Free PrEP in Vermont
Vermont has the lowest HIV diagnosis rate in the nation (~1.8 per 100,000) and the highest PrEP-to-Need Ratio nationally. Medicaid covers PrEP at $0 through Green Mountain Care. Vermont CARES provides community support, and PPNNE offers PrEP at remaining health centers — though 7+ locations closed in 2022-2025.
Fastest Path to Free PrEP in Vermont
If you have insurance
PrEP is covered at $0 under the ACA. Vermont covers all FDA-approved formulations.
If you're on Medicaid
Green Mountain Care/Vermont Health Connect covers PrEP at $0. Apply at portal.healthconnect.vermont.gov or call 1-855-899-9600.
If you're uninsured
Start with MISTR for free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).
In Burlington
Contact Vermont CARES at 802-863-2437 or PPNNE Burlington at 866-476-1321 for PrEP services.
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 →Vermont PrEP Programs & Assistance
Green Mountain Care (Medicaid)
Early Medicaid expander. Covers PrEP at $0 including all FDA-approved formulations.
Gilead Advancing Access
Free Truvada/Descovy for uninsured at ≤500% FPL.
Clinics & Community Resources
Vermont CARES
HIV case management, syringe services, free testing. Also offices in Berlin, Rutland, St. Johnsbury.
📍 139 Bank St, Burlington 05401
PPNNE
PrEP and PEP services. Note: 7+ locations closed 2022-2025.
📍 Burlington, Barre, Rutland, Brattleboro + more
UVM Medical Center ID Program
Main HIV specialty hub for Vermont.
📍 Burlington
AIDS Project of Southern Vermont
HIV services for southern Vermont.
📍 Bennington and Brattleboro
Telehealth PrEP Options
Online PrEP provider options
Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.
Compare providers →HIV & PrEP Data in Vermont
Vermont has the lowest HIV diagnosis rate in the nation at approximately 1.8 per 100,000 with just 6-10 new diagnoses annually. Approximately 600-700 people live with HIV. The PrEP-to-Need Ratio is the highest nationally (~100-167), though this largely reflects an extremely small denominator. Chittenden County (Burlington) has the highest burden. The opioid crisis poses emerging IDU-related HIV risk.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0. Vermont covers all FDA-approved formulations through Medicaid.
LGBTQ+ Protections
Vermont has comprehensive LGBTQ+ nondiscrimination protections (first state for civil unions, 2000). Progressive minor consent laws for sexual health.
No HIV Criminal Laws
Vermont does not have HIV-specific criminal statutes — progressive approach.
Rural Access Challenges
The loss of 7+ PPNNE health centers in 2022-2025 has significantly worsened rural access. Telehealth is increasingly essential.