Free PrEP in West Virginia
West Virginia has no PrEP DAP, no pharmacist prescribing, and is not an EHE priority state — despite experiencing some of the nation's worst injection-drug-use-related HIV outbreaks. 23.3% of PLWH acquired HIV through IDU (3rd highest nationally). Medicaid expansion covers PrEP at $0, but only ~10 syringe service programs remain and legislation threatens to ban them entirely.
Fastest Path to Free PrEP in West Virginia
If you have insurance
PrEP is covered at $0 under the ACA. Use the Gilead Co-Pay Coupon for any remaining costs.
If you're on Medicaid
PrEP is covered at $0. ~497,000 West Virginians are enrolled. Apply at dhhr.wv.gov or call 1-800-642-8589.
If you're uninsured
Start with MISTR for free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).
In Charleston
Visit WV Health Right — WV's oldest free clinic, confirmed PrEP provider. Call 304-414-5930. Or Cabin Creek Health Systems with innovative mobile clinic PrEP protocols.
Get PrEP delivered free with MISTR
MISTR provides free telehealth PrEP in West Virginia — consultations, at-home labs, medication, and delivery at $0. Essential for WV's ~50% rural population.
ANDR735
Use code ANDR735 when you sign up — it helps keep FreePrEP.org running so others can find free PrEP too.
West Virginia PrEP Programs & Assistance
West Virginia Medicaid
Expanded Medicaid covers adults up to 138% FPL. ~497,000 enrolled (171,000 via expansion). PrEP covered as preventive service. Prior auth for non-preferred drugs via WVU Rational Drug Therapy Program.
Gilead Advancing Access
Free Truvada/Descovy for uninsured at ≤500% FPL. No immigration requirement.
Clinics & Community Resources
WV Health Right
WV's oldest free clinic. Confirmed PrEP provider. Also operates syringe services (certified under SB 334).
📍 1520 Washington St E, Charleston 25311
Cabin Creek Health Systems
Innovative point-of-care PrEP protocols via mobile health clinic.
📍 4602 MacCorkle Ave SE, Charleston 25304
Milan Puskar Health Right
LIGHT Program (harm reduction), HIV testing. PrEP available via referral.
📍 341 Spruce St, Morgantown 26505
Valley Health Systems
40+ locations across southern WV. Sliding-scale fees.
📍 Huntington area
Planned Parenthood South Atlantic — Vienna
Only physical PP location in WV. PrEP availability uncertain.
📍 522 Grand Central Ave, Vienna 26105
Telehealth PrEP Options
MISTR
Free consultations, at-home labs, medication, and delivery. Essential for WV's rural population.
Free — $0 for everything
ANDR735
HIV & PrEP Data in West Virginia
West Virginia has approximately 2,200 people living with HIV with 210 new diagnoses in 2022. Cabell County (Huntington) experienced 82 PWID HIV cases over 18 months (2018–2019). Kanawha County (Charleston) saw 40 IDU-related cases in 2020 — the CDC called it the most concerning outbreak in the US among people who inject drugs. 23.3% of WV's PLWH acquired HIV through injection drug use, the 3rd highest rate nationally. Only ~10 syringe service programs serving 12 counties remain operational, with 43 counties lacking SSP access.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0 cost-sharing. Medicaid covers nearly half a million West Virginians.
IDU Prevention
PrEP reduces HIV from injection drug use by ~74% but is severely underutilized in WV. SB 334 (2021) restricted syringe services, and legislation to ban SSPs entirely is advancing.
HIV Laws
No HIV-specific criminal statutes, but general criminal laws can be applied.
Rural Access
WV is ~50% rural with only 3 metro areas. 34 FQHC organizations with 460+ locations provide the critical safety net. Broadband gaps limit telehealth adoption in some areas.