PEP in Arkansas — post-exposure prophylaxis, 72-hour window
The number
PEP prevents HIV only if started within 72 hours of exposure; every emergency department in Arkansas carries it on formulary.
Ryan White Part B
Arkansas Department of Health, HIV/STD/Hepatitis C Section
State ADAP
Arkansas AIDS Drug Assistance Program
Income cap 500% FPL
State PrEP-DAP
Not operated; federal Ready Set PrEP applies
Accessing PEP in Arkansas — the 72-hour window
Post-exposure prophylaxis (PEP) is a 28-day course of three HIV medications that prevents HIV after a possible exposure — condomless sex with someone who has or may have HIV, a needle-sharing event, or a needlestick injury. PEP works only if started within 72 hours of exposure and works best when started within the first 2 hours. If you're reading this after a recent possible exposure and you haven't started PEP yet, treat it as an emergency: go to the nearest emergency department tonight.
In Arkansas, PEP is available from every emergency department and from urgent-care clinics at some community health centers. The standard regimen — tenofovir/emtricitabine plus dolutegravir or raltegravir — is on the formulary of every major retail pharmacy. The first week's worth is often dispensed directly from the ED; a follow-up visit within a few days transitions you to a 28-day prescription. Four weeks later, a repeat HIV test confirms the prevention worked.
Cost: most insurance plans cover PEP with standard copays. If you're uninsured or your exposure was sexual assault, the Gilead Advancing Access patient-assistance program and the Office for Victims of Crime's Crime Victim Compensation Fund cover the full course. Some states run state-level Sexual Assault Forensic Exam (SAFE) funds that pay PEP costs when exposure follows a reported assault. The state HIV line is 1-501-661-2408 if you need help figuring out the right place to go tonight.
If your PEP course finishes and you think you may be at ongoing risk, ask about starting PrEP the same week. PrEP-to-PEP-to-PrEP sequencing is common and supported — you do not have to wait between the two. Long-time Black residents name Arkansas AIDS Foundation and UAMS Infectious Diseases Clinic as the local institutions that show up consistently — both are listed below.
Arkansas AIDS Foundation. The Arkansas AIDS Foundation in Little Rock is the state's Ryan White Part B case-management grantee and operates a walk-in rapid-testing clinic on West Asher Avenue with evening and Saturday hours targeted at working-age Black men.
UAMS Infectious Diseases Clinic. The UAMS Infectious Diseases Clinic in Little Rock is Arkansas's largest Ryan White Part C site, operating the Delta AIDS Education and Training Center which trains primary-care providers across the Delta counties where Black HIV burden is highest.
For Black families in Arkansas
The South carries the heaviest HIV burden in the country: Black Southern residents make up roughly 14% of the U.S. population but account for more than half of new Black HIV diagnoses nationally. Black patients are less likely to be offered PEP in the emergency department than white patients with comparable exposures, per published ED-utilization research. If you're in Arkansas and you show up at an ED within 72 hours of a possible exposure, advocate for yourself: ask specifically for 'HIV post-exposure prophylaxis' and the infectious-diseases consult. The community organizations listed below can also coordinate a same-day PEP dispense at their clinic in most metros.
Named HIV testing + PrEP sites in Arkansas
Arkansas AIDS Foundation
Little Rock, AR • 1-501-663-7833
UAMS Infectious Diseases Clinic
Little Rock, AR • 1-501-686-5000
Arkansas Department of Health Pulaski County Health Unit
Little Rock, AR • 1-501-280-3100
Living Affected Corporation Delta Outreach
Jonesboro, AR • 1-870-932-6262
Washington County Health Unit (Fayetteville)
Fayetteville, AR • 1-479-521-8181
Where to get help in Arkansas
- Arkansas HIV info line: 1-501-661-2408 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- Arkansas Department of Health, HIV/STD/Hepatitis C Section landing page: https://www.healthy.arkansas.gov/programs-services/topics/hiv-std-hepatitis-c-section.
- Federally Qualified Health Centers in Arkansas: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/ar/.
- State health data for Arkansas: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/arkansas/.
- Arkansas Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/arkansas/ for eligibility + enrollment.
References & primary sources
- Arkansas Department of Health, HIV/STD/Hepatitis C Section: https://www.healthy.arkansas.gov/programs-services/topics/hiv-std-hepatitis-c-section.
- CDC HIV Surveillance Report 2022: cdc.gov/hiv/library/reports/hiv-surveillance.html. Source for state-level new diagnoses and race-stratified counts.
- HRSA HIV/AIDS Bureau, Ryan White HIV/AIDS Program grantee list: ryanwhite.hrsa.gov/grants/part-b.
- NASTAD ADAP Monitoring Project 2024 Annual Report: nastad.org/adap-monitoring-project. Source for ADAP income cap + enrollment + PrEP-DAP data.
- AIDSVu state profile: aidsvu.org/state/arkansas/.
- CDC PEP guidelines, non-occupational exposure: cdc.gov/hiv/clinicians/prevention/pep.html.
Data refreshed: