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ADAP Criteria and Formularies

Introduction to the AIDS Drug Assistance Program

ADAPThe 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 $35,640 - 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 $23,760. But in California it is $59,400 - 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.

*See below for individual state links.


Click on a state below to view individual ADAP information

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida,
Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts,
Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico,
New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming



ALABAMA

866-674-9964 (ADAP)
Maximum qualifying income (single): $35,640
Website: www.adph.org/aids/assets/ADAP_RWHAP_300FPL_%20IncomeEligibilityGuidelines.pdf

Additional Information: Alabama ADAP will have an online application in 2017.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir; albuterol; amlodipine; amoxicillin; amphotericin B; amprenavir; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; benazepril; bupropion; carbamazepine; cephalexin; cidofovir; citalopram; clarithromycin; clindamycin; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; 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.


ALASKA

907-263-2050 (ADAP)
Maximum qualifying income (single): $59,360
Website: www.alaskanaids.org

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir dipivoxil; amphotericin B; atazanavir; atazanavir/cobicistat; atorvastatin calcium; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; clotrimazole; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; diphenoxylate and atropine; dolutegravir; dolutegravir/lamivudine/abacavir; dronabinol; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; 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.


ARIZONA

602-364-3610 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.azdhs.gov/preparedness/epidemiology-disease-control/disease-integration-services/index.php#aids-drug-assistance-program-home

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; atazanavir/cobicistat; 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; cobicistat; cyclobenzaprine; dapsone; darunavir; darunavir/cobicistat; delavirdine; desipramine; dicloxacillin; dicyclomine; didanosine; diazepam; diltiazem sustained release; diphenoxylate/atropine; diphenydramine; divalproex; dolutegravir; dolutegravir/lamivudine/abacavir; 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; ledipasvir/sofosbuvir; 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/pre-natal 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; sofosbuvir; spironolactone; stavudine; sulfadiazine; temazepam; tenofovir; testosterone; testosterone cypionate; testosterone enanthate; testosterone gel; tipranavir; TMP/SMX; tramadol HCL; trazodone; triamcinolone cream/ointment; trimethoprim; valganciclovir; venlafaxine; viekira pak; voriconazole; warfarin; zidovudine; zolpidem.


ARKANSAS

501-661-2408 (ADAP)
Maximum qualifying income (single): $23,760
Website: www.healthy.arkansas.gov/programsServices/infectiousDisease/hivStdHepatitisC/Pages/ADAP.aspx


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


CALIFORNIA

844-550-3944 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.cdph.ca.gov/programs/aids/pages/tOAADAPIndiv.aspx

Abacavir; abacavir/lamivudine; abacavir/lamivudine/dolutegravir; abacavir/lamivudine/zidovudine; acyclovir; albendazole; alitretinoin gel; alprazolam; amikacin sulfate; amitriptyline; amoxicillin; amphotericin B; aripiprazole; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; bleomycin; bupropion; buspirone; capreomycin; caspofungin; cephalexin; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clofazimine; clotrimazole; cobicistat; codeine sulfate; codeine/APAP; codeine/ASA; cyclophosphamide; w/wo ASA/ APAP; cyclophosphamide; cycloserine; dapsone; darunavir; darunavir/cobicistat; daunorubicin, delavirdine; desipramine; dexamethasone; dextroamphetamine; dicloxacillin; didanosine; diphenoxylate/atropine; divalproex; dolutegravir; dolutegravir/lamivudine/abacavir; doxorubicin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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; oxycodoneAPAP; 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; zaprasidone; zidovudine.


COLORADO

303-692-2716 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.stdhivco.org

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir; amoxicillin; amphotericin injection; aripiprazole; atazanavir; atazanavir/cobicistat; atenolol; atorvastatin; atovaquone; aviane and generics; azithromycin; boceprevir; buproprion; chlorhexidine rinse; cidofovir; citalopram; clarithromycin; clindamycin; clotrimazole; cobicistat; contraceptives; dapsone; darbepoetin alfa; darunavir; darunavir/cobicistat; delavirdine; didanosine; diphenoxylate/atropine; divalproex sodium; dolutegravir; dolutegravir/lamivudine/abacavir; 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.


CONNECTICUT

800-233-2503 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.ct.gov/dss/cwp/view.asp?a=2353&Q=568096

Abacavir; abacavir/lamivudine; abacavir/dolutegravir/lamivudine abacavir/lamivudine/zidovudine; acetaminophen with codeine; acyclovir; albuterol; alclometasone dipropionate; alendronate sodium/cholecalciferol; alprazolam; amitriptyline HCL; amlodipine; amoxicillin; amoxicillin/clavulanate pot.; amphotericin B; ampicillin; amprenavir; aripiprazole; atazanavir; atazanavir/cobicistat; 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; cobicistat; colesevelam HCL; comvax; dapsone; darunavir; darunavir/cobicistat; delavirdine; desloratadine; dexamethasone; diazepam; dicloxacillin; didanosine; digoxin; diltiazem HCL; diphenoxylate HCL; divalproex sodium; dolutegravir; dolutegravir/lamivudine/abacavir; doxycycline hyclate; dronabinol; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; 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; 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.


DELAWARE

302-744-1050 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.ramsellcorp.com/individuals/de.aspx

Additional Information: All individuals seeking enrollment in the Delaware ADAP must do so through case management. Individuals may call the central office at 302-744-1050 and they will be given the names of case management agencies that are nearest to their location in the state. The individual will set up an appointment to complete an intake with the agency and upon completion of their paperwork the case manager will submit the paperwork to the central office for processing their enrollment into Delaware ADAP.

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; atazanavir/cobicistat; 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; darunavir/cobicistat; delavirdine; desipramine; desloratadine; desvenlafaxine; dexamethasone; dexlansoprazole; dexchlorpheniramine; dexlansoprazole; 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 disoproxil fumarate; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir alafenamide; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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; 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; nystatin cream; ofloxacin; olanzapine; olmesartan; omega-3-acid ethyl esters; omeprazole; ondansetron; 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; vilazodone; voriconazole; warfarin; zidovudine; ziprasidone; zolpidem.


DISTRICT OF COLUMBIA

202-671-4900 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.doh.dc.gov/service/dc-aids-drug-assistance-program

Abacavir; abacavir/lamivudine; abacavir/lamivudine/dolutegravir; abacavir/lamivudine/zidovudine; acetamenaphine/codeine; acyclovir; adefovir; aerosolized pentamidine; alpha interferon; amitriptyline; amoxicillin/clavulante; aripiprazole; atazanavr; atazanavir/cobicistat; atorvastatin; atovaquone suspension; azithromycin; benztropine; berocca plus vitamins; boceprevir; buprenorphine; buprenorphine/naloxone; bupropion; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; diphenoxylate/atropine; dolutegravir; dolutegravir/lamivudine/abacavir; doxorubicin; doxycycline; dronabinol; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; 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.


FLORIDA

850-245-4334 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.FloridaADAP.org

Abacavir; abacavir/lamivudine; abacavir/lamivudine/dolutegravir; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; clarithromycin; clotrimazole; cobicistat; darunavir; darunavir/cobicistat; dapsone; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; 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.


GEORGIA

404-657-2700 (ADAP)
Maximum qualifying income (single): $35,640
Website: www.dph.georgia.gov/adap-program

Abacavir; abacavir/lamivudine; abacavir/lamivudine/dolutegravir; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; clarithromycin; clindamycin; clotrimazole; cobicistat; dapsone; darunavir; darunavir/cobicistat; 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.


HAWAII

808-733-9360 (ADAP)
Maximum qualifying income (single): $54,680
Website: www.health.hawaii.gov/harmreduction/hiv-aids/hiv-programs/hiv-medical-management-services/

Abacavir; abacavir/lamivudine; abacavir/lamivudine/dolutegravir; abacavir/lamivudine/zidovudine; acyclovir; alendronate; aliretinoin gel; amitriptyline; amlodipine; amphotericin B; amphotericin B liposomal; aripiprazole; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; boceprevir; bupropion; cephalexin; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clotrimazole; cobicistat; crofelemer; dapsone; darunavir; darunavir/cobicistat; daunorubicin; delavirdine; dicloxacillin; didanosine; diphenox-ylate/atropine; divalproex sodium; dolutegravir; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; emtricitabine/tenofovir alafenamide; 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; ledipasvir/sofosbuvir; 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; viekira pak; zanamivir; zidovudine; ziprasidone.


IDAHO

208-334-5612 (ADAP)
Maximum qualifying income (single): $23,760
Website: www.healthandwelfare.idaho.gov/Health/FamilyPlanning,STDHIV/HIVCareandTreatment/tabid/391/Default.aspx

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; atazanavir/cobicistat; azithromycin; clarithromycin; dapsone; darunavir; darunavir/cobicistat; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


ILLINOIS

800-825-3518 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.hivcareconnect.com/adap/

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; cobicistat; daclatasvir; dapsone; darunavir; darunavir/cobicistat; dasabuvir, ombitasvir/ paritaprevir/ritonavir; delavirdine; dicloxacillin sodium; didanosine; diphenoxylate/atropine; dolutegravir; dolutegravir/lamivudine/abacavir; doxycycline hyclate; efavirenz; efavirenz/tenofovir/emtricitabine; elbasvir/grazoprevir; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir alafenamide; enfuvirtide; entecavir; ethambutol; etravirine; famciclovir; fenofibrate; fluconazole; fosamprenavir; gabapentin; imiquimod cream; imodium; indinavir; isoniazid; isoniazid/pyrazinamide/rifampin; itraconazole; lamivudine; lamivudine/zidovudine; ledipasvir/sofosbuvir; levofloxacin; lomotil; loperamide; lopinavir/ritonavir; maraviroc; metronidazole; miconazole; nelfinavir; nevirapine; nystatin; ombitasvir/paritaprevir/ritonavir; paromomycin sulfate; penicillin VK; pentamidine isethionate; pravastatin; primaquine phosphate; pyrazinamide; pyridoxine hcl; pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; ritonavir; saquinavir; sofosbuvir; stavudine; sulfadiazine; sulfamethoxazole; tenofovir; testosterone cypionate; testosterone enanthate I.M. only); tipranavir; TMP/SMX; trimethoprim; valacyclovir; valgancyclovir; zidovudine.


INDIANA

866-588-4948 (ADAP)
Maximum qualifying income (single): $35,640
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; atazanavir/cobicistat; 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; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; desipramine; diabetes supplies; didanosine; diphenhydramine; diphenoxylate atropine; disulfiram; dolutegravir; dolutegravir/lamivudine/abacavir; doxepin; doxycycline; dronabinol; duloxetine; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


IOWA

515-281-0926 (ADAP)
Maximum qualifying income (single): $23,760
Website: www.idph.iowa.gov/hivstdhep/hiv/support

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosol pentami dine; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; bupropion; cidofovir; citalopram; clotrimazole; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; 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; sofosbuvir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; venlafaxine; viekira pak; zidovudine.


KANSAS

785-296-1982 (ADAP)
Maximum qualifying income (single): $35,640
Website: www.kdheks.gov/sti_hiv/ryan_white_care.htm

This 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.


KENTUCKY

866-510-0005 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.chfs.ky.gov/dph/epi/hivaids.htm

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amoxicillin; amprenavir; atazanavir; atovaquone; azithromycin; cephalexin; ciprofloxacin; clarithromycin; clotrimazole; cobicistat; dapsone; darunavir; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


LOUISIANA

504-568-7474 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.lahap.org

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amphotericin B; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir/efavirez; emtricitabine/tenofovir alafenamide; emtricitabine/tenofovir/rilpivirine; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


MAINE

207-287-3747 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.maine.gov/dhhs/mecdc/infectious-disease/hiv-std/services/ryan-white-b.shtml

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acyclovir; adefovir dipivoxil; albendazole; amantadine HCL; amikacin; amphotericin B; amprenavir; atazanavir; atovaquone; azithromycin; benzocaine; benzocaine-benzethonium; benzo-caine-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; elbasvir/grazoprevir; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir alafenamide; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; 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 vac polyvalent; prednisone; primaquine; pyrazinamide; pyridoxine; pyrimethamine; raltegravir; rifabutin; rifampin; rifapentine; rilpivirine; rimantadine; ritonavir; saquinavir; sertaconazole; sulconazole; stavudine; sulfadiazine; sulfamethoxazole; tetracycline; tenofovir; testosterone; testosterone cypionate; tioconazole; tipranavir; TMP/SMX; trifluridine; valacyclovir; valganciclovir; varicella-zoster immune globulin; voriconazole; zalcitabine; zidovudine.

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.maine.gov/dhhs/mecdc/infectious-disease/hiv-std/provider/documents/adap-quarterly-formulary.pdf.


MARYLAND

410-767-6535 (ADAP)
Maximum qualifying income (single): $59,400
Website: http://phpa.dhmh.maryland.gov/OIDPCS/CHCS/SitePages/madap.aspx

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir dipivoxil; albuterol; amantadine; amikacin sulfate; amitriptyline HCL; amlodipine; amoxicillin; amoxicillin/clavulanate potassium; amphotericin-B; atazanavir; atazanavir/cobicistat; 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; cobicistat; daclatasvir; dapsone; darunavir; darunavir/cobicistat; dasabuvir-ombitasvir-paritaprevir-RTV; daunorubicin citrate liposome; delavirdine; didanosine; diltiazem; diphenoxylate/atropine; divalproex sodium; dolutegravir; dolutegravir/lamivudine/abacavir; doxazosin; doxycycline; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elbasvir-grazoprevir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitab/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/tenofovir/rilpivirine; emtricitabine/rilpivirine/tenofovir alafenamide; enalapril; enfuvirtide; entecavir; epoetin alpha; erythromycin; escitalopram oxalate; ethambutol; ethinyl estradiol-ethynodiol; 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/albuterol sulfate; ipratropium bromide; isoniazid; isoniazid-rifampin; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; ledipasvir-sofosbuvir; 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; ofosbuvir; olanzapine; olanzapine/fluoxetine; ombitasvir-paritaprevir-RTV; omega-3 acid ethyl esters; ondan-setron HCL; oseltamivir phosphate; oxandro-lone; oxymetholone; paromomycin; parox- etine; peginterferon alfa 2a; peginterferon alfa 2b; penicillin G benzathine; pentamidine; perphenazine; pneumococcal 23 vaccine; pneumococcal conjugate 13-valent; 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; simeprevir; 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.


MASSACHUSETTS

800-228-2714 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.crine.org/hdap/

MA has an “open formulary” and cover all FDA approved drugs for HIV and related conditions (including HCV). There is a short list of exclusions to the formulary that can be found on the website.


MICHIGAN

888-826-6565 (ADAP)
Maximum qualifying income (single): $53,460
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; amoxicllin/clavulanic acid; amphotericin B; amprenavir; asa/caffeine/butabital; asa/caffeine/butabital/codeine; atazanavir; atazanavir/cobicistat; atenolol; atenolol/chlorthalidone; atorvastatin; atovaquone; azithromycin; baclofen; beclomethasone; benazepril; buprenorphine; buprenorphine/naloxone; bupropion; buspirone; codeine; codeine/acetaminophen; celecoxib; cephalexin; cetirizine; cetirizine/p-ephedrine; cholestyramine; chlorpromazine; cidofovir; cilostazol; ciprofloxacin; ciprofloxacin/dexamethasone; ciprofloxacin/hc; citalopram; clarithromycin; clindamycin; clopidogrel; clonazepam; clonidine; clotrimazole; clotrimazole/betamethasone; cobicistat; conjugated estrogens tablet/vaginal cream; cyclobenzaprine; dapsone; darunavir; darunavir/cobicistat; delavirdine; dental products; desonide; diabetes supplies; diazepam; diclofenac; diclofenac/misoprostol; dicyclomine; didanosine; diltiazem; diphenhydramine; diphenoxylate/atropine; divalproex sodium; dolutegravir; dolutegravir/lamivudine/abacavir; doxepin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


MINNESOTA

651-431-2414 (ADAP)
Maximum qualifying income (single): $47,080
Website: www.mn.gov/dhs/people-we-serve/adults/health-care/hiv-aids/index.jsp

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir dipivoxil; albendazole; amitriptyline; amoxapine; amoxicillin; amoxicillin/clavulanic acid; amprenavir; androderm; androgel; aripiprazole; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; bacitracin; bacitracin/polymyxin; boceprevir; buconazole; bupropion; carbamazepine; cefpodoxime; cephadroxil; cephalexin; chlorhexidine gluconate; ciprofloxacin; citalopram; cholestyramine; clarithromycin; clindamycin; clindamycin 1% gel; clotrimazole; cobicistat; dapsone; darafenacin; darunavir; darunavir/cobicistat; delavirdine; desipramine; desmopressin acetate; dicloxacillin; didanosine; diphenoxylate/atropine; divalproex sodium; dolutegravir; dolutegravir/lamivudine/abacavir; 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.


MISSISSIPPI

888-343-7373 (ADAP)
Maximum qualifying income (single): $47,080
Website: www.msdh.state.ms.us/msdhsite/_static/14,13047,150.html

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amoxicillin; amitriptyline HCL; atazanavir; atorvastatin; azithromycin; chlorihexidine gluconate; citalopram; clarithromycin; clindamycin; dapsone; darunavir; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; 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.


MISSOURI

573-751-6439 (ADAP)
Maximum qualifying income (single): $35,640
Website: www.adap.directory/missouri

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen; acyclovir; adefovir; albendazole; albuterol; alprazolam; amitriptyline; amlodipine; amoxicillin with or without clavulanate; amprenavir; aspirin; aripiprazole; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; bupropion; busesonide and formaterol; buspirone; carbamazepine; carvidilol; cephalexin; chlordiazepoxide; chlorhexidine; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole; crofelemer; dapsone; darunavir; darunavir/cobicistat; delavirdine; diabetic supplies; diazepam; didanosine; divalprox; dolutegravir; dolutegravir/lamivudine/abacavir; 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.


MONTANA

406-444-4744 (ADAP)
Maximum qualifying income (single): $51,202
Waiting List: No
Website: www.dphhs.mt.gov/publichealth/hivstd/treatmentprogram.shtml

Abacavir; abacavir/dolutegravir/lamivudine; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aldera cream; amantadine; amitriptyline; amoxicillin; amphotericin B; aripiprazole; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; bupropion; buspirone; carbamazepine; caspofungin; chlorpromazine; ciprofloxacin; citalopram; clarithromycin; clindamycin; clomipramine; clotrimazole tablets; clozapine; cobicistat; crofelemer; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; diphenoxylate/atropine; dolutegravir; dolutegravir/lamivudine/abacavir; doxepin; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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; ondansetron; 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.


NEBRASKA

402-559-4673 (ADAP)
Maximum qualifying income (single): $35,310
Website: www.dhhs.ne.gov/publichealth/Pages/dpc_ryan_white.aspx

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albuterol; alendronate; alprazolam; amlodipine; amoxicillin; amoxicillin/clavulanate potassium; amtriptyline; aripiprazole; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; beclomethasone; budesonide/formoterol; bupropion; buspirone; carbamazepine; ciprofloxacin; citaolpram; clarithromycin; clindamycin; clofazimine; clonidine; clotrimazole troches; clozapine; daclatasvir; dapsone; darunavir; darunavir/cobicistat; desvenlafaxine; diazepam; didanosine; divalproex; dolutegravir; dolutegravir/lamivudine/abacavir; doxepin; doxycycline; duloxetine; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; enalapril; enfuvirtide; entecavir; escitalopram; ethambutol; etravirine; fluconazole; fluoxetine; fluticasone/salmeterol; fluvoxamine; formoterol; fosamprenavir; gabapentin; glyburide; haloperidol; hydrochlorothiazide; hydroxyzine; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; lepidasvir/sofosbuvir; levetiracetam; levofloxacin; lisinopril; lisinopril/hctz; lithium; lopinavir/ritonavir; lorazepam; maraviroc; megestrol; metformin; metoclopramide; metoprolol; metronidazole; minocycline; mirtazapine; mometasone/formoterol; moxifloxacin; nelfinavir; nevirapine; nicotine; nortriptyline; nystatin; olanzapine; omeprazole; ondansetron; oseltamivir; pantoprazole; paroxetine; pentamidine; phenytoin; pioglitazone; pravastatin; pregabalin; prochlorperazine; pyrazinamide; quetiapine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; sertraline; sofosbuvir; stavudine; temazepam; tenofovir; terbinafine; tiotropium spiriva; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; varenicline; venlafaxine; zidovudine; zolpidem.


NEVADA

775-684-3499 (ADAP)
Maximum qualifying income (single): $47,520

Website: www.dpbh.nv.gov/Programs/HIV-Ryan/Ryan_White_Part_B_-_Home/

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amlodipine; amoxicillin/clavulanate; atazanavir; atenolol; atorvastatin calcium; atovaquone; azithromycin; cefpodoxime; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; darunavir/cobicistat; darbopoeiten; delavirdine; didanosine; diphenoxylate/atropine; diprolene ointment and cream; divalproex sodium; dolutegravir; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emticitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


NEW HAMPSHIRE

603-271-4502 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.dhhs.state.nh.us/dphs/bchs/std/care.htm

The NH Care Program formulary covers all FDA approved antiretroviral and opportunistic infection-related medications with some exclusions. The NH CARE Program follows the Medicaid Preferred Drug List (PDL) and has a list of excluded items. The list of excluded medications may be found at the NH AIDS Drug Assistance Program (ADAP) website: www.nhadap.magellanmedicaid.com/.


NEW JERSEY

877-613-4533 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.state.nj.us/health/aids/freemeds.shtml

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).


NEW MEXICO

505-827-2435 (ADAP)
Maximum qualifying income (single): $47,080
Website: http://www.nmhealth.org/about/phd/idb/hats/

Abacavir; abacavir/lamivudine; abacavir/lamividine/zidovudine; acyclovir; alpha N3; amikacin; amphotericin-B; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; bupropion SR; ciprofloxacin; clarithromycin; clindamycin; clotrimazole troches; cobicistat; crofelemer; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; divalproex ER; efavirenz; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenfovir; emtricitabine; emtricitabine/tenofovir alafenamide; emtricitabine/tenofovir/rilpivirine; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


NEW YORK

800-542-2437 (ADAP)
Maximum qualifying income (single): $51,678
Website: www.nyhealth.gov/diseases/aids/resources/adap/index.htm

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; atazanavir/cobicistat; atropine-diphenoxylate; azithromycin; aztreonam; atenolol; atorvastatin; atovaquone; atropine; 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; cobicistat; colestipol; cromolyn; cyclopentolate; cyclopentolate-phenylephrine; cyclophosphamide; cycloserine; cyproheptadine; cytarabine; dapsone; darunavir; darunavir/cobicistat; desonide; desoximetasone; daunorubicin liposomal; delavirdine; desipramine; dexamethasone; dexbrompheniramine/pseudoephedrine; dexchlorpheniramine; dextroamphetamine; diabetes supplies; diazepam; dicloxacillin; didanosine; diflorasone; digoxin; diltiazem; diphenhydramine; dipivefrin; divalproex 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; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


NORTH CAROLINA

877-466-2232 (ADAP)
Maximum qualifying income (single): $35,640
Website: http://www.epi.publichealth.nc.gov/cd/hiv/adap.html

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir; amikacin; amitriptyline; amlodipine; amoxicillin; amphotericin B; amprenavir; atazanavir; atazanavir/cobicistat; atenolol; atorvastatin; atovaquone; azithromycin; benazepril; bupropion; carbamazepine; cephalexin; cidofovir; ciprofloxacin; citaolpram; clarithromycin; clindamycin; clonidine; clotrimazole; cobicistat; crofelemer; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; diphenoxylate/atropine; divalproex; dolutegravir; dolutegravir/lamivudine/abacavir; doxepin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


NORTH DAKOTA

701-328-2378 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.ndhealth.gov/HIV/HIV%20Care/ADAP/ADAP.htm

Additional Information: In April of 2015 we increased our eligibility threshold from 300 percent of the federal poverty level to 400.

23-valent pnemococcal; abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acyclovir; adefovir; albendazole; albuterol inhaler; amantadine HCL; amitriptyline; amoxicillin; amphotericin; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; bupropion; calcium acetate; chlor-hexidine; cidofovir; ciprofloxacin; clindamycin; clotrimazole; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; diphenoxylate w/atropine; doxazosin; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; erythromycin; erythropoietin; ethambutol; etravirine; famciclovir; fenofibrate; filgrastim; fluconazole; fludrocortisone; fluoxetine; fosamprenavir; foscarnet sodium; gaba-pentin; 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.


OHIO

866-777-4775 (ADAP)
Maximum qualifying income (single): $35,640
Website: www.odh.ohio.gov/odhprograms/hastpac/hivcare/aids1.aspx


Abacavir; abacavir/lamivdine; abacavir/lamivudine/zidovudine; acyclovir; albuterol sulfate inhaler; amitriptyline; aripiprazole; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; atropine diphenoxylate; azithromycin; bedaquiline; buproprion/budeprion; citalopram; clotrimazole; clotrimazole/betamethazone dipropionate; cobicistat; crofelemer; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; doxycycline; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; elvitegravir/cobicistat/emtricitabine/tenfovir; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; 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.


OKLAHOMA

405-271-4636 (ADAP)
Maximum qualifying income (single): $23,760
Website: www.ok.gov/health/Disease,_Prevention,_Preparedness/HIV_STD_Service/Ryan_White_Programs/index.html

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; atazanavir/cobicistat; azithromycin; cobicistat; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; dronabinol; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenfovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; 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 and opportunistic infection medications.


OREGON

800-805-2313 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.public.health.oregon.gov/DiseasesConditions/HIVSTDViralHepatitis/HIVCareTreatment/CAREAssist/Pages/index.aspx

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acebutolol; acyclovir; adefovir dipivoxil; aerosolized pentamidine; alprazolam; amikacin; amitriptyline; amlodipine; amoxicillin; amoxicillin/potassium clavulanate; ampicillin; atenolol; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; benazepril; buprenorphine; bupropion; buspirone; captopril; capreomycin; carvedilol; cefpodoxime; ceftriaxone; cephalexin; chlordiazepoxide; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole; clotrimazole/betamethasone; cobicistat; cyancobalamin; dapsone; darunavir; darunavir/cobicistat; delavirdine; diabetic supplies; diazepam; dicloxacillin; didanosine; diltiazem; diphtheria/tetanus; dolutegravir; dolutegravir/lamivudine/abacavir; doxazosin; doxycycline; efavirenz; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenfovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir alafenamide; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; 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/B vaccine; hepatitis A/hepatitis B vaccine; hepatitis B Immune Globulin; human papillomavirus/HPV; hydralazine; hydrocholorthiazide; hydrocodone/APAP; hydrocodone/ibuprofen; hydroxyzine HCL, pamoate; indinavir; 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; nifedipine; nystatin; ofloxacin; olanzapine; oseltamivir; oxycodone; oxycodone/APAP; oxycodone/ASA; naproxen; oxazepam; para-aminosalicylic acid; paroxetine; pegylated interferons; penicillin; perphenazine; pioglitazone; 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; telbivudine; temazepam; tenofovir; terconazole; tetracycline; thiothixene; tipranavir; trazadone; trimethoprim; TMP/SMX; valacyclovir; valganciclovir; vancomycin oral; varenicline; venlafaxine; verapamil; zanamivir; zidovudine; ziprasidone.


PENNSYLVANIA

800-922-9384 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.health.pa.gov/spbp

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir/valacyclovir; amikacin; amphotericin B; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; bleomycin; capreomycin; cidofovir injection; ciprofloxacin; cobicistat; clarithromycin; clindamycin; clofazimine; clotrimazole; dapsone; darunavir; darunavir/cobicistat; delavirdine; dexamethasone; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; doxorubicin; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; 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; vincristine; zidovudine.

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.health.pa.gov/My%20Health/Diseases%20and%20Conditions/E-H/HIV%20And%20AIDS%20Epidemiology/Documents/SPBP%20Covered%20Drug%20List%20(01-01-15)%20(3).pdf


RHODE ISLAND

401-462-3294 (ADAP)
Maximum qualifying income (single): $47,520
Website: http://www.eohhs.ri.gov/Consumer/ConsumerInformation/Healthcare/Adults/RyanWhiteHIVCareProgram.aspx

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromy- cin; ciprofloxacin; citalopram; clarithromycin; clonazepam; dapsone; darunavir; delavirdine; didanosine; dolutegravir; atazanavir/cobicistat; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/cobicistat/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.


SOUTH CAROLINA

800-856-9954 (ADAP)
Maximum qualifying income (single): $35,640
Website: www.scdhec.gov/Health/DiseasesandConditions/InfectiousDiseases/HIVandSTDs/AIDSDrugAssistancePlan/

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amoxicillin; amoxicillin-clavulanate, oral; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; bupropion; ciprofloxacin, oral; citalopram; clarithromycin; clindamycin; clotrimazole; clotrimazole/betamethasone cream; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; doxycycline; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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; ondansetron; 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.


SOUTH DAKOTA

605-773-3737 (ADAP)
Maximum qualifying income (single): $35,640
Website: http://doh.sd.gov/diseases/infectious/ryanwhite/

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; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/rilpivirine/tenofovir; 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.


TENNESSEE

615-741-7500 (ADAP)
Maximum qualifying income (single): $35,640
Website: http://www.tn.gov/health/topic/STD-ryanwhite

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; bupropion; ceftriaxone; clarithromycin; clindamycin; cosyntropin; dapsone; darunavir; darunavir/cobicistat; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz; efavirenz/tenofovir/emtricitabine; elbasvir/grazoprevir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; enfuvirtide; ethambutol; etravirine; fluconazole; foscarnet; fosamprenavir; gabapentin; ganciclovir; gemfibrozil; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; ledipasvir/sofosbuvir; leucovorin; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; novolin 70/30; nystatin; quine; ombitasvir/paritaprevir/ritonavir; pioglitazone; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; vancomycin; venlafaxine; zidovudine.


TEXAS

800-255-1090 (ADAP)
Maximum qualifying income (single): $23,760
Website: www.dshs.state.tx.us/hivstd/meds

Priority 1: Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; atazanavir; atazanavir/cobicistat; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir; 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.

Priority 3: Atovaquone; megestrol.


UTAH

801-538-6197 (ADAP)
Maximum qualifying income (single): $29,700
Website: www.health.utah.gov/epi/treatment/index.html

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; clarithromycin; clindamycin; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; 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.


VERMONT

802-863-7245 (ADAP)
Maximum qualifying income (single): $59,400
Website: www.healthvermont.gov/prevent/aids/aids_index.aspx#Anchor-Th-57625

Abacavir; abacavir/lamivudine/zidovudine; acyclovir; albuterol (inhaled); amitriptyline; amphoteracin B; amprenavir; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; buproprion; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dideoxycytidine; dolutegravir; dolutegravir/abacavir/lamivudine; doxorubicin (liposomal); efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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; prednisone; primaquine; pravastatin; psyllium; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritinovir; saquinavir; sertraline; simvastatin; stavudine; sulfadiazine; tenofovir; tipranavir; trazadone; trimethoprim; trimethoprim/sulfamethoxazole; valacyclovir; valganciclovir; venlafaxine; zanamivir; zidovudine.


VIRGINIA

855-362-0658 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.vdh.virginia.gov/disease-prevention/virginia-aids-drug-assistance-program-adap/

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosolized pentamidine; amikacin; amitriptyline; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; bupropion; buspirone; capreomycin; chlorpromazine; cidofovir; citalopram; clarithromycin; clindamycin; cycloserine; daclatasvir; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; doxepin; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir/cobicistat/emtricitabine/tenofovir; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/tenofovir;emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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; ledipasvir/sofosbuvir; 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; pyrazin- amide; pyridoxine; pyrimethamine; raltegravir; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; sofosbuvir; stavudine; sulfadiazine; tenofovir; tetanus/diphtheria; tetanus/diphtheria/pertussis; tipranavir; TMP/SMX; trazadone; trimethoprim; valganciclovir; valproic acid/divalproex sodium; venlafaxine; viekira pak; voriconazole; zidovudine; ziprasidone.


WASHINGTON

877-376-9316 (ADAP)
Maximum qualifying income (single): $47,520
Website: www.doh.wa.gov/YouandYourFamily/IllnessandDisease/HIVAIDS/HIVCareClientServices/ADAPandEIP


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acamprostate; acyclovir; adefovir; albendazole; amoxicillin; amoxicillin/potassium clavulante; ampicillin; amprenavir; atazanavir; atazanavir/cobicistat; atovaquone; azrithromycin; boceprevir; buprenorphine/naloxone; carbamazepine; cefpodoxime; ceftriaxone; cephalexin; chlorhexidine gluconate; cidofovir; cimetidine; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clonidine; clotrimazole; clotrimazole/betamethasone; clozapine; cobicistat; crofelemer; dapsone; darunavir; darunavir/cobicistat; delavirdine; dicloxacillin; dicyclomine; didanosine; diphenoxylate/atropine; diphtheria & tetanus toxoids; diphtheria & tetanus toxoids & pertussis vaccine; disulfuram; divalproex sodium; dolutegravir; dolutegravir/lamivudine/abacavir; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; elbasvir/grazoprevir; elvitegravir/cobicistat/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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/B vaccine; hepatitis B immune globulin; hydroxyurea; hyoscyamine; imiquimod cream; immune globulin IM; influenza virus vaccine, split or whole virus; indinavir; 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.


WEST VIRGINIA

304-232-6822 (ADAP)
Maximum qualifying income (single): $47,080

Abacavir; abacavir/lamivudine; abacavir/lami-vudine/zidovudine; acyclovir; adefovir dipivoxil; albuterol sulfate; alprazolam; amitriptyline; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; buspirone; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole; cobicistat; cotrimoxazole; crofelemer; dapsone; darunavir; darunavir/cobicistat; delavirdine; diazepam; didanosine; dolutegravir; dolutegravir/lamivudine/abacavir; duloxetine; efavirenz; efavirenz/emtricitabine/tenofovir; elvitegravir/tenofovir alafenamide/emtricitabine/cobicistat; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide; 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.


WISCONSIN

800-991-5532 (ADAP)
Maximum qualifying income (single): $35,640
Website: www.dhs.wisconsin.gov/aids-hiv/adap.htm

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amphotericin B; atazanavir; atazanavir/cobicistat; atorvastatin; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; diphenoxylate; dolutegravir; dolutegravir/lamivudine/abacavir; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; elvitegravir/tenfovir/emtrictabine/cobicistat; elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide; emtricitabine; emtricitabine/rilpivirine/tenofovir; emtricitabine/rilpivirine/tenofovir alafenamide;emtricitabine/tenofovir; emtricitabine/tenofovir alafenamide; 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.


WYOMING

307-777-5856 (ADAP)
Maximum qualifying income (single):
$40,150 - $45,100 (Depending on county of residence)
Website: www.health.wyo.gov/publichealth/communicable-disease-unit/hivaids/

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acetaminophen/hydrocodone; acetaminophen/oxycodone; acyclovir; amitriptyline; amoxicillin, clavulanic acid; amphotericin B; amprenavir; atazanavir; atazanavir/cobicistat; atovaquone; azithromycin; cidofovir; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole; cobicistat; dapsone; darunavir; darunavir/cobicistat; delavirdine; didanosine; divalproex sodium; dolutegravir; dolutegravir/lamivudine/abacavir; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; elvitegravir; emtricitabine; emtricitabine/rilpivirine/tenofovir; 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.


Copyright 2017, Positive Health Publications, Inc.

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!