The AIDS Drug Assistance Program (ADAP) is federally-funded, but it is state administered. The amount of money each state receives depends on the number of documented AIDS cases in the state. States with a lot of AIDS cases get a lot of money for their ADAP program, while others get very little. Some add state money to the amount they get from the federal government, and some do not. As a result, the qualifications for ADAP and the drugs the program covers vary widely from state to state!

Every year we contact each state to get their latest information. We don’t know of any other print publication that doesthis.

Here’s the information we provide for each state, using Alabama, the first state on the list, as an example.

Underneath the state’s name, you’ll see the phone number for their ADAP program. We urge you to call the number for your state to confirm their latest information. We do our very best to make this list accurate, but sometimes we make mistakes. Sometimes the states make mistakes, too, and changes may have been made since press time.

Below the phone number is the maximum qualifying income for a single person to receive assistance from ADAP. In Alabama this year it is $29,175 - that’s the most you can make and still get your drugs through the Alabama ADAP. In Texas, Iowa and a few other states, it is only $23,340. But in California it is $50,000 - more than two-and-a-half times as much as Texas!

Below that we let you know if the state has a waiting list, and we give you their web address if they have a website.

Lastly, we give you each state’s “formulary,” a list of the drugs that state’s ADAP program covers. As you can see, this also varies dramatically! Alabama covers only a few of the basics. You can see at a glance that Arizona covers more than three times as many. Some states have an “open formulary,” which means that the state covers most FDA-approved drugs for the treatment of HIV and the side-effects of HIV medication.

Abacavir; abacavir/lamivudine; abacavir/ lamivudine/zidovudine; acyclovir; adefovir; albuterol; amlodipine; amoxicillin; amphotericin B; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; benazepril; bupropion; carbamazepine; cephalexin; cidofovir; citalopram; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; dolutegravir; doxycycline; efavirenz; efavirenz/ emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enfuvirtide; entecavir; epoetin alfa; escitalopram; ethambutol; etravirine; famciclovir; fenofibrate nanocrystallized; fluconazole; flucytosine; fluoxetine; fosamprenavir; foscarnet; gabapentin; gardasil- IM; glyburide; glyburide metformin; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B virus vaccine-injection; hydroclorothiazide; imiquimod; indinavir; interferon alfa-2a; interferon alfa-2b; ipratropium + albuterol; isoniazid; itraconazole; ketoconazole cream/shampoo/tablets; lamivudine; lamivudine/zidovudine; lamotrigine-oral; leucovorin; levetiracetam; lisinopril; lithium ER-oral; lopinavir/ritonavir; maraviroc; megestrol; metformin HCL; metronidazole; minocycline; moxifloxacin; nelfinavir; nevirapine; nortriptyline; paroxetine; peg-interferon alfa-2a; peg-interferon alfa-2b; penicillin VK; pentamidine; pneumococcal vaccine; pravastatin; prednisone; probenecid; promethazine HCL; pyrazinamide; pyrimethamine; raltegravir; ribavirin; ribavirin/interferon alfa-2b; rifabutin; rilpivirine; risperidone-oral; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; voriconazole; zidovudine; ziprasidone-oral.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir dipivoxil; amphotericin B; atazanavir; atorvastatin calcium; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; diphenoxylate and atropine; dolutegravir; dronabinol; efavirenz; efavirenz/emtricitabine/ tenofovir; elvitegravir/cobicistat/emtricitabine/ tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; entecavir; ethambutol; etravirine; famciclovir; fluconazole; flucytosine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; hepatitis A vaccine; hepatitis B vaccine; indinavir; influenza vaccine; interferon alfa; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin calcium; loperamide HCL; loperamide HCL and simethicone; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; nystatin suspension; oseltamivir; pantoprazole sodium; peg-interferon alfa-2a; pegylated interferon alfa-2b; pentamidine aerosolized; pentavalent antimony; pneumococcal vaccine; pravastatin sodium; prednisone; probenecid; prochlorperazine; promethazine; pyrazinamide; pyridoxine; pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; ritonavir; rosuvastatin calcium; saquinavir; simvastatin; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; valacyclovir; valganciclovir; varicella zoster immune globulin; zanamivir; zidovudine.

602-364-3610 (ADAP)
Maximum qualifying income (single): $35,010
Waiting List: No
Website: www.azdhs.gov/phs/hiv/adap/

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acetaminophen/hydrocodone; acetaminophen/oxycodone; albuterol metered-dose inhaler; alendronate; amitriptyline; amlodipine; amoxicillin; amoxicillin/clavulanate; acyclovir; aripiprazole; atazanavir; atenolol; atorvastatin; atovaquone; azelastine HCL; azithromycin; beclomethasone; beclomethasone dipropionate; benazepril; bupropion SR; carbamazepine; calcium carbonate; calcium carbonate/vitamin D; calcium citrate; calcium citrate/vitamin D; cefpodoxime; cephalexin; chloralphenazone/ isometheptene/acetaminophen; chlorhexidine mouthwash; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole oral troches; cyclobenzaprine; dapsone; darunavir; delavirdine; desipramine; dicloxacillin; dicyclomine; didanosine; diaz- epam; diltiazem sustained release; diphenoxylate/atropine; diphenydramine; divalproex; dolutegravir; doxazosin; doxycycline; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enalapril; enfuvirtide; entecavir; epoetin alfa; escitalopram; estradiol; estrogen conjugated; ethambutol; etravirine; ezetimibe; ferrous sulfate; fenofibrate; filgrastim; fluconazole; flunisolide; flunisolide MDI; fluocinonide cream/ointment; fluoxetine; folic acid; fosamprenavir; furosemide; gabapentin; gemfibrozil; glipizide; glyburide; guaifenesin with codeine cough syrup; hctv; hctv/ triamterene; hydrocortisone cream/ointment; hydroxyzine; ibuprofen; imiquimod cream; indinavir; insulins; ipratropium HFA; isoniazid; itraconazole; ketoconazole cream/shampoo; lamictal; lamivudine; lamivudine/zidovudine; leucovorin; levetiracetam; levothyroxine; lisinopril; lithium carbonate; loperamide; lopinavir/ritonavir; loratidine; lorazepam; losartan; magnesium oxide; maraviroc; medroxyprogesterone; megestrol; metformin; methodone; methylphenidate; metoclopramide; metoprolol; metronidazole; miconazole vaginal; mirtazapine; mometasone; morphine sulfate immediate release; morphine sulfate sustained release; moxifloxacin; multivitamin with 1 mg folate/prenatal vitamins; mupirocin ointment; naproxen; nelfinavir; nevirapine; nevirapine; niacin sustained release; nortriptyline; nystatin suspension; olanzapine; omeprazole; ondansetron; opium tincture; oseltamivir phosphate; oxycodone immediate release; pancrelipase; paroxetine; peginterferon alfa-2b; penicillin VK; pentamidine isethionate; phenytoin; pioglitazone; podofilox solution; potassium chloride; pozaconazole; pravastatin; prazosin; prednisone; pregabalin; prochlorperazine; promethazine; propranolol; pseudoephedrine; pyrazinamide; pyridoxine; pyrimethamine; quetiapin; raltegravir; ranitidine; ribavirin; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; rosuvastatin; saquinavir; selenium sulfide; sertraline; sitagliptin; spironolactone; stavudine; sulfadiazine; temazepam; tenofovir; testosterone; testosterone cypionate; testosterone enanthate; testosterone gel; tipranavir; TMP/ SMX; tramadol HCL; trazodone; triamcinolone cream/ointment; trimethoprim; valganciclovir; venlafaxine; voriconazole; warfarin; zidovudine; zolpidem.

501-661-2408 (ADAP)
Maximum qualifying income (single): $23,340
Waiting List: No
Website: www.healthy.arkansas.gov/programsServices/infectiousDisease/hivStdHepatitisC/Pages/ADAP.aspx

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amlodipine; amlodipine/benazepril; atazanavir; atenolol; atovaquone; azithromycin; bisoprolol/HCTZ; bupropion; bupropion SR; bupropion XL; citalopram; clarithromycin; clotrimazole; dapsone; darunavir; didanosine; diltiazem; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; esomeprazole; ethambutol; etravirine; ezetimibe; fenofibrate; fluconazole; fluoxetine; fosamprenavir; furosemide; gabapentin; glipizide; glyburide; glyburide/metformin; HCTZ; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; lansoprazole; leucovorin; lisinopril; lisinopril/hctz; loperamide; lopinavir/ritonavir; maraviroc; megestrol; megestrol acetate; metformin; metoprolol XL; mirtazapine; nelfinavir; nevirapine; nifedipine XL; nystatin suspension; omeprazole; ondansetron; pantoprazole; paroxetine; posaconazole; potassium chloride; pravastatin; prednisone; promethazine; propranolol; raltegravir; ramipril; ranitidine; rifabutin; rilpivirine; ritonavir; rosuvastatin; saquinavir; sertraline; spironolactone; stavudine; sulfadiazine; sumatriptan; telmisartan; telmisartan/hydrochlorothiazide; terazosin; tipranavir; TMP/SMX; trazadone; triamterene/hctz; valacyclovir; valganciclovir; venlafaxine; verapamil; voriconazole; zidovudine.

888-311-7632 (ADAP)
Maximum qualifying income (single): $50,000
Individuals who have a Federal Adjusted Gross Income below $50,000 are eligible for ADAP. If the applicant earns less than 400% of the Federal Poverty Level, they qualify for ADAP drugs at no cost. Those earning between 400%of FPL and $50,000 will have a monthly share of cost, based on a sliding scale.
Waiting List: No
Website: www.cdph.ca.gov/programs/aids/Pages/tOAADAP.aspx

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albendazole; alitretinoin gel; alprazolam; amikacin sulfate; amitriptyline; amoxicillin; amphotericin B; amprenavir; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bleomycin; bupropion; buspirone; capreomycin; caspofungin; cephalexin; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clofazimine; clotrimazole; codeine sulfate; codeine/ APAP; codeine/ASA; cyclophosphamide; w/wo ASA/APAP; cyclophosphamide; cycloserine; dapsone; darunavir; daunorubicin, delavirdine; desipramine; dexamethasone; dextroamphetamine; dicloxacillin; didanosine; diphenoxylate/ atropine; divalproex; dolutegravir; doxorubicin; doxycycline; dronabinol; efavirenz; efavirenz/ tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtric- itabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; epoetin alpha; erythromycin base/ ethylsuccinate/stearate; ethambutol; ethionamide; etravirine; famciclovir; famotidine; fenofibrate; fenoprofen; fentanyl; filgrastim; fluconazole; flucytosine; fluoxetine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glipizide; glyburide/metformin; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/hepatitis B vaccine; hydrocodone/ APAP; hydrocodone/ibuprofen; hydroxyurea; ibuprofen; imipenem/cilastatin; imiquimod; indinavir; indomethacin; interferon alfa-2a; interferon alfa-2b; interferon alphacon 1; interferon alfa-N3; isoniazid; itraconazole; ketoconazole; ketoprofen; ketoralac tromethamine; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levofloxacin; levorphanol; linezolid; loperamide; lopinavir/ritonavir; lorazepam; maraviroc; megestrol; metformin; methadone; methotrexate; methylphenidate; metoclopramide; metronidazole; minocycline HCL; mirtazapine; morphine sulfate; moxifloxacin; nandrolone; naproxen; nefazodone; nelfinavir; neomycin sulfate; nevirapine; nortriptyline; nystatin; olanzapine; omeprazole; opium tincture; oxandrolone; oxycodone; oxycodone/APAP; oxycodone/ASA; paclitaxel; pancrelipase; para-aminosalicylate; paromomycin; paroxetine; pegylated interferon; penicillin G benzathine; penicillin V potassium; pentamidine; phenytoin; pioglitazone; pneumococcal vaccine; pravastatin; prednisone; probenecid; prochlorperazine; promethazine; pyrazinamide; pyrimethamine; quetiapine; raltegravir; ranitidine; ribavirin; ribavirin/interferon alfa 2B; rifabutin; rifampin; rifampin/isoniazid; rilpivirine; risperidone; ritonavir; rosiglitazone maleate; rosuvastatin; saquinavir; sertraline; simeprevir; simvastatin; sofosbuvir; somatropin; stavudine; sulfadiazine; sulindac; tenofovir; testosterone; tetracycline; tipranavir; TMP/SMX; trazadone; trimethoprim; trimetrexate; valacyclovir; valganciclovir; vancomycin; venlafaxine; vinblastine; vincristine; voriconazole; zalcitabine; zaprasidone; zidovudine.

Colorado began a new program, the Supplemental Wrap Around Program (SWAP) to assist newly eligible Medicaid clients under the Affordable Care Act with ADAP formulary medication co-pays they would otherwise have to pay out of pocket.

Abacavir; abacavir/lamivudine; abacavir/ lamivudine/zidovudine; acyclovir; adefovir; amoxicillin; amphotericin injection; aripiprazole; atazanavir; atenolol; atorvastatin; atovaquone; aviane and generics; azithromycin; boceprevir; buproprion; chlorhexidine rinse; cidofovir; citalopram; clarithromycin; clindamycin; clotrimazole; contraceptives; dapsone; darbepoetin alfa; darunavir; delavirdine; didanosine; diphenoxylate/atropine; divalproex sodium; dolutegravir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/ tenofovir; emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; enfuvirtide; epoetin alfa/erythropoietin; etravirine; esomeprazole; ethambutol; famciclovir; fenofibrate; filgrastim; fluconazole; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glucometer; glucose strips; glyburide; hydrochlorothiazide; indinavir; insulin; itraconazole; lamivudine; lamivudine/zidovudine; lancets; leucovorin; levetiracetam; lisinopril; lisinopril/hctz; loperamide; lopinavir/ritonavir; losartan; maraviroc; metformin; metformin/glyburide; metoprolol; metronidazole; mirtazpine; necon 1/35 and generics; nelfinavir; nevirapine; nitazoxanide; nystatin suspension; olanzapine; pegfilgrastim; peginterferon alfa-2a; peginterferon alfa-2b; penicillin; pentamidine/aerosol; pyrimethamine; quetiapine; raltegravir; ranitidine; ribavirin; rifabutin; rilipivirine; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; sofosbovir; stavudine; sulfadiazine; telaprevir; tenofovir; testosterone; tipranavir; TMP/SMX; vaginal ring; valacyclovir; valganciclovir; varenicline; venlafaxine; voriconazole; zidovudine; ziprasidone.

800-233-2503 (ADAP)
Maximum qualifying income (single): $46,680
Waiting List: No
Website: www.ct.gov/dss

CADAP provides health insurance premium purchase and continuation for eligible CADAP clients through the Connecticut Insurance Premium Assistance Program (CIPA). For more information about this program call 1-855-888-2472.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen with codeine; acyclovir; albuterol; alclometa- sone dipropionate; alendronate sodium/cholecalciferol; alprazolam; amitriptyline HCL; amlodipine; amoxicillin; amoxicillin/clavulanate pot.; amphotericin B; ampicillin; amprenavir; aripiprazole; atazanavir; atenolol; atorvastatin; atovaquone; azelastine HCL; azithromycin; benztropine mesylate; betamethasone; budesonide; bupropion HCL; buspirone; calcium supplements; carbamazepine; cefditoren pivoxil; ceftriaxone; cefuroxime; celecoxib; cephalexin; chlorhexidine gluconate; cholestyramine; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clindamycin gel; clobetasol propionate; clofibrate; clonazepam; clopidigrel; clotrimazole; colesevelam HCL; comvax; dapsone; darunavir; delavirdine; desloratadine; dexamethasone; diazepam; dicloxacillin; didanosine; digoxin; diltiazem HCL; diphenoxylate HCL; divalproex sodium; dolutegravir; doxycycline hyclate; dronabinol; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/ tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enalapril maleate; enfuvirtide; engerix-B; entecavir; erythropoietin; escitalopram oxalate; esomeprazole; ethambutol; etravirine; exenatide; ezetimibe; famciclovir; famotidine; fenofibrate; fenofibric acid; fentanyl transdermal system; ferrous sulfate; filgrastim; flucinonide; fluconazole; fluoxetine HCL; flunisolide; fluticasone propionate; fosamprenavir; foscarnet; furosemide; gabapentin; ganciclovir; gatifloxacin; gemfibrozil; gentamicin; glipizide; glyburide; guaifenesin/codeine PH; guaifenesin/DM HBr; guaifenesin/pseudoephedrine; granisetron; havrix; hydrochlorothiazide; hydrocortisone topical; hydroxyurea; hydroxyzine HCL; ibuprofen; imiquimod; indinavir; insulin NPH; insulin Regular; ipratropium bromide; isosorbide dinitrate; isosorbide mononitrate; itraconazole; ketoconazole; ketoconazole 2%; ketoprofen; labetalol HCL; lactic acid; lactulose; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levocarnitine/oral; levofloxacin; levothyroxine sodium; lisinopril; lithium; loperamide HCL; lopinavir/ritonavir; lorazepam; maraviroc; megestrol acetate; meningococcal vaccines; metformin HCL; metronidazole; metronidazole cream; metroprolol succinate; minocycline HCL; minoxidil; mirtazapine; mometasone furaote monohydrate; mupirocin ointment.; nandrolone decanoate; naproxen; nelfinavir; neomycin sulfate; nevirapine; nitrofurantoin monohydrate; nitroglycerin; nortriptyline HCL; nystatin; ofloxacin; olanzapine; omega-3 acid ethyl esthers; ondansetron; oseltamivir; oxandrolone; oxycodone with APAP 5/325; oxycodone with APAP SLN; oxycodone HCL – CR; oxymetholone; pantoprazole sodium; paromomycin; paroxetine; peg-interferon alfa-2a; peg-interferon alfa-2b; penicillin G benzathine; penicillin V potassium; pentamidine; pioglitazone HCL; pneumococcal vaccine; pravastatin; prednisone; pimecrolimus; primaquine; prochlorperazine; pyrimethamine; quetiapine fumarate; rabeprazole sodium; raltegravir; ranitidine HCL; recombivax HB; ribavirin; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; rosiglitazone maleate; rosuvastatin; salmeterol; salmeterol xinafoate; saquinavir; sertraline; somatropin; spironolactone; stavudine; strovite/forte/plusd/advance/one; sulfadiazine; temazepam; tenofovir; terbinafine; terconazole; testosterone; testosterone cypionate; testosterone gel; tipranavir; TMP/ SMX; tramadol HCL; trazadone; triamcinolone acetonide; trimethoprim; twinrix; valacyclovir; valganciclovir; valsartan; valsartan and HCT; vancomycin; vaqta; venlafaxine; verapamil; vitamin D supplements; voriconazole; zalcitabine; zanamivir; zidovudine; zolpidem tartrate.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acetaminophen/oxycodone; acyclovir; adult diapers; albuterol inhaler; albuterol/ipratropium; alendronate; alprazolam; amikacin sulfate; amitriptyline; amlodipine; amlodipine/atorvastatin; amoxapine; amoxicillin; amoxicillin/potassium clavulanate; ampicillin; amprenavir; apresonline; aripiprazole; asenapine; aspirin; atazanavir; atenolol; atorvastatin; atovaquone; azelastine; azithromycin; beclomethasone; benztropine; brompheniramine; budesonide; bupropion; buspirone; carafate; carbamazepine; carvedilol; catheters; cefixime; cefuroxime; cephalexin; cetirizine; chlordiazepoxide; chlorpromazine; cholestyramine; cidofovir; ciprofloxacin; citalopram; clarithromycin; clemastine; clindamycin; clomipramine; clonazepam; clonidine; clorazepate; clotrimazole troches; clotrimazole vaginal; codeine with pain relievers; colesevelam; cyproheptadine; dapsone; darunavir; delavirdine; desipramine; desloratadine; dexamethasone; dexchlorpheniramine; diabetic supplies; diazepam; diclofenac; dicloxacillin; didanosine; digoxin; diltiazem; diphenhydramine; diphenoxylate/atropine; disposable syringes; docusate-sennoside; dolutegravir; doxycycline; duloxetine; econazole nitrate 1% cream; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/ efavirenz; enalapril; enfuvirtide; epoetin alpha; erythromycin base/succinate/stearate; escitalopram; esomeprazole; estazolam; ethambutol; ethosuximide; etodolac; etravirine; ezetimibe; ezetimibe/simvastatin; famciclovir; famotidine; felodipine; fenofibrate; fenofibrate micronized; fenoprofen; fentanyl transdermal system; ferrous sulfate; fexofenadine; filgrastim; florinef acetate; fluconazole; flunisolide; fluocinonide; fluoxetine; flurazepam; flurbiprofen; fluticasone; fluticasone/salmeterol; fluvoxamine; fomivirsen; fosamprenavir; foscarnet; fosinopril; furosemide; gabapentin; ganciclovir; gatifloxacin; gemfibrozil; glimepiride; glipizide; glyburide; haloperidol; hemorrhoidal creams & suppository; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; human papillomavirus quadrivalent; hydrochlorothiazide; hydrocodone and derivatives; hydrocodone/IBU; hydrocortisone; hydromorphone and derivatives; hydroxyzine; ibandronate; ibuprofen; imipenem/cilastatin; imipramine; imiquimod; indinavir; influenza/vaccine/seasonal; insulins; inteferon alfa-2b; interferon alfa-2b + ribavirin; ipratropium; isoniazid (INH); isoproterenol; isradipine; itraconazole; ketoconazole; ketoconazole cream; ketoprofen; ketorolac; labetalol; lamivudine; lamivudine/zidovudine; lamotrigine; lancets; lansoprazole; latex gloves; leucovorin; levetiracetam; levofloxacin; levothyroxine; linezolid; lisinopril; lithium carbonate; loperamide; lopinavir/ritonavir; loratadine; lorazepam; losartan; lovastatin; lurasidone; maprotiline; maraviroc; meclofenamate; meloxicam; meperidine; metaproterenol inhaler; metformin; metformin/repaglinide/rosiglitazone/sitagliptin; methylprednisone; metolazone; metoprolol; metronidazole; miconazole cream; minocycline HCL; minoxidil; mirtazapine; montelukast; morphine sulfate; moxifloxacin; mycostatin; nabumetone; nandrolone; naproxen; nefazodone; nelfinavir; neomycin sulfate; nevirapine; niacin; nifedipine; nitrofurantoin; nizatidine; nortriptyline; nutritional supplements; nystatin cream; ofloxacin; olanzapine; olmesartan; omega-3-acid ethyl esters; omeprazole; oxandrolone; oxaprozin; oxazepam; oxycodone/APAP; paliperidone; pancrease enzymes; pantoprazole; paromomycin; paroxetine; pegylated interferon; penicillin G benzathine; penicillin V potassium; pentamidine; pentobarbital; phenytoin; pioglitazone; piroxicam; pneumococcal 23; pravastatin; prednisone; pregabalin; pneumococcal 13-valent conjugate vaccine; primaquine phosphate; probenecid; prochlorperazine; promethazine; propranolol; protriptyline; pyrazinemide; pyridoxine; pyrimethamine; quetiapine; quiniapril; rabeprazole; raltegravir; ramipril; ranitidine; repaglinide; ribavirin; rifabutin; rifampin; rilpivirine; risedronate; risperidone; ritonavir; rosiglitazone; rosuvastatin; salmeterol; saquinavir; sertraline; simvastatin; sinequan; sitagliptin; somatropin; spironolactone; stavudine; sulfadiazine; sulindac; td; tdap; telmisartan/HCTZ; temazepam; tenofovir; terbutaline; terconazole; testosterone; tiagabine; tipranavir; tolmentin; tramadol; TMP/ SMX; trazadone; triamcinolone; triamcinolone 0.1% dental paste; triamterene; trifluoperazine; trimipramine; valacyclovir; valganciclovir; valproate; valsartan; venlafaxine; verapamil; voriconazole; warfarin; zidovudine; ziprasidone; zolpidem.

List of drugs for HIV-related side-effects is extensive. Please call for complete listing or visit the following link for the complete list: www.ramsellcorp.com/PDF/DE_Alphabetical.pdf

202-671-4900 (ADAP)
Maximum qualifying income (single): $58,350
Waiting List: No
Website: www.doh.dc.gov/node/137062

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetamenaphine/codeine; acyclovir; adefovir; aerosolized pentamidine; alpha interferon; amitriptyline; amoxicillin/clavulante; aripiprazole; atazanavr; atorvastatin; atovaquone suspension; azithromycin; benztropine; berocca plus vitamins; boceprevir; buprenorphine; buprenorphine/naloxone; bupropion; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; diphenoxylate/atropine; dolutegravir; doxorubicin; doxycycline; dronabinol; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfurvirtide; entecavir; erythropoietin alpha; ethambutol; etravirine; ezetimibe; fenofibrate; fentanyl patch; fluconazole; fluoxetine; fosamprenavir; gabapentin; ganciclovir; glipizide; haloperidol; hydrocortisone 2.5%; hydrocortisone valerate 0.2%; ibuprofen; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/ zidovudine; levofloxacin; lidocaine patch; linezolid; lopinavir/ritonavir; maraviroc; megestrol; metformin; metformin/glipizide; metformin/pioglitazone; morphine sulfate; nelfinavir; nevirapine; olanazapine; oseltamivir; oxandrolone; peginterferon alfa 2a; peginterferon alfa-2b; pravastatin; pyrazinamide; pyrimethamine; quetiapine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; saquinavir; sertraline; somatropin; stavudine; sulfadiazine; telaprevir; tenofovir; testosterone; tipranavir; TMP/SMX; valacyclovir; valganciclovir; voriconazole; zidovudine; ziprasidone.

850-245-4335 (ADAP)
Maximum qualifying income (single): $46,680
Waiting list: No
Website: www.FloridaADAP.org

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; atovaquone; azithromycin; clarithromycin; clotrimazole; darunavir; dapsone; delavirdine; didanosine; dolutegravir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; ethambutol; etravirine; fluconazole; fosamprenavir; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; terconazole; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zidovudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; atovaquone; azithromycin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; dolutegravir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; epoetin alpha; ethambutol; etravirine; famciclovir; fluconazole; flucytosine; fosamprenavir; gabapentin; ganciclovir; hydroxyurea; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; nystatin; prednisone; primaquine; prochlorperazine; pyrazinamide; pyrimethamine; raltegravir; rifabutin; rifampin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trimethoprim; valacyclovir; valganciclovir; zidovudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; alendronate; aliretinoin gel; amitriptyline; amlodipine; amphotericin B; amphotericin B liposomal; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; boceprevir; bupropion; cephalexin; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clotrimazole; crofelemer; dapsone; darunavir; daunorubicin; delavirdine; dicloxacillin; didanosine; diphenoxylate/atropine; divalproex sodium; dolutegravir; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; entecavir; epoetin alpha; erythromycin; ethambutol; etravirine; famciclovir; fenofibrate; filgrastim; fluconazole; flucytosine; fluoxetine; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glyburide; hepatitis A&B vaccines; hexachlorophene 3%; hydrocortisone 1% cream; hydroxyurea; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; levetiracetam; lisinopril; lisinopril/hydrochlorothiazide; loperamide; lopinavir/ritonavir; maraviroc; megestrol acetate; metformin; metronidazole; mirtazapine; nelfinavir; nevirapine; niacin extended-release tablets; norfloxacin; olanzapine; olmesartan; omeprazole; oseltamivir; quetiapine; paclitaxel; pancrelipase; pantoprazole; paromomycin; paroxetine; peginterferon alpha 2a; peginterferon alfa-2b; pentamidine-aerosolized; pioglitazone; pneumococcal PSV; posaconazole; pravastatin; prednisone; pregabalin; primaquine; probenecid; prochlorperazine; pyrazinamide; pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; risedronate; risperidone; ritonavir; rosiglitazone; saquinavir; sertraline; simeprevir; sofosbuvir; stavudine; sulfadiazine; telaprevir; telbivudine; tenofovir; terbinafine; testosterone cypionate; testosterone gel; tetracycline; tipranavir; TMP/SMX; valacyclovir; valganciclovir; varenicline; venlafaxine; zanamivir; zidovudine; ziprasidone.

208-334-6527 (ADAP)
Maximum qualifying income (single): $23,340
Waiting List: No
Website: www.safesex.idaho.gov

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazana- vir; azithromycin; clarithromycin; dapsone; darunavir; didanosine; dolutegravir; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; enfuvirtide; etravirine; fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine XR; raltegravir; rilpivirine; ritonavir; stavudine; sulfamethoxazole/trimethoprim; tenofovir; tipranavir; valacyclovir; zidovudine.

800-825-3518 (ADAP)
Maximum qualifying income (single): Non-insured clients 300% - $35,010 of Federal Poverty Level, Insured clients 500% Federal Poverty Level - $58,350.
Waiting List: No
Website: www.idph.state.il.us/health/aids/adap.htm

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amoxicillin; amphotericin B (I.V. only); amprenavir (solution only); atazanavir; atovaquone; azithromycin; cefixime; cephalexin; chlorhexidine gluconate; cidofovir plus probenecid intravenous; ciprofloxacin; clarithromycin; clindamycin HCL; clindamycin phosphate; clindamycin palmitate/leucovorin calcium; clotrimazole; dapsone; darunavir; delavirdine; dicloxacillin sodium; didanosine; diphenoxylate/atropine; dolutegravir; doxycycline hyclate; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabi- ne/rilpivirine/tenofovir; emtricitabine/tenofovir; enfuvirtide; entecavir; ethambutol; etravirine; famciclovir; fenofibrate; fluconazole; fosamprenavir; gabapentin; imiquimod cream; imodium; indinavir; isoniazid; isoniazid/pyrazinamide/ rifampin; itraconazole; lamivudine; lamivudine/zidovudine; levofloxacin; lomotil; loperamide; lopinavir/ritonavir; maraviroc; metronidazole; miconazole; nelfinavir; nevirapine; nystatin; paromomycin sulfate; penicillin VK; pentamidine isethionate; pravastatin; primaquine phosphate; pyrazinamide; pyridoxine hcl; pyrimethamine; raltegravir; rifabutin; rifampin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; sulfamethoxazole; tenofovir; testosterone cypionate; testosterone enanthate I.M. only); tipranavir; TMP/SMX; trimethoprim; valacyclovir; valgancyclovir; zidovudine.

866-588-4948 (ADAP)
Maximum qualifying income (single): $35,010
Waiting List: No
Website: www.in.gov/isdh/17740.htm

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acamprosate; acetaminophen/hydrocodone; acetaminophen/codeine; acetaminophen/oxycodone; acyclovir; albuterol; alendronate; alprazolam; amitriptyline; amlodipine; amoxicillin; amoxicillin/clavulanate acid; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; betamethasone; buprenorphine+naloxone; beclomethasone; budesonide/formoterol; bupropion; buspirone; carbamezapine; carvedilol; cefixime; ceftriaxone; cephalexin; cetirizine; chlorhexidine-gluconate; ciprofloxacin; citalopram; clarithromycin; clonazepam; clonidine; clopidogrel; clotrimazole; dapsone; darunavir; delavirdine; desipramine; diabetes supplies; didanosine; diphenhydramine; diphenoxylate atropine; disulfiram; dolutegravir; doxepin; doxycycline; dronabinol; duloxetine; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/ tenofovir; enfuvirtide; entecavir; esomeprazole; estradiol; estrogen conjugated; ethambutol; etravirine; famotidine; fenofibrate; finasteride; fluconazole; flucytosine; fluocinonide; fluoxetine; fluticasone NS; fosamprenavir; gabapentin; gemfibrozil; hydrochlorothiazide; hydroxyzine; ibuprofen; imiquimod; indinavir; insulins; ipratropium/albuterol; isoniazid; isosorbide dinitrate; isosorbide mononitrate; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; levetiracetam; levofloxacin; lisinopril; lithium; loperamide; lopinavir/ritonavir; loratadine; lorazepam; losartan; maraviroc; mary’s magic mouthwash; medroxyprogesterone; metformin; metoprolol; methadone; metronidazole; mirtazapine; morphine sulfate; naltrexone; naproxen; nelfinavir; nevirapine; nicotine patches; nitroglycerine; nystatin; olanzapine; omega-3-acid ethyl esters; omeprazole; ondansetron; oxycodone; pantoprazole; paroxetine; penicillin G benzathine; pentamidine; phenobarbital; phenytoin; polysaccharide iron complex; pravastatin; prednisone; pregabalin; prochlorperazine; promethazine; pyridoxine; pyrimethamine; quetiapine; raltegravir; ranitidine; ribavirin; rifabutin; rifampin; rilpivirine; risiperidone; ritonavir; ropinirole; saquinavir; sertraline; sitagliptin; spironolactone; stavudine; sulfadiazine; sumatriptan; tamsulosin; temazepam; tenofovir; terbinafine; testosterone; tiotropium; tipranavir; TMP/SMX; tramadol; trazadone; triamcinolone NS; valacyclovir; valganciclovir oral; valproate; varenicline; venlaxafine; voriconazole; warfarin; zidovudine; ziprasidone; zolpidem.

With insurance the client can make up to 400% FPL and without insurance the client can make up to 200% FPL plus if they are working they can receive a $500/month work deduction.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosol pentamidine; atazanavir; atovaquone; azithromycin; bupropion; cidofovir; citalopram; clotrimazole; dapsone; darunavir; delavirdine; didanosine; dolutegravir; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/tenofovir/emtricitabine; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enfuvirtide; escitalopram; ethambutol; etravirine; famciclovir; fluconazole; flucytosine; fluoxetine; fluvoxamine; fosamprenavir; foscarnet; gabapentin; indinavir; isoniazid; itraconazole; ketaconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; mirtazapine; nelfinavir; nevirapine; nystatin; paroxetine; peginterferon alph-2a; pentamidine; pyrimethamine; raltegravir; ribivirin; rifabutin; rilpivirine; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; venlafaxine; zidovudine.

The formulary currently includes all FDA-approved medications for the treatment of HIV infection, including other medications that are utilized for prevention and treatment of secondary infections.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amoxicillin; amprenavir; atazanavir; atovaquone; azithromycin; cephalexin; ciprofloxacin; clarithromycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; dolutegravir; doxycycline; efavirenz; efavirenz/tenofovir/ emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/ tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; ethambutol; etravirine; fluconazole; fosamprenavir; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; imiquimod; immodium; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; megestrol; nelfinavir; nevirapine; nystatin; paramomycin; prenatal vitamins; primaquine; promethazine HCL; pyrimethamine; raltegravir; rifabutin; rifampin; rilpivirine; rimactane; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; trimethoprim; valganciclovir; vitamin D; zidovudine.

504-568-7474 (ADAP)
Maximum qualifying income (single): $35,010
Waiting List: No
Website: www.lahap.org

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amphotericin B; atazanavir; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; dolutegravir; efavirenz; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir/efavirez; emtricitabine/tenofovir/rilpivirine; enfuvirtide; ethambutol; etravirine; famciclovir; fluconazole; flucytosine; fosamprenavir; foscarnet; ganciclovir; indinavir; isoniazid; itraconazole; lamivudine; leucovorin; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; pentamidine; prednisone; probenecid; pyrazinamide; pyridoxine; pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tenofovir/emtricitabine; tipranavir; trimethoprim/ sulfamethoxazole; valacyclovir; valganciclovir; zidovudine; zidovudine/lamivudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acyclovir; adefovir dipivoxil; albendazole; amantadine HCL; amikacin; amphotericin B; amprenavir; atazanavir; atovaquone; azithromycin; benzocaine; benzocaine-benzethonium; benzocaine-ephedrine; benzocaine-phenylephrine; benz-pyril-phenyleph-bismuth subgallate-zinc oxide; butoconazole nitrate; calamine-zinc oxide; camphor-phenol-tannic acid-zinc oxide; caspofungin acetate; cefotaxime sodium; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; cocoa butter-shark liver oil; dapsone; darunavir; delavirdine; dibucaine; didanosine; diperodon HCl; diperodon-pyrilamine-phenylephrine; dolutegravir; doxycycline; dronabinol; econazole; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ephedrine & belladonna; erythromycin; ethambutol; etravirine; famciclovir; fluconazole; flucytosine; fosamprenavir; gabapentin; ganciclovir; gatifloxacin; hamamelis water-glycerin; hepatitis A vaccine; hepatitis b vaccine; hydrocortisone; indinavir; influenza virus; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lopinavir/ritonavir; maraviroc; measles/mumps & rubella vaccine; methylprednisone; miconazole; minocycline; naftifine; nandrolone decanoate; nandrolone phenpropionate; nelfinavir; nevirapine; nystatin; oseltamivir; oxiconazole; pentamidine; pneumococcal vacpolyvalent; prednisone; primaquine; pyrazinamide; pyridoxine; pyrimethamine; raltegravir; rifabutin; rifampin; rifapentine; rilpivirine; rimantadine; ritonavir; saquinavir; sertaconazole; sulconazole; stavudine; sulfadiazine; sulfamethoxazole; tetracycline; tenofovir; testosterone; testosterone cypionate; ticonazole; tipranavir; TMP/SMX; trifluridine; valacyclovir; valganciclovir; varicella-zoster immune globulin; voriconazole; zalcitabine; zidovudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir dipivoxil; albuterol; amantadine; amikacin sulfate; amitriptyline HCL; amlodipine; amoxicillin; amoxicillin/clavulanate potassium; amphotericin-B; atazanavir; atenolol; atorvastatin; azithromycin; beclomethasone; budesonide; budesonide/formoterol fumarate; buprenorphine sublingual; buprenorphine/naloxone sublingual; bupropion; captopril; carbamazapine; cefpodoxime proxetil; ceftriaxone sodium; cephalexin; chlorothiazide; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonidine; clotrimazole; clotrimazole-betamethasone; dapsone; darunavir; daunorubicin citrate liposome; delavirdine; didanosine; diltiazem; diphenoxyl- ate/atropine; divalproex sodium; dolutegravir; doxazosin; doxycycline; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir/rilpivirine; enalapril; enfuvirtide; entecavir; epoetin alpha; erythromycin; escitalopram oxalate; ethambutol; ethinyl estradiol-ethyno-diol; ethinyl estradiol-norgestimate; etravirine; famciclovir; fenofibrate micronized; fenofibric acid; filgrastim; fluconazole; flucytosine; fluoxetine; fluphenazine; fluticasone/salmeterol; formoterol; fosamprenavir; foscarnet; furosemide; gabapentin; ganciclovir; gemfibrozil; glimepiride; glipizide; haloperidol; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; hydralazine; hydrochlorothiazide; hydroxizine; hydroxyzine pamoate; imiquimod; indapamide; indinavir; influenza vaccine; insulin detemir; insulin glargine; insulin lispro; insulin NPH; insulin-regular; interferon alpha- 2A; interferon alpha 2b; ipratropium bromide; isoniazid; isoniazid-rifampin; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levetiracetam; levofloxacin; levonorgestrel 0.75 mg; lisinopril; lithium carbonate; loperamide; lopinavir/ritonavir; losartan; losartan-hctz; maraviroc; medroxyprogesterone; megestrol acetate; metformin HCL; metoclopramide; metoprolol; metronidazole; miconazole; mirtazapine; moxifloxacin HCL; nandrolone decanoate; nelfinavir; nevirapine; nifedipine; nitazoxinide; norethindrone; nortriptyline; nystatin; octreotide; olanzapine; olanzapine/fluoxetine; omega-3 acid ethyl esters; ondansetron HCL; oseltamivir phosphate; oxandrolone; oxymetholone; paromomycin; paroxetine; peginterferon alfa 2a; peginterferon alfa 2b; penicillin G benzathine; pentamidine; perphenazine; pneumococcal 23 vaccine; polymyxin B-trimethoprim sulfate; pravastatin; prednisone; primaquine phosphate; prochlorperazine; promethazine HCL; propanolol; pyrazinamide; pyrimethamine; quetiapine; raltegravir; ranitidine; ribavirin; rifabutin; rifampin; rilpivirine; rimantadine HCL; risperidone; ritonavir; rosuvastatin; salmeterol xinafoate; saquinavir; sertraline; sitagliptin phosphate; spircinolactone; stavudine; streptomycin sulfate; sulfadiazine; telbivudine; tenofovir; testosterone; thalidomide; tinidazole; tiotropium; tipranavir; TMP/SMX; trazadone; triamterene; trimethoprim; valacyclovir; valganciclovir; valproic acid; valsartan; valsartan-hctz; venlafaxine; veraparnil; zanamivir; zidovudine.

800-228-2714 (ADAP)
Maximum qualifying income (single): $58,350
Waiting List: No
Website: www.crine.org/hdap/

Massachusetts ADAP will also cover the cost of insurance premiums and drug co-pays for eligible individuals. All applicants to the program must apply to the state Medicaid program to determine possible eligibility. All enrollees must recertify every 6 months.

Massachusetts ADAP has an “open formulary” meaning that all FDA approved medications for the treatment of HIV and HIV-related conditions are covered.

888-826-6565 (ADAP)
Maximum qualifying income (single): $52,515
Waiting List: No
Website: www.michigan.gov/dap

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acamprosate; acyclovir; acetaminophen/caffeine/butabital; acetaminophen/caffeine/butabital/codeine; albuterol; aldesleukin; alendronate; alprazolam; amitriptyline; amitriptyline; amlodipine; amoxicillin; amoxicillin/clarithromycin/lansoprazole; amoxicillin/clavulanic acid; amphotericin B; amprenavir; asa/caffeine/butabital; asa/caffeine/butabital/codeine; atazanavir; atenolol; atenolol/chlorthalidone; atorvastatin; atovaquone; azithromycin; baclofen; beclomethasone; benazepril; buprenorphine; buprenorphine/naloxone; bupropion; buspirone; codeine; codeine/acetaminophen; celecoxib; cephalexin; cetirizine; cetirizine/pephedrine; cholestyramine; chlorpromazine; cidofovir; cilostazol; ciprofloxacin; ciprofloxacin/dexamethasone; ciprofloxacin/hc; citalopram; clarithromycin; clindamycin; clopidogrel; clonazepam; clonidine; clotrimazole; clotrimazole/ betamethasone; conjugated estrogens tablet/vaginal cream; cyclobenzaprine; dapsone; darunavir; delavirdine; dental products; desonide; diabetes supplies; diazepam; diclofenac; diclofenac/misoprostol; dicyclomine; didanosine; diltiazem; diphenhydramine; diphenoxylate/atropine; divalproex sodium; dolutegravir; doxepin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/ tenofovir; enalapril; enalapril/hctz; enfuvirtide; entecavir; epinephrine; epoetin alfa; erythromycin; escitalopram; ethambutol; etravirine; famciclovir; famotidine; felodipine; fenofibrate; fentanyl; filgrastim; fluconazole; fluoxetine; fosamprenavir; foscarnet; furosemide; gabapentin; ganciclovir; gemfibrozil; glipizide; glyburide; glyburide/metformin; haloperidol; hctz/triamterene; hepatitis A vaccine; hepatitis B vaccine; hydrochlorothiazide; hydrocodone/acetaminophen; hydrocortisone 2.5% cream; hydromorphone; hydroxyurea; ibuprofen; imiquimod; indinavir; influenza vaccine; insulins; interferon alfa 2b; ipratropium; isoniazid; itraconazole; ketoconazole; lactulose; lamivudine; lamivudine/zidovudine; lansoprazole; leucovorin; levofloxicin; levetiracetam; levothyroxine; lisinopril; lisinopril/hctz; loperamide; lopinavir/ritonavir; loratadine; lorazepam; losartan; losartan/hctz; maraviroc; megestrol; meperidine; mesalamine, 5-ASA; metformin; methadone; methyltestosterone; metoclopramide; metoprolol; metronidazole; minoxidil; mirtazapine; montelukast; morphine; opium tincture; nabumetone; nelfinavir; nevirapine; niacin; nicotine patch/nasal spray/gum; nifedipine XL, ER; nitroglycerin sublingual tab/spray/cap; nizatidine; nystatin; pancrelipase; potassium chloride; ofloxacin; olanzapine; omeprazole; oseltamivir; oxandrolone; oxybutynin; oxycodone; oxycodone/acetaminophen; paromomycin; paroxetine; peginterferon alfa-2a; peginterferon alfa-2b; penicillin; penicillin inj; pentamidine; phenytoin; pioglitazone; pneumonococcal vaccine; podofilox; pravastatin; primaquine; prednisone; prochlorperazine; promethazine; propranolol; pyrazinamide; pyridoxine; pyrimethamine; quetiapine; quinapril; raltegravir; ramipril; ranitidine; ribavirin; rifabutin; rifampin; rilpivirine; rimantadine; risperidone; ritonavir; rosiglitazone; rosiglitazone/metformin; saquinavir; silvadene; sodium fluoride; stavudine; sulfadiazine; sumatriptan; tamsulosin; temazepam; tenofovir; terbinafine; testosterone; testostosterone injection/topical; timolol; tipranavir; tizanidine; TMP/SMX; topiramate; tramadol; tramadol/acetaminophen; trimethobenzamide; trimethoprim; valacyclovir; valganciclovir; valsartan; valsartan/hctz; venlafaxine; verapamil; voriconazole; zalcitabine; zanamivir; zidovudine; zolpidem.

651-431-2414 (ADAP)
Maximum qualifying income (single): $35,010
Waiting List: No
Website: www.dhs.state.mn.us/hivaids

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir dipivoxil; albendazole; amitriptyline; amoxapine; amoxicillin; amoxicillin/clavulanic acid; amprenavir; androderm; androgel; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bacitracin; bacitracin/polymyxin; boceprevir; buconazole; bupropion; carbamazepine; cefpodoxime; cephadroxil; cephalexin; chlorhexidine gluconate; ciprofloxacin; citalopram; cholestyramine; clarithromycin; clindamycin; clindamycin 1% gel; clotrimazole; dapsone; darafenacin; darunavir; delavirdine; desipramine; desmopressin acetate; dicloxacillin; didanosine; diphenoxylate/atropine; divalproex sodium; dolutegravir; doxepin; doxycycline; duloxetine; econazole; econazole; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/tenofovir/emtricitabine; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enfurvitide; entecavir; epoetin alfa; escitalopram; ethambutol; etravirine; famciclovir; famotidine; fenofibrate; filgrastim; fluconazole; flucytosine; fluoxetine; fluvastatin; fluvoxamine; foscarnet; fosamprenavir; gemfibrozil; gentamicin; imipramine; imiquimod; indinavir; isocarboxazid; isoniazid/vitamin B6; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lansoprazole; leucovorin; levofloxacin; loperamide; lopinavir/ritonavir; lovastatin; maprotiline HCL; maraviroc; megestrol; metoclopramide; metronidazole; miconazole; minocycline; mirtazapine; moxifloxacin; multi vitamins; mupirocin 2% ointment; nelfinavir; nevirapine; niacin; nitrofurantoin; nortriptyline; nystatin; omeprazole; ondansetron; oseltamivir; oxybutynin; pantoprazole; paromomycin; paroxetine; peginterferon alfa-2B; pegylated interferon; penciclovir; penicillin; pentamidine; podofilox; pravastatin; prenatal vitamins; primaquine; prochlorperazine; pyrazinamide; pyrimethamine; quetiapine; raltegravir; ranitidine; ribavirin; rifabutin; rifampin; rilpivirine; ritonavir; rosuvastatin; saquinavir; sertraline; silver sulfadiazine; simeprevir; simvastatin; sofosbuvir; somatropin; stavudine; sulfadiazine; telaprevir; tenofovir; terconazole; tesamorelin; tetracycline; tipranavir; TMP/SMX; trazadone; trimipramine maleate; trospium; valacyclovir; valganciclovir; venlafaxine; voriconazole; warfarin; zanamivir; zidovudne; zolpidem.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amoxicillin; amitriptyline HCL; atazanavir; atorvastatin; azithromycin; chlorihexidine gluconate; citalopram; clarithromycin; clindamycin; dapsone; darunavir; didanosine; dolutegravir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/tenofovir/emtricitabine; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/ tenofovir; enfuvirtide; ethambutol; etravirine; fluconazole; fosamprenavir; gabapentin; indinavir; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; metronidazole; nelfinavir; nevirapine; niacin; oxandrolone; peginterferon alfa 2a; pentamidine; pyrazinamide; pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zidovudine.

Qualifying MO ADAP-clients are offered assistance with or access to a limited selection of medications on the ADAP formulary, as well as assistance with payment for a limited set of core HIV medical services based on program enrollment; however, MO ADAP strongly encourages individuals to seek and maintain comprehensive, cost effective health insurance (i.e. employer based, COBRA, ACA Marketplace plans, etc.) and to utilize the MO ADAP Health Insurance Premium and Cost Sharing Assistance program for premium, co-payment and plan deductible payment, when possible.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen; acyclovir; adefovir; albendazole; albuterol; alprazolam; amitriptyline; amlodipine; amoxicillin w/wo clavulanate; amprenavir; aspirin; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; busesonide and formaterol; buspirone; carbamazepine; carvidilol; cephalexin; chlordiazepoxide; chlorhexidine; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole; crofelemer; dapsone; darunavir; delavirdine; diabetic supplies; diazepam; didanosine; divalprox; dolutegravir; doxepin; doxycycline; duloxetine; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; entecavir; erythromycin; escitalopram; esomeprazole; eszopiclone; ethambutol; etravirine; famciclovir; fenofibrate; fluconazole; flucytosine; fluoxetine; fluticasone; fluticasone and salmeterol; fluvoxamine; folinic acid; fosamprenavir; gabapentin; ganciclovir; glipizide; glyburide; hepatitits A vaccine; hepatitis B vaccine; hydrochlorothiazide; hydrocodone; ibuprofen; imipramine; imiquimod; indinavir; insulin; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; lamotrigine; levetiracetam; levofloxacin; levothyroxine; lisinopril; lithium; lopinavir/ritonavir; lorazepam; maraviroc; metformin; methylphenidate; metoprolol; metronidazole; miconazole; mirtazapine; moxifloxican; nefazodone; nelfinavir; nevirapine; nortriptyline; nystatin; olanzapine; omeprazole; oseltamivir; oxycodone combinations; paliperidone; paroxetine; penicillin; pentamidine; phenytoin; pioglitazone; podophyllum; pravastatin; prednisone; pregabalin; prenatal vitamins; primaquine; primidone; prixidone; pyrazinamide; quetiapine; raltegravir; ramelteon; ramipril; ranitidine; resperidone; rosuvastatin; rifabutin; rifampin; rilpivirine; ritonavir; saquinavir; sertraline; sodium fluoride; stavudine; sucralfate; telbivudine; temazepam; tenofovir; tetracycline; tiotropium; tipranavir; TMP/SMX; trazadone; trifluridine; valacyclovir; valganciclovir; valproic acid; venlafaxine; voriconazole; zalcitabine; zanamivir; zidovudine; ziprasidone; zolpidem.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aldera cream; amantadine; amitriptyline; amoxicillin; amphotericin B; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; buspirone; carbamazepine; caspofungin; chlorpromazine; ciprofloxacin; citalopram; clarithromycin; clindamycin; clomipramine; clotrimazole tablets; clozapine; crofelemer; dapsone; darunavir; delavirdine; didanosine; diphenoxylate/atropine; dolutegravir; doxepin; duloxetine; efavirenz; efavirenz/tenofovir/elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enfuvirtide; erythropoietin alfa; escitalopram oxalate; ethambutol; etravirine; ezetimibe; fenofibrate; fenofibric acid; filgrastim; fluconazole; fluoxetine; fluphenazine; folinic acid; fosamprenavir; foscarnet; gabapentin; gemfibrozil; haloperidol; hydroxyzine; imipramine; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; lithium; loperamide; lopinavir/ritonavir; maraviroc; megestrol acetate; mirtazapine; nelfinavir; nevirapine; nortriptyline; nystatin; olanzapine; omega-3-acid ethyl esters; oseltamivir; oxcarbazepine; paroxetine; pentamidine; perphenazine; pravastatin; pregabalin; pyrazinamide; pyrimethamine; quetiapine; raltegravir; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; sodium divalproex; stavudine; sulfadiazine; tenofovir; testosterone; thioridazine; thiothixene; tiagabine; tipranavir; TMP/SMX; topiramate; trazadone; trifluoperazine; valacyclovir; valgancyclovir; valproic acid; varenicline; venlafaxine; vilazodone; voriconazole; zanamivir; zidovudine; ziprasidone.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; alprazolam; amlodipine; amoxicillin; amoxicillin/clavulanate potassium; amtriptyline; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; buspirone; carbamazepine; chlordiazepoxide; chlorpromazine; ciprofloxacin; citaolpram; clarithromycin; clindamycin; clofazimine; clomipramine; clonazepam; clorazepate; clotrimazole troches; clozapine; dapsone; darunavir; delavirdine; desipramine; diazepam; didanosine; divalproex; dolutegravir; doxepin; doxycycline; droperidol; duloxetine; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enalapril; enfuvirtide; entecavir; escitalopram; estazolam; ethambutol; etravirine; famciclovir; fluconazole; fluoxetine; fluphenazine; flurazepam; fluvoxamine; fosamprenavir; gabapentin; halazepam; haloperidol; hydrochlorothiazide; hydroxyzine; imipramine; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; levetiracetam; levofloxacin; lisinopril; lisinopril/hctz; lithium; lopinavir/ritonavir; lorazepam; loxapine; maraviroc; megestrol; mesoridazine; metformin; metoprolol; metronidazole; minocycline; mirtazapine; molindone; moxifloxacin; nefazodone; nelfinavir; nevirapine; nortriptyline; nystatin; olanzapine; oseltamivir; oxazepam; paroxetine; pentamidine; perphanazine; phenytoin; pimozide; pioglitazone; pravastatin; prazepam; prochlorperazine; pyrazinamide; quetiapine; raltegravir; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; saquinavir; sertraline; stavudine; temazepam; tenofovir; terbinafine; thioridazine; thiothixene; tipranavir; TMP/SMX; trazadone; triazolam; trifluoperazine; trimipramine; valacyclovir; valganciclovir; venlafaxine; zidovudine; zolpidem.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amlodipine; amoxicillin/clavulanate; atazanavir; atenolol; atorvastatin calcium; atovaquone; azithromycin; cefpodoxime; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; darbopoeiten; delavirdine; didanosine; diphenoxylate/atropine; diprolene ointment and cream; divalproex sodium; dolutegravir; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/ cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emticitabine/rilpivirine/tenofovir; enfuvirtide; erythropoetin; ethambutol; etravirine; fenofibrate; fluconazole; fosamprenavir; gabapentin; GCSF; gemfibrozil; glyburide; hydrochlorothiazide; ibuprofen; indinavir; itraconazole; lamivudine; lamivudine/ zidovudine; leucovorin; levofloxacin; lisinopril; loperamide; lopinavir/ritonavir; losartan; lovaza; maraviroc; megestrol; metformin; moxifloxacin; naprosyn; nelfinavir; nevirapine; niaspan; nitazoxanide; nystatin; ondansetron-only after compazine; pancreatic enzymes; paromomycin; phenytoin; pioglitazone; posaconazole; primaquine; prochlorperazine; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; scopalamine patch; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; trazadone; triamcinolone ointment and cream; valganciclovir; zidovudine.

The NH Care Program formulary covers all FDA approved antiretroviral and opportunistic infection-related medications.

NJ ADAP automatically adds any new AIDS-related medications. The formulary covers all medications except cough and cold, vitamins, erectile dysfunction medications and cosmetic medications (like Rogaine).

Abacavir; abacavir/lamivudine; abacavir/lamividine/zidovudine; acyclovir; alpha N3; amikacin; amphotericin-B; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion SR; ciprofloxacin; clarithromycin; clindamycin; clotrimazole troches; crofelemer; dapsone; darunavir; delavirdine; didanosine; divalproex ER; efavirenz; dolutegravir; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenfovir; emtricitabine; emtricitabine/tenofovir/rilpivirine; emtricitabine/tenofovir; enfuvirtide; erythropoietin; ethambutol; etravirine; famciclovir; fenofibrate; filgrastim; fluconazole; fosamprenavir; foscarnet; ganciclovir; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin calcium; lopinavir/ritonavir; maraviroc; megestrol ES; metformin; metronidazole; nelfinavir; nevirapine; nystatin; penicillin G benzathine; pentamidine; pioglitazone; pravastatin; prenatal vitamins; primaquine; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; TMP/ SMX; trimethoprim; valacyclovir; valganciclovir; venlafaxine ER; voriconazole; zidovudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acebutolol; acetohexamide; albuterol; albuterol-ipratropium; alclometasone; acetylcholine; acrivastine/pseudoephedrine; acyclovir; adefovir; albendazole; alitretinoin; alprazolam; amcinonide; amiloride; amitriptyline; amlexanox; amlodipine; amoxicillin; amoxicillin-clavulanate; ampicillin; apraclonidine; amprenavir; aminosalicyclic acid; amphotericin B; amylase-lipase-protease; aripiprazole; atazanavir; atropine-diphenoxylate; azithromycin; aztreonam; atenolol; atorvastatin; atovaquone; atro- pine; azatadine; bacitracin; beclomethasone; benazepril; bendroflumethiazide; benztropine; betamethasone; betaxolol; bisoprolol; bitolterol; bleomycin; brimonidine; brinzolamide; brompheniramine w/wo combinations; budesonide; bumetanide; buprenorphine; bupropion; buspirone; butabarbital; candesartan; capreomycin; captopril; carbachol; carbamazepine; carbinoxamine; carteolol; carvedilol; caspofungin; cefaclor; cefadroxil; cefazolin; cefixime; cefoxitin; cefpodoxime; cefprozil; ceftazidime; ceftriaxone; cefuroxime; cephalexin; cephradine; chloral hydrate; chloramphenicol; chlordiazepoxide w/wo clidinium; chlorhexidine gluconate; chlorothiazide; chlorpheniramine w/wo/ combinations; chlorpropamide; chlorthalidone; chlorpromazine; cholestyramine; cidofovir; cimetidine; ciprofloxacin; citalopram; clarithromycin; clemastine; clindamycin; clobetasol; clocortolone; clomipramine; clonazepam; clonidine; clopidogrel; clorazepate; clotrimazole; cloxacillin; clozapine; colestipol; cromolyn; cyclopentolate; cyclopentolate- phenylephrine; cyclophosphamide; cycloserine; cyproheptadine; cytarabine; dapsone; darunavir; desonide; desoximetasone; daunorubicin liposomal; delavirdine; desipramine; dexamethasone; dexbrompheniramine/ pseudoephedrine; dexchlorpheniramine; dextroamphetamine; diabetes supplies; diazepam; dicloxacillin; didanosine; diflorasone; digoxin; diltiazem; diphenhydramine; dipivefrin; dival-proex sodium; dolasetron; dolutegravir; dorzolamide; dorzolamide w/timolol; dorzolamide; doxazosin; doxepin; doxorubicin; doxycycline; dronabinol; duloxetine; dyphylline; econazole; ecothiopate; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenfovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enalapril; enfuvirtide; enoxaparin; entecavir; epoetin alfa; erythromycin; escitalopram; esomeprazole; estrogen; estrogens-progestins; ethambutol; ethionamide; etoposide; etravirine; ezetimibe; felbamate; felodipine; fenofibrate; filgrastim; fluconazole; flucytosine; flunisolide; fluocinolone; fluoride; fluoxetine; fluphenazine; flurandrenolide; flurazepam; fluticasone; fluvastatin; fluvoxamine; flavoxate; formivirsen; formoterol; fosamprenavir; foscarnet; fosfomycin; fosinopril; furazolidone; furosemide; gabapentin; ganciclovir; gatifloxacin; gemfibrozil; gentamicin; glimepiride; glipizide; glyburide; granisetron; griseofulvin; guanabenz; guanadrel; guanfacine; halazepam; halcinonide; halobetasol; haloperidol; hepatitis A & B vaccines; HPV vaccine; homatropine; hydralazine; hydrochlorothiazide; hydrocortisone w/wo/combinations; hydroflumethiazide; hydroxyurea; hydroxyzine; ibuprofen; imipenem-cilastatin; imipramine; imiquimod; immune globulin Rho; indapamide; indinavir; insulin; interferon alfa; intravenous immune globulin (18 and under); ipratropium; irbesartan; isoniazid; isosorbide; isoxsuprine; isradipine; itraconazole; ivermectin; kanamycin; ketoconazole; ketoprofen; labetalol; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; latanoprost; leucovorin; levetiracetam; levobunolol; levofloxacin; lisinopril; lithium; lomustine; loperamide; lopinavir/ritonavir; loracarbef; lorazepam; losartan; loteprednol; loxapine; maraviroc; magnesium sulfate; medrysone; megestrol; meningococcal vaccine; mesoridazine; metaproterenol; metoclopramide; metformin; methotrexate; methyclothiazide; methyldopa; methylphenidate; metipranol; metolazone; metoprolol; metronidazole; miconazole; miglitol; minocycline; minoxidil; mirtazapine; misoprostol; moexipril; molindone; mometasone; montelukast; moricizine; moxifloxacin; mupirocin; nadolol; naphazoline w/wo combinations; naproxen; nefazodone; nelfinavir; neomycin w/wo/combinations; nevirapine; niacin; nicardipine; nicotine inhaler; nicotine nasal spray; nifedipine; nisoldipine; nitrofurantoin; nitroglycerin; nortriptyline; nystatin; ofloxacin; olanzapine; omega 3 fatty acids; omeprazole; ondansetron; opium; oprelvekin; oseltamivir; oxazepam; oxcarbazepine; oxtriphylline; oxybutynin; paclitaxel; pancrelipase; pantoprazole; papaverine; paromomycin; paroxetine; peginterferon; pemoline; penbutolol; penciclovir; penicillin; pentamidine; pentobarbital; perphenazine; phenir/ppa/phenylt./pyrilamine; phenylephrine-promethazine; phenylprop-pyril-pheniramine; phenyltolox-APAP; phenyltolox/pyril/pheniramine; phenytoin; metipranol; pindolol; pioglitazone; pirbuterol; podofilox; polythiazide; pravastatin; prazosin; prednicarbate; prednisolone; prednisone; pregabalin; primaquine; primidone; probenecid; procainamide; procarbazine; prochlorperazine; progestins; promethazine; propranolol; pyrazinamide; pyrimethamine; quetiapine; quinapril; rabeprazole; raltegravir; ramipril; ranitidine; repaglinide; ribavirin; rifabutin; rifampin w/wo combinations; rifapentine; rilpivirine; rimantadine; rimexolone; risperidone; ritonavir; rosiglitazone; rosuvastatin; salmeterol; saquinavir; sargramostim; secobarbital; sertraline; sotalol; sparfloxacin; spectinomycin; spironolactone; stavudine; streptomycin; sucralfate; sulfadiazine; sulfadoxine/pyrimethamine; sulfasalazine; telmisartan; temazepam; tenofovir; terazosin; terbinafine; terbutaline; terconazole; testosterone; tetracycline; thalidomide; theophylline; tiagabine; ticarcillin-clavulanate; thiethylperazine; thioridazine; thiothixene; timolol; tiotropium; tipranavir; TMP/SMX; tobramycin; tocainide; tolazamide; tolbutamide; tolterodine; topiramate; torsemide; tramadol; trandolapril; trazadone; triamcinolone; triamterene; triazolam; trichlormethiazide; trifluoperazine; trimethobenzamide; trimethoprim; trimipramine; triple sulfa; triprolidine; tropicamide w/wo hydroxyamphetamine; valacyclovir; valganciclovir; valproic acid; valsartan; vancomycin; varenicline; venlafaxine; verapamil; vinblastine; vincristine; voriconazole; warfarin; zafirlukast; zanamivir; zidovudine; zileuton; ziprasidone; zolpidem.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir; amikacin; amitriptyline; amlodipine; amoxicillin; amphotericin B; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; benazepril; bupropion; carbamazepine; cephalexin; cidofovir; ciprofloxacin; citaolpram; clarithromycin; clindamycin; clonidine; clotrimazole; crofelemer; dapsone; darunavir; delavirdine; didanosine; diphenoxylate/atropine; divalproex; dolutegravir; doxepin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtric- itabine/rilpivirine/tenofovir; enalapril; enfuvirtide; entecavir; erythropoetin; escitalopram; ethambutol; etravirine; ezetimibe; famciclovir; fenofibrate; fenofibric acid; filgrastim; fluconazole; flucytosine; fluoxetine; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; hydrocholorithiazide; hydroxyurea; imiquimod; indinavir; interferon alfacon-1; interferon alfa-2a; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lansoprazole; leucovorin; levetiracetam; levofloxacin; lisinopril HCTZ; loperamide; lopinavir/ritonavir; lovastatin; maraviroc; megestrol; metformin; metoclopramide; metoprolol; metronidazole; minocycline; mirtazapine; moxifloxacin; nelfinavir; nevirapine; nortriptyline; nystatin; omeprazole; ondansetron; oseltamivir; pancrelipase; paromomycin; paroxetine; peginterferon alfa 2a; peginterferon alfa 2b; penicillin G benzathine; penicillin VK; pentamidine; phenobarbital; phenytoin; pravastatin; prednisone; pregabalin; primaquine; probenecid; prochloroperazine; promethazine; pyrazinamide; pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; tenofovir; testosterone; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; varenicline; venlafaxine; verapamil; zidovudine.

23-valent pnemococcal; abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acyclovir; adefovir; albendazole; albuterol inhaler; amantadine HCL; amitriptyline; amoxicillin; amphotericin; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; calcium acetate; chlorhexidine; cidofovir; ciprofloxacin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; dolutegravir; diphenoxylate w/atropine; doxazosin; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/ tenofovir; enfuvirtide; erythromycin; erythropoietin; ethambutol; etravirine; famciclovir; fenofibrate; filgrastim; fluconazole; fludrocortisone; fluoxetine; fosamprenavir; foscarnet sodium; gabapentin; ganciclovir; haemophilus influenzae B; haloperidol; hepatitis A vaccine; hepatitis B vaccine series; hepatitis A/B vaccine; indinavir; influenza; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lisinopril; loperamide; lopinavir/ritonavir; lorazepam; maraviroc; megestrol; meningococcal; morphine; nelfinavir; nevirapine; nystatin; olanzapine; ondansetron; oseltamivir; pantoprazole; paromomycin; pentamidine; pneumococcal vaccine; pravastatin; prednisone; prochlorperazine; pyrimethamine; quadrivalent human papillomavirus; raltegravir; ranitidine; rifabutin; rilpivirine; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tdap; tenofovir; tetanus/diphtheria/pertussis; TMP/SMX; trazadone; valganciclovir; venlafaxine; vitamin; zidovudine.

Abacavir; abacavir/lamivdine; abacavir/lamivudine/zidovudine; acyclovir; albuterol sulfate inhaler; amitriptyline; aripiprazole; atazanavir; atorvastatin; atovaquone; atropine diphenoxylate; azithromycin; bedaquiline; buproprion/budeprion; citalopram; clotrimazole; clotrimazole/betamethazone dipropionate; crofelemer; dapsone; darunavir; delavirdine; didanosine; dolutegravir; doxycycline; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; elvitegravir/cobicistat/emtricitabine/tenfovir; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; epoetin alfa; ethambutol; etravirine; fenofibrate; filgrastim; fluconazole; fluoxetine; fosamprenavir; gabapentin; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; HPV vaccine; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; levetiracetam; loperamide; lopinavir/ritonavir; maraviroc; mirtazapine; nelfinavir; nevirapine; nystatin; paroxetine; penicillin G benzathine; penicillin G procaine; pentamidine; pneumococcal 13-valent conjugate vaccine; pneumococcal pneumonia vaccine; promethazine; pyrimethamine; quetiapine; raltegravir; rifabutin; rifapentine; rilpivirine; ritonavir; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; testosterone; tetanus vaccine; tipranavir; TMP/ SMX; trazadone; valacyclovir; valganciclovir; varenicline; venlafaxine; zidovudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; darunavir; delavirdine; didanosine; dronabinol; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenfovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; emtricitabine/rilpivirine/tenofovir; etravirine; fluconazole; fosamprenavir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; oxandrolone; raltegravir; rifampin; rilpivirine; ritonavir; saquinavir; stavudine; tenofovir; TMP/SMX; valganciclovir; zidovudine.

Other formulary drugs include antibiotics, antihypertensives, diuretics, antidepressants, lipid control, anti-nausea, anti-anxiolytic, anti- psychotic, anti-epileptic, OI prophylactic and treatment, Hep C treatment.

Oregon ADAP/CAREAssist requires that all applicants enroll with health coverage for which they are eligible. The program pays premiums, medical copays and deductible and all out-of-pocket expenses related to any drug covered by the client’s primary health coverage. Uninsured persons receive only access to HIV and OI drugs until such time as the person can become insured.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acebutolol; acyclovir; adefovir dipivoxil; aerosolized pentamidine; alprazolam; amikacin; amitriptyline; amlodipine; amoxicillin; amoxicillin/potassium clavulanate; ampicillin; atenolol; atazanavir; atovaquone; azithromycin; benazepril; buprenorphine; bupropion; buspirone; captopril; capreomycin; carvedilol; cefpodoxime; ceftriaxone; cephalexin; chlordiazepoxide; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole; clotrimazole/betamethasone; codeine/APAP; codeine phosphate/sulfate; cyancobalamin; dapsone; darunavir; delavirdine; diabetic supplies; diazepam; dicloxacillin; didanosine; diltiazem; diphtheria/tetanus; diphtheria & tetanus & toxoids pertussis vaccine; dolutegravir; doxazosin; doxycycline; efavirenz; elvitegravir/cobicistat/emtricitabine/tenfovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; emtricitabine/tenofovir/efavirenz; enalapril; enfuvirtide; entecavir; epoetin-alpha; erythromycin; ethambutol; ethionamide; etravirine; felodipine; fentanyl; filgrastim; fluconazole; fluoxetine; flurazepam; folic acid; fomivirsen; fosamprenavir; foscarnet; furosemide; ganciclovir; glimepiride; glipizide; glyburide; haloperidol; hemophilus influenza Type B vaccine; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/Hepatitis B vaccine; hepatitis B Immune Globulin; human papillomavirus/HPV; hydralazine; hydrocholorthiazide; hydrocodone/APAP; hydrocodone/ibuprofen; hydroxyzine HCL, pamoate; ibuprofen; imiquimod cream; immune globulin IM; influenza virus vaccine; indinavir; insulin/injection kits/glucose test strips; interferon alfa-2a; inteferon alfa-2b; interferon alfacon 1; interferon alfa-N3; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lisinopril; lopinavir/ritonavir; lorazepam; losartan; maraviroc; metformin; metformin/repaglinide; metformin/rosiglitazone; metformin/sitagliptin; methadone; metoprolol; miconazole; mirtazapine; morphine sulfate; moxifloxacin; naproxen; nelfinavir; nevirapine; nicotine inhaler/spray/replacement therapies; nifedipine; nystatin; ofloxacin; olanzapine; oseltamivir; oxycodone; oxycodone/APAP; oxycodone/ASA; naproxen; oxazepam; para-aminosalicylic acid; paroxetine; pegylated interferons; penicillin; perphenazine; pioglitazone; potassium supplements; pneumococcal vaccine; propranolol; pyrazinamide; pyridoxine; pyrimethamine; quetiapine; quinapril; raltegravir; repaglinide; ribavirin; ribavirin/interferon alfa 2B; rifabutin; rifampin; rifampin/isoniazid; rifapentine; rilpivirine; risperidone; ritonavir; rosiglitazone; saquinavir; sertraline; sitagliptin; spironolactone; stavudine; streptomycin; sulfadiazine; sulfa/pyrimethamine; syringes and needles; telbivudine; temazepam; tenofovir; terconazole; tetracycline; thiothixene; tipranavir; trazadone; trimethoprim; TMP/SMX; valacyclovir; valganciclovir; vancomycin oral; varenicline; venlafaxine; verapamil; vitamin D; zanamivir; zidovudine; ziprasidone.

Additional Information: Program is referred to as: The Special Pharmaceutical Benefits Program.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir/valacyclovir; amikacin; amphotericin B; atazanavir; atovaquone; azithromycin; bleomycin; capreomycin; cidofovir injection; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clotrimazole; dapsone; darunavir; delavirdine; dexamethasone; didanosine; dolutegravir; doxorubicin; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenfovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enfuvirtide; ethambutol; ethionamide; etravirine; famciclovir; fluconazole; flucytosine; fosamprenavir; foscarnet; ganciclovir; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; lovaza; maraviroc; megestrol; nelfinavir; nevirapine; nevirapine XR; nystatin; ofloxacin; paromomycin sulfate; pentamidine; prednisone; primaquine phosphate; pyrazinamide; pyrimethamine; rifabutin; rifampin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; sulfadoxine/pyrimethamine; tenofovir; terconazole; tipranavir; TMP/SMX; trimetrexate; valganciclovir; vinblastine sulfate; vincristine sulfate; zidovudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromycin; ciprofloxacin; citalopram; clarithromycin; clonazepam; dapsone; darunavir; delavirdine; didanosine; dolutegravir; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; etravirine; fentanyl; fluconazole; fluoxetine; fosamprenavir; gabapentin; ganciclovir/oral; hydroxyurea; indinavir; interferon alfa 2b; isonaizid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ ritonavir; lorazepam; maraviroc; morphine sulfate; nelfinavir; nevirapine; olanzapine; oseltamivir; oxycodone; paroxetine; pentamidine; peginterferon alfa 2a; peginterferon alfa 2b; primaquine; pyrimethamine; raltegravir; ribavirin; rifabutin; risperidone; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; sulfamethoxazole/trimethoprim; tenofovir; tipranavir; trazodone; valacyclovir; valganciclovir; zanamivir; zidovudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amoxicillin; amoxicillin-clavulanate, oral; atazanavir; atovaquone; azithromycin; bupropion; ciprofloxacin, oral; citalopram; clarithromycin; clindamycin; clotrimazole; clotrimazole/betamethasone cream; dapsone; darunavir; delavirdine; didanosine; dolutegravir; doxycycline; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; escitalopram; ethambutol; etravirine; famciclovir; fluconazole; fluoxetine; fosamprenavir; gabapentin; indinavir; itraconazole; ketoconazole tablets, cream; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lopinavir/ritonavir; maraviroc; metronidazole, oral; mirtazapine; moxifloxacin, oral; nelfinavir; nevirapine; nystatin; nystatin/triamcinolone, cream, ointment; oseltamivir; paroxetine; peginterferon-alfa 2a; peginterferon-alfa 2b; pravastatin; prednisone, oral; promethazine; pyrimethamine; raltegravir; ribavirin, oral; rifabutin; rilpivirine; ritonavir; rosuvastatin; saquinavir; sertraline; simvastatin; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; venlafaxine; voriconazole; zanamivir; zidovudine.

23-valent; abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen w/codeine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromycin; ciprofloxacin; clarithromycin; clofazamine; clotrimazole; dapsone; darunavir; delavirdine; didanosine; divalproex sodium; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; etravirine; famciclovir; fentanyl; fluconazole; fosamprenavir; gabapentin; indinavir; influenza; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; interferon alfa-2b; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lopinavir/ritonavir; maraviroc; megestrol; morphine w/wo sulphate; nelfinavir; nevirapine; paromomycin sulfate; peg-interferon alfa 2-a; peg-interferon alfa 2-b; pentamidine; phenytoin; pregabalin; prochlorperazine; pyrimethamine; raltegravir; ribavirin/interferon alfa-2b; ribavirin; rifabutin; rilpivirine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; triamcinolone acetoinide cream; valacyclovir; zalcitabine; zidovudine.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; atazanavir; atovaquone; azithromycin; bupropion; ceftriaxone; clarithromycin; clindamycin; cosyntropin; dapsone; darunavir; didanosine; dolutegravir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; ethambutol; etravirine; fluconazole; foscarnet; fosamprenavir; gabapentin; ganciclovir; gemfibrozil; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; novolin 70/30; nystatin; paromomycin; pentamidine; phenytoin; primaquine; pioglitazone; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclo- vir; vancomycin; venlafaxine; zidovudine.

Priority 1: Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; atazanavir; dapsone; darunavir; delavirdine; didanosine; dolutegravir; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; etravirine; fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; pentamidine; raltegravir; rilpivirine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; zidovudine.

Priority 2: Acyclovir; azithromycin; clarithromycin; ethambutol; fluconazole; itraconazole; rifabutin; valacyclovir; valganciclovir.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; atovaquone; azithromycin; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; dolutegravir; efavirenz; efavirenz/ tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enfuvirtide; ethambutol; etravirine; fluconazole; fosamprenavir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; linezolid; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; nystatin; pentamidine inhaled; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valgancyclovir; zidovudine.

Abacavir; abacavir/lamivudine/zidovudine; acyclovir; albuterol (inhaled); amitriptyline; amphoteracin B; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; buproprion; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; dideoxycytidine; dolutegravir; doxorubicin (liposomal); efavirenz; efavirenz/emtricitabine/tenofovir; elivitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enfuvirtide; escitalopram; ethambutol; etravirine; ezetimibe; famciclovir; fenofibrate; fentanyl; fluconazole; fluoxetine; fluvastatin; fosamprenavir; foscarnet;gabapentin; GCSF; gemfibrozil; hydroxyurea; ibuprofen; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/abacavir; lamivudine/zidovudine; leucovorin; levoalbuterol; loperamide; lopinavir/ritonavir; lovastatin; maraviroc; megestrol acetate; morphine sulfate; nefazodone; nelfinavir; nevirapine; niacin; nystatin; oseltamivir; paroxetine; pentamidine; polycarbophil; primaquin; pravastatin; psyllium; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritinovir; saquinavir; sertraline; simvastatin; stavudine; sulfadiazine; tenofovir; tipranavir; trazadone; trimethoprim; trimethoprim/sulfamethoxazole; valacyclovir; valganciclovir; venlafaxine; zanamivir; zidovudine.

Vaccines: VMAP will now cover Hep A, Hep B, Hep A/B together and pneumococcal vaccines as outpatient drugs through retail pharmacy with prescription. Patient must return to their health clinic for administration of vaccine.

855-362-0658 (ADAP)
Maximum qualifying income (single): $46,680
Waiting List: No
Website: www.vdh.virginia.gov/ADAP

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosolized pentamidine; amikacin; amitriptyline; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; buspirone; capreomycin; chlorpromazine; cidofovir; citalopram; clarithromycin; clindamycin; cycloserine; dapsone; darunavir; delavirdine; didanosine; dolutegravir; doxepin; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; epoetin alpha; escitalopram; ethambutol; ethionamide; etravirine; famciclovir; fluconazole; fluoxetine; fosamprenavir; foscarnet; gabapentin; ganciclovir IV; glipizide; glipizide/metformin; glyburide; glyburide/metformin; haloperidol; hepatitis A; hepatitis B; hepatitis A/B; hydroxyzine; indinavir; influenza; insulininjectable; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lithium; lopinavir/ritonavir; maraviroc; megestrol; metformin; mirtazapine; nelfinavir; nevirapine; nortriptyline; olanzapine; para-aminosalicylic acid; paroxetine; pneumococcal conjugate; pneumococcal vaccine polyvalent; pravastatin; prednisone; primaquine; pyrazinamide; pyridoxine; pyrimethamine; raltegravir; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tetanus/diphtheria; tetanus/diphtheria/pertussis; tipranavir; TMP/ SMX; trazadone; trimethoprim; valganciclovir; valproic acid/divalproex sodium; venlafaxine; voriconazole; zidovudine; ziprasidone.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acamprostate; acyclovir; adefovir; albendazole; amoxicillin; amoxicillin/potassium clavulante; ampicillin; amprenavir; atazanavir; atovaquone; azrithromycin; boceprevir; buprenorphine/naloxone; carbamazepine; cefpodoxime; ceftriaxone; cephalexin; chlorhexidine gluconate; cidofovir; cimetidine; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clonidine; clotrimazole; clotrimazole/betamethasone; clozapine; crofelemer; dapsone; darunavir; delavirdine; dicloxacillin; dicyclomine; didanosine; diphenoxylate/atropine; diphtheria & tetanus toxoids; diphtheria & tetanus toxoids & pertussis vaccine; disulfuram; divalproex sodium; dolutegravir; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/ tenofovir; enfuvirtide; entecavir; epoetin-alpha; erythromycin; esomeprazole; estrogen; ethambutol; etravirine; famotidine; filgrastim; fluconazole; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; hemophilus influenza type B vaccine; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/hepatitis B vaccine; hepatitis B immune globulin; hydroxyurea; hyoscyamine; imiquimod cream; immune globulin IM; influenza virus vaccine, split or whole virus; indinavir; insulin/injection kits/glucose test strips; interferon alfa-2a; inteferon alfa-2b; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levofloxacin; lindane; lithium; loperamide; lopinavir/ritonavir; maraviroc; mediset fills; medroxyprogesterone; megestrol acetate; methylprednisolone; metoclopramide; metronidazole; miconazole; moxifloxacin; mupirocin; naltrexone; nandrolone; nelfinavir; nevirapine; nizatidine; nystatin; ofloxacin; olanzapine; omeprazole; ondansetron HCL; opium tincture; oseltamivir; oxandrolone; oxcarbazepine; pantoprazole; paromomycin; pegylated interferons; penicillin; peridex; permethrin; phenazopyridine; pneumococcal vaccine; podofilox; pill splitter; prednisolone 1% soln; prednisone; primaquine; prochlorperazine; promethazine; pyrazinamide; pyrimethamine; quetiapine; rabeprazole; raltegravir; ranitidine; ribavirin; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; saquinavir; selenium sulfide; stavudine; sulfadiazine; sulfa/pyrimethamine; telaprevir; tenofovir; terconazole; testosterone products; tetracycline; tipranavir; topiramate; TMP/SMX; trifluridine; trimethoprim; valacyclovir; valganciclovir; valproic acid; vancomycin oral; VZIG; varicella zoster immune globulin; zalcitabine; zanamivir; zidovudine; ziprasidone.

Most drugs in these FDA classes are covered. ANALGESICS - Oral and transdermal only; ANTIANXIETY AGENTS; ANTIDEPRESSANTS; ANTIDIABETIC AGENTS; ANTIHYPERLIPIDEMIC.

304-232-6822 (ADAP)
Maximum qualifying income (single): $46,680
Waiting List: No
Website: www.atfuov.org/

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir dipivoxil; albuterol sulfate; alprazolam; amitriptyline; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; buspirone; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole; cotrimoxazole; crofelemer; dapsone; darunavir; delavirdine; diazepam; didanosine; dolutegravir; duloxetine; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/tenfovir/emtrictabine/cobicistat; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; entecavir; escitalopram; ethambutol; etravirine; famciclovir; fenofibrate; fluconazole; fluoxetine; fluticasone; fosamprenavir; foscarnet; gabapentin; ganciclovir; hepatitis A vaccine; hepatitis b vaccine; hepatitis A/B vaccines; indinavir; interferon alphacon 1; inteferon alpha 2 B; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lisinopril; loperamide; lopinavir/ritonavir; maraviroc; metformin; metoprolol; mirtazapine; naproxen; nelfinavir; nevirapine; niacin; nystatin; omeprazole; paroxetine; peginterferon alfa 2 A; peginterferon alfa 2 B; pentamidine; potassium; prednisone; pregabalin; prochlorperazine; pyrimethamine; quetiapine; raltegravir; ranitidine; ribavirin; rifabutin; rilpivirine; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; telbivudine; temazepam; tenofovir; testosterone; tipranavir; trazadone; valacyclovir; valganciclovir; venlafaxine; zalcitabine; zidovudine; zolpidem.

Effective April 1, 2014, Wisconsin residents living with HIV with income at or below 100% FPL may qualify for BadgerCare (Medicaid), which will cover their HIV medications.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amphotericin B; atazanavir; atorvastatin; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; diphenoxylate; dolutegravir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/tenfovir/emtrictabine/cobicistat; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; enfuvirtide; ethambutol; etravirine; famciclovir; fenofibrate; fluconazole; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; indinavir; interferon alpha-2b; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; niacin; oseltamivir; pegylated interferon alfa-2a; pegylated interferon alfa-2b; pentamidine; pravastatin; prochlorperazine; pyrimethamine; raltegravir; ribavirin; rifabutin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zanamivir; zidovudine.

307-777-5800 (ADAP)
Maximum qualifying income (single):
$40,150 - $45,100 (Depending on county of residence)
Waiting List: No
Website: www.health.wyo.gov/phsd/howpa/index.html

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acetaminophen/hydrocodone; acetaminophen/oxycodone; acyclovir; amitriptyline; amoxicillin, clavulanic acid; amphotericin B; amprenavir; atazanavir; atovaquone; azithromycin; cidofovir; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole; dapsone; darunavir; delavirdine; didanosine; divalproex sodium; doxycycline; efavirenz; efavirenz/tenofovir/ emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; etravirine; ezetimibe; famciclovir; famotidine; fenofibrate; fluconazole; fluoxetine; fluvastatin; fluvoxamine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; hydroxyzine; imiquimod; indinavir; influenza vaccine; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lithium; loperamide; lopinavir/ritonavir; lovastatin; maraviroc; nelfinavir; nevirapine; niacin; ondansetron; oxycodone/acetaminophen; pantoprazole sodium; paroxetine; pentamidine; pneumococcal vaccine; pravastatin; prednisone; pregabalin; probenecid; prochlorperazine; promethazine; raltegravir; ranitidine; rilpivirine; ritonavir; rosuvastatin; saquinavir; sertraline; simvastatin; stavudine; sulfadiazine; temazapam; tenofovir; trazadone; tipranavir; TMP/SMX; valganciclovir; venlafaxine; zidovudine; zolpidem.

This magazine is intended to enhance your relationship with your doctor - not replace it! Medical treatments and products should always be discussed with a licensed physician who has experience treating HIV and AIDS!

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