Pre-Exposure Prophylaxis Drug Assistance Program (PrEP DAP)

The Pre-Exposure Prophylaxis Drug Assistance Program (PrEP DAP) is offered through the Washington State Department of Health (DOH). It helps people in Washington, who are prescribed PrEP and need help paying for generic PrEP medication, PrEP doctor visits, and PrEP labs.

We have created the following FAQ section to help answer some of the most common questions about PrEP and PrEP DAP.

What is PrEP?

PrEP is a highly effective medication prescribed by a provider that can prevent HIV infection when taken as directed.

• PrEP has been shown to reduce the risk of HIV-1 infection through sex or injection drug use.
• PrEP does not protect against other sexually transmitted infections or pregnancy, so condoms and other prevention methods may be recommended. Learn more about PrEP Facts, San Francisco AIDS Foundation.

How does PrEP DAP work?

PrEP DAP may be able to pay your provider, laboratory, or pharmacy for your costs for generic PrEP medications, PrEP doctor visits, and PrEP tests plus certain medications.

How does PrEP work with health insurance?

For people with health insurance, PrEP medication, PrEP doctor visits and PrEP tests should be provided at $0 cost. See the “Common Questions” section below for information about what to do about bills for PrEP medications, PrEP doctor visits, and PrEP tests.

PrEP DAP has a statewide network of providers, laboratories, and pharmacies that will submit your bills to PrEP DAP for payment. PrEP DAP pays the bills if you are eligible on the date of service and the medication or services are covered by PrEP DAP. Learn more about PrEP DAP Covered Services and Provider Locator. 

What services are covered?

Coverage is limited to generic PrEP and medications found on the List of covered medications (PDF) and health care services found on the PrEP DAP List of Covered Services (PDF). Pharmacies and providers must be contracted with PrEP DAP. Learn more about covered medications, covered services, providers and labs that contract with PrEP DAP.

What can you tell me about PrEP DAP eligibility?

You must apply for PrEP DAP to make sure you are eligible for help paying for medication and care. If approved, you will be enrolled in PrEP DAP.

Once enrolled, you will receive a letter from the Department of Health Client Services with eligibility information and a prescription drug identification card from Ramsell. You should share this information with your provider and pharmacy.

To get into the program, you must:

1. Live in Washington State.
2. Test negative for HIV.
3. Have gross monthly income at or below 500% of the Federal Poverty Level (FPL). The gross monthly income amount is $6,650 for 2026. See the Federal Poverty Level Guidelines Chart, HHS (PDF).

• You must send proof of all reported gross monthly income. This is how much you make before any taxes or deductions. Contact PrEPDAP@doh.wa.gov if you are not sure what to send. 
• These are the documents we will accept. Send the ones that apply to you:
  • If you are employed
    • By an employer: Pay stubs from your two (2) most recent months.
    • Self-employed: A profit and loss statement for your two (2) most recent months (only include deductions the IRS allows, even if you do not file taxes).
  • If you receive income from other sources
    • Current year award letters for Social Security, Unemployment, or Pension Benefits, etc.
  • If you receive cash income
    • A profit and loss statement from your two (2) most recent months.
• If you do not have any income, you will explain how you support yourself. We may need to contact you for more information. 

How do I apply for PrEP DAP?

You must submit a PrEP DAP Application (PDF). You can type your responses into the form or print and fill out in blue or black ink. Applications are processed in the order they are received. The application and information to assist with applying are located on the How to Apply for PrEP DAP webpage. 

How do I tell my health insurance plan where to send confidential and sensitive information?

Submit a request to your health insurance plan. It is your right to have confidential, private, and sensitive information sent to YOU instead of the person who pays for your health insurance plan. In Washington state, all “sensitive health care services” are required to be confidential as long as you send a request and instructions to your health plan. Learn more from these Frequently Asked Questions about Insurance Confidential Information Requests (PDF).

Does PrEP DAP offer only drug assistance?

No. PrEP DAP also pays for limited PrEP-related medical visits and lab tests. Enrollees must go to providers and labs that contract with PrEP DAP (PDF). PrEP & Health Insurance: For people with health insurance, PrEP medication, PrEP doctor visits and PrEP tests should be provided at $0 cost.

Do I have to go to a provider or clinic in the PrEP DAP network?

Yes. PrEP DAP will only pay in-network providers and clinics so if you choose to use an out-of-network provider or clinic then we cannot help pay for your out-of-pocket costs.

Can my provider join the network?

Yes. If your provider would like to become contracted with the WA state Department of Health, they can submit a Client Services EIP and PrEP DAP Provider Contract (PDF) or reach out to EIP.ClaimsPayments@doh.wa.gov with any questions.

Can I send my bills directly to PrEP DAP to get paid?

No. PrEP DAP cannot send payments to enrollees. PrEP DAP pays in-network providers when they submit bills for pre-approved services provided to PrEP DAP enrollees.

What should I do if I get a doctor or lab bill?

Contact us for help. Sometimes this happens. If it does and you believe the services should be covered by PrEP DAP, contact our office so we can work with your provider. PrEP & Health Insurance: PrEP medication, PrEP doctor visits and PrEP tests should be provided at $0 cost. 

Learn more about PrEP and health insurance: 

• Paying for PrEP, CDC
• Your Guide to HIV PrEP Coverage and Insurance Rights, HealthHIV (PDF)
• Guide to HIV PrEP Coverage and Insurance Rights, HealthHIV 
• PrEP and Medicare Part B Guidance: 
  • Medicare Now Covers Pre-exposure Prophylaxis (PrEP) for HIV Prevention (PDF)
  • PrEP Treatment Transitions From Medicare Part D to Medicare Part B, Premeria Blue Cross

How do I contact the PrEP DAP Program?

Toll Free: 1-877-376-9316
Email: PrEPDAP@doh.wa.gov
Confidential Fax: 360-359-7952
Mailing Address: PO Box 47840, Olympia WA 98504-7840 

What if I have questions about PrEP treatment?

For questions about PrEP treatment, please contact your medical provider.