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Global access · by countryPrEP around the world: availability & cost by country
PrEP works the same everywhere — but how you get it, what it costs, and which brands are approved vary a lot by country. Many places now offer it free or heavily subsidised. Here's a plain-language snapshot for major countries, and where the new long-acting injections have reached.
🌍 PrEP access by country — quick table
| Country | Daily pill (generic TDF/FTC) | Cost to you | Injectable PrEP |
|---|---|---|---|
| 🇺🇸 USA | Yes (generic + Descovy) | Free with insurance/Medicaid; assistance programs | Apretude & lenacapavir approved |
| 🇬🇧 UK | Yes — free on NHS | Free (sexual-health clinics) | Cabotegravir (Apretude) funded; lenacapavir not yet approved |
| 🇦🇺 Australia | Yes — on the PBS | ~A$30/script (or ~A$7 concession) | Injectables under review/rollout |
| 🇨🇦 Canada | Yes | Varies by province & insurance | Cabotegravir approved; lenacapavir filed |
| 🇫🇷 France / EU | Yes — reimbursed | Free/reimbursed in France | Cabotegravir (2026) & lenacapavir (Yeytuo, EU 2025) |
| 🇧🇷 Brazil | Yes — free via SUS | Free (public system) | Under evaluation |
| 🇲🇽 Mexico | Growing public access | Public programs + private | Filings in progress |
| 🇮🇳 India | Made here (generic hub) | Private mostly; limited public program | Generic lenacapavir licensed for low/middle-income use |
Country-by-country notes
- 🇺🇸 United States — generic Truvada, Descovy, the Apretude injection (2021) and twice-yearly lenacapavir (Yeztugo, 2025) are all approved. PrEP has a USPSTF "Grade A" rating, so insurers and Medicaid cover it — and its lab visits — at no cost; assistance programs help the uninsured.
- 🇬🇧 United Kingdom — PrEP is free on the NHS (mostly generic TDF/FTC) via sexual-health clinics in all four nations. The cabotegravir injection has been authorised and NHS-funded; the 6-monthly lenacapavir is not yet MHRA-approved.
- 🇦🇺 Australia — generic tenofovir/emtricitabine has been on the PBS since April 2018, so eligible people pay only the standard co-payment. Injectable options are rolling out through review.
- 🇨🇦 Canada — PrEP is approved and common, but coverage varies by province/territory and private plans; cabotegravir is approved, lenacapavir is under review.
- 🇫🇷 France & EU — France fully reimburses PrEP and, in 2026, added the cabotegravir injection — a first for long-acting injectable PrEP in France/Europe. The EU approved lenacapavir (brand Yeytuo) in 2025.
- 🇧🇷 Brazil — PrEP is free through the public health system (SUS) since 2017 for people at higher risk; long-acting options are being evaluated.
- 🇲🇽 Mexico & 🇮🇳 India — access is growing. India manufactures much of the world's generic PrEP; public-sector access in both countries is expanding, and Gilead has licensed generic lenacapavir for many low- and middle-income countries.
❓ PrEP by country — FAQ
Is PrEP free in the UK?
Yes — free on the NHS through sexual-health clinics (generic TDF/FTC). Cabotegravir injections are funded too; lenacapavir isn't approved yet.
Is PrEP subsidised in Australia?
Yes — generic PrEP is on the PBS since 2018, so you pay only the standard co-payment (about A$30, or a few dollars with a concession card).
Can I get PrEP free in Brazil or France?
Brazil provides PrEP free via SUS; France fully reimburses it. Both are strong-access countries.
Where is the 6-monthly lenacapavir injection available?
Approved in the US and EU (2025) and South Africa, with filings in Australia, Brazil, Canada and more. Rollout is ongoing — check locally.
Wherever you are — start with the basics
See how PrEP works, which option fits you, and how to get it.
Related
🔬 Sources & review
- NHS — PrEP availability (UK); Australian Government / PBS — PrEP subsidy (from 2018).
- ANRS & EMA — cabotegravir and lenacapavir (Yeytuo) approvals in France/EU (2025–2026); Brazil Ministry of Health — PrEP via SUS.
- Gilead — lenacapavir (Yeztugo) regulatory filings and generic licensing; WHO PrEP guidance.
✔ Last medically reviewed: 22 July 2026 · Prepmedication.com Medical Review Team · How we review →
Availability & medical disclaimer. Approvals, funding and brand names change frequently and vary within countries — this is general information, not medical or legal advice. Always confirm current access with your national sexual-health service or a local clinic. If you may have been exposed to HIV in the last 72 hours, see PEP.
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