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.
Virginia expanded Medicaid in 2019. PrEP covered at $0 as preventive service.
Apply for the Virginia PrEP DAP: 1-800-533-4148. Covers medication, labs, and visits. Same-day medication shipping from VDH Central Pharmacy.
Virginia has the most established pharmacist PrEP protocol — pharmacists can prescribe PrEP for ages 18+ under statewide protocol.
MISTR — Free Telehealth PrEP
Virtual consultations, at-home lab kits, and free medication delivery. Available statewide in Virginia.
Using this code supports our mission of helping provide free PrEP to everyone who needs it.
Visit MISTR →State Programs & Assistance
Virginia PrEP DAP
Operated by VDH Division of Disease Prevention. Covers PrEP medications (generic F/TDF, Descovy; Apretude protocol in development), clinical visits, and labs at select health departments. Orders before 1pm ship same day. SSN not required on application.
Phone: 1-800-533-4148
Pharmacist PrEP Protocol
Virginia Code § 54.1-3303. Pharmacists can initiate PrEP and PEP for ages 18+ under statewide protocol developed by Board of Pharmacy, Board of Medicine, and VDH.
Virginia is an EHE Priority State
Designated for substantial rural HIV burden. Entire state is an EHE jurisdiction.
Clinics & Community Resources
Inova Juniper Program
Northern VA's Largest HIV Provider
2740 Prosperity Ave, Suite 200, Fairfax 22031
(703) 321-2600
No eligibility requirements for PrEP, PEP, STI, or HIV testing. Ryan White-funded, ~1,800 active clients. Also in Dumfries, Manassas, Mt Vernon, Herndon, Leesburg.
Health Brigade
Free Clinic (est. 1970)
1010 N. Thompson St, Richmond 23230
(804) 358-6343
PrEP, syringe exchange, transgender health, LGBTQ-affirming. Virginia's first free clinic.
Website →LGBT Life Center
LGBTQ+ Health
5360 Robin Hood Rd, Floor 2, Norfolk 23513
(757) 640-0929
PrEP navigation, free testing, HOPWA housing, opening primary care clinics with on-site pharmacies.
Website →AHF Falls Church
AIDS Healthcare Foundation
Falls Church, VA
AHF's first Virginia location. HIV care, PrEP, free testing.
Telehealth PrEP Options
MISTR
Free for most users
At-home lab kits, virtual consults, medication delivery. Available statewide.
Using this code supports our mission of helping provide free PrEP to everyone who needs it.
Visit MISTR →HIV & PrEP Data
Highest-burden regions: Eastern (Norfolk/Hampton Roads, rate 14.2), Central (Richmond, rate 15.7). Hispanic/Latino rates increasing (11.1 in 2019 → 15.3 in 2023). Virginia modernized HIV laws in 2021 — first Southern state to reform.
Know Your Rights
PrEP DAP Access
Virginia PrEP DAP application does not require SSN ("leave blank if client does not have one"), suggesting undocumented individuals may qualify.
Pharmacist PrEP
Most established pharmacist PrEP protocol in the region. Ages 18+ under statewide protocol. Reimbursement remains a challenge ($6.89 dispensing fees only).
HIV Criminalization
Virginia modernized laws in 2021 — repealed non-disclosure misdemeanor and blood donation felony. "Infected sexual battery" (intentional transmission) remains Class 6 felony. First Southern state to reform.
Minor Consent
Minors of any age can consent to STI testing/treatment with mandatory confidentiality. PrEP's classification as prevention creates some uncertainty. Pharmacist PrEP is 18+ only.