagnoses. PrEP users grew from 93 (2012) to 6,909 (2021) but remain far below need. 41 counties at risk for HIV outbreak from injection drug use.
Know Your Rights
Minor Consent Crisis
TCA §68-10-104 allows STD treatment for minors without parental consent. But a new law (TCA §63-1-173(b), effective July 2024) broadly prohibits treating minors without consent, creating confusion. Some rural clinics have denied teens preventive care.
Gender-Affirming Care
SB 1 (2023) bans gender-affirming care for minors, upheld by Supreme Court June 2025.
Funding Crisis
Governor returned $8.3M in CDC HIV funding, redirected state funds away from CDC-prioritized populations. This is the most severe state-level defunding of HIV prevention in the country.
Insurance Coverage
Private insurance covers PrEP at $0 under ACA. TennCare has NOT expanded — childless adults have no Medicaid pathway.