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ADAP Criteria and Formularies

Introduction to the AIDS Drug Assistance Program

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

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

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 $27,225 - 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 $21,780. But in California it is $50,000 - more than two-and-a-half times as much as Texas!

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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

866-574-9964 (ADAP), 800-232-4636 (AIDS Hotline)
Maximum qualifying income (single): $27,925
Waiting List: Yes, since 6/1/2012.
Website: www.adph.org


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; co-trimoxazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; epoetin alfa; ethambutol; etravirine; fluconazole; fosamprenavir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; raltegravir; rifabutin; rilpivirne; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valganciclovir; zalcitabine; zidovudine.



ALASKA

907-263-2050 (ADAP), 800-478-2437 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.alaskanaids.org/2011/resources/ adap/adap.html

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosolized pentamidine; amphotericin B; amprenavir; atazanavir; atorvastatin calcium; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; famciclovir; fluconazole; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; hepatitis A; hepatitis B; indinavir; influenza; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lomotil; loperamide HCL; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; nystatin suspension; pneumococcal; pravastatin sodium; prochlorperazine; protonix; pyrazinamide; pyridoxine; pyrimethamine; rifabutin; rifampin; rilpivirine; ritonavir; rosuvastatin; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; valganciclovir; varicella zoster immune globulin; zalcitabine; zidovudine.

ARIZONA

800-334-1540 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.azdhs.gov/phs/hvstdhpc/adap.htm

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acetaminophen/hydrocodone; acetaminophen/oxycodone; albuterol metered-dose inhaler; amitriptyline; amlodipine; amoxicillin; amoxicillin/clavulanate; acyclovir; aripiprazole; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; benazepril; bupropion SR; carbamazepine; cefpodoxime; cephalexin; chloralphenazone/isometheptene/acetaminophen; chlorhexidine mouthwash; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole oral troches; cyclobenzaprine; dapsone; darunavir; delavirdine; desipramine; dicloxacillin; dicyclomine; didanosine; diazepam; diltiazem sustained release; diphenoxylate/atropine; diphenydramine; divalproex; doxazosin; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enalapril; enfuvirtide; epoetin alfa; escitalopram; estradiol; estrogen conjugated; ethambutol; etravirine; ezetimibe; ferrous sulfate; filgrastim; fluconazole; flunisolide MDI; fluocinonide cream; fluoxetine; fluticasone; folic acid; fosamprenavir; furosemide; gabapentin; gemfibrozil; glipizide; glyburide; hctv; hctv/triamterene; hepatitis A; hepatitis B; hepatitis A/B; hydrocortisone cream; hydroxyzine; ibuprofen; imiquimod cream; indinavir; insulins; ipratropium HFA; isoniazid; itraconazole; ketoconazole cream/shampoo; lamivudine; lamivudine/zidovudine; leucovorin; levothyroxine-levoxyl & synthroid; lisinopril; lithium carbonate; loperamide; lopinavir/ritonavir; loratidine; lorazepam; losartan; magnesium oxide; maraviroc; medroxyprogesterone; megestrol; metformin; methodone; methylphenidate; metoclopramide; metoprolol; metronidazole; miconazole vaginal; mirtazapine; morphine sulfate immediate release; morphine sulfate sustained release; moxifloxacin; multivitamin; mupirocin ointment; nandrolone decanoate; naproxen; nelfinavir; nevirapine; nevirapine XR; niacin sustained release; nortriptyline; nystatin suspension; omeprazole; olanzapine; opium tincture; oseltamivir; oxycodone immediate release; pancrelipase; paregoric tincture; paroxetine; peginterferon alfa-2b; penicillin VK; pentamidine isethionate; phenytoin; pneumococcal; podofilox solution; potassium chloride; pravastatin; prednisone; prochlorperazine; promethazine; promethazine/codeine; pseudoephedrine; pyrazinamide; pyridoxine; pyrimethamine; raltegravir; ranitidine; ribavirin; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; rosiglitazone; saquinavir; selenium sulfide; sertraline; spironolactone; stavudine; sulfadiazine; temazepam; tenofovir; testosterone enanthate; testosterone gel; tipranavir; TMP/SMX; trazodone; triamcinolone cream; trimethoprim; valganciclovir; venlafaxine XR; warfarin; zalcitabine; zidovudine; zolpidem.



ARKANSAS

501-661-2961 (ADAP), 800-232-4636 (AIDS Hotline)
Maximum qualifying income (single): $22,340
Waiting List: No
Website: www.healthy.arkansas.gov/programSe rvices/infectiousDisease/hivStdHepatitisC/Pages/ADAP.aspx


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; atazanavir; atovaquone; azithromycin; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; escitalopram; ethambutol; etravirine; famciclovir; fluconazole; fluoxetine; fosamprenavir; ganciclovir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; metronidazole; nelfinavir; nevirapine; nystatin; paromomycin; paroxetine; pravastatin; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; triamterene/hctz; valacyclovir; valganciclovir; venlafaxine; zidovudine.



CALIFORNIA

888-311-7632 (ADAP), 800-367-2437 (AIDS Hotline)
Maximum qualifying income (single): $50,000
Waiting List: No
Website: www.ramsellcorp.com/individuals/ca.aspx


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albendazole; alitretinoin gel; alprazolam; amikacin sulfate; amitriptyline; amoxicillin; amphotericin B; amprenavir; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bleomycin; bupropion; buspirone HCL; capreomycin; caspofungin; cephalexin; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clofazimine; clotrimazole; codeine; cyclophosphamide; cycloserine; dapsone; darunavir; daunorubicin; delavirdine; desipramine; dexamethasone; dextroamphetamine; dicloxacillin; didanosine; diphenoxylate; divalproex sodium; doxorubicin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; epoetin alpha; erythromycin; 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; hydrocodone/APAP; hydroxyurea; ibuprofen; imiquimod; imipenem/cilastin; indinavir; indomethacin; interferon alphacon 1; isoniazid; itraconazole; ketoconazole; ketoprofen; ketoralac tromethamine; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levofloxacin; levorphenol tartrate; 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/APAP or ASA; paclitaxel; pancrelipase; para-aminosalicylate; paromomycin; paroxetine; pegylated and non-pegylated interferon A-2A; penicillin V potassium; pentamidine; phenytoin; pioglitazone; pneumococcal vaccine; pravastatin; prednisone; probenecid; prochlorperazine; promethazine; pyrazinamide; pyrimethamine; quetiapine; raltegravir; ranitidine; ribavirin/interferon alfa 2B; ribavirin; rifabutin; rifampin/isoniazid; rifampin; rilpivirine; risperidone; ritonavir; rosiglitazone; rosuvastatin; saquinavir; sertraline; simvastatin; somatropin; stavudine; sulfadiazine; sulindac; tenofovir; testosterone; tetracycline; tipranavir; trazadone; trimethoprim; trimetrexate; valacyclovir; valganciclovir; vancomycin; venlafaxine; vinblastine; vincristine; voriconazole; zalcitabine; zaprasidone; zidovudine.



COLORADO

877-640-0006 (ADAP)
Maximum qualifying income (single): $44,680
Waiting List: No
Website: www.cdphe.state.co.us/dc/HIVandSTD/ RyanWhite/adap.html


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amphotericin injection; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; cidofovir; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; etravirine; esomeprazole; ethambutol; famciclovir; fenofibrate; fluconazole; fluvastatin; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; lisinopril; lopinavir/ritonavir; losartan; maraviroc; nelfinavir; nevirapine; nevirapine XR; nitazoxanide; nystatinsuspension; olanzapine; pentamidine/aerosol; pyrimethamine; quetiapine; raltegravir; ranitidine; rifabutin; rilipivirine; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; voriconazole; zalcitabine; zidovudine; ziprasidone.



CONNECTICUT

800-233-2503 (ADAP)
Maximum qualifying income (single): $43,560
Waiting List: No
Website: www.ct.gov/dss

Additional Information: Health insurance premium assistance is available for CT ADAP clients.


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen with codeine; acyclovir; albuterol; alclometasone dipropionate; alprazolam; amitriptyline HCL; amlodipine; amoxicillin/pot.clavulante; amoxicillin; amphotericin B; ampicillin; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azelastine; azithromycin; benztropine mesylate; betamethasone; budesonide; bupropion HCL; buspirone; calcium; carbamazepine; cefditoren pivoxil; cefuroxime; celecoxib; cephalexin; cetirizine; chlorhexidine gluconate; cholestyramine; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clobetasol propionate; clofibrate; clonazepam; clotrimazole; colesevelam; comvax; dapsone; darunavir; delavirdine; dexamethasone; dicloxacillin; didanosine; digoxin; diltiazem HCL; diovan hct; diphenoxylate HCL; divalproex sodium; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril maleate; enfuvirtide; engerix-B; erythropoietin; escitalopram oxalate; esomeprazole; ethambutol; etravirine; famciclovir; famotidine; fenofibrate; fentanyl; 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; hydroxyurea; hydroxyzine HCL; ibuprofen; indinavir; insulin NPH; insulin Regular; ipratropium bromide; isosorbide dinitrate; isosorbide mononitrate; itraconazole; ketoconazole; ketoprofen; labetalol HCL; lactic acid; lactulose; lamivudine; lamivudine/zidovudine; lansoprazole; leucovorin; levocarnitine/oral; levofloxacin; levothyroxine sodium; lisinopril; lithium; loperamide HCL; lopinavir/ritonavir; lorazepam; megestrol acetate; metformin HCL; metronidazole; metroprolol succinate; minocycline HCL; minoxidil; mirtazapine; mometasone furaote monohydrate; mupirocinoint.; nandrolone decanoate; naproxen; nelfinavir; neomycin sulfate; nevirapine; nitrofurantoin monohydrate; nitroglycerin; nortriptyline HCL; nystatin; ofloxacin; olanzapine; ondansetron; oxandrolone; oxycodone HCL controlled release; oxymetholone; pantoprazole sodium; paromomycin; paroxetine; peg-interferon alfa-2a; peg-interferon alfa-2b; pencillin G benzathine; penicillin V potassium; pentamidine; pioglitazone HCL; pneumococcal vaccine; pravastatin; prednisone; pimecrolinus; primaquine; prochlorperazine; pyrimethamine; quetiapine fumarate; rabeprazole sodium; ranitidine HCL; recombivax HB; ribavirin; rifabutin; rilpivirine; risperidone; ritonavir; rosiglitazone maleate; rosuvastatin; salmeterol; salmeterol xinafoate; saquinavir; sertraline; somatropin; spironolactone; stavudine; strovite forte; strovite one; strovite plus; sulfadiazine; temazepam; tenofovir; terbinafine; terconazole; testosterone; testosterone cypionate; testosterone gel; tipranavir; TMP/SMX; trazadone; triamcinolone; triamcinolone acetonide; trilipix; trimethoprim; twinrix; valacyclovir; valganciclovir; vancomycin; vaqta; venlafaxine; verapamil; vitamin D supplements; voriconazole; zalcitabine; zidovudine; zolpidem.



DELAWARE

302-744-1050 (ADAP)
Maximum qualifying income (single): $55,850
Waiting List: No
Website: Website: www.dhss.delaware.gov/dph/dpc/hivtreatment.html


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acetaminophen/oxycodone; acetaminophen/proxyphene napsylate; acyclovir; albuterol inhaler; albuterol/ipratropium; alendronate; alprazolam; amitriptyline; amlodipine; amlodipine/atorvastatin; amoxapine; amoxicillin & clavulanate potassium; amoxicillin; ampicillin; amprenavir; antibiotics; asenapine; aspirin; atazanavir; atenolol; atorvastatin; atovaquone; azelastine; azithromycin; beclomethasone; benztropine; brompheniramine; budesonide; bupropion; buspirone; carafate; carbamazepine; carvedilol; cefixime; cefuroxime; celecoxib; cephalexin; cetirizine; chlordiazepoxide; chlorpromazine; chlorpropamide; cholestyramine; cidofovir; ciprofloxacin; citalopram; clarithromycin; clemastine; clindamycin; clomipramine; clonazepam; clonidine; clorazepate; clotrimazole troches; clotrimazole vaginal; codeine; colesevelam; containing pain relievers; cyproheptadine; dapsone; darunavir; delavirdine; desipramine; desloratadine; dexamethasone; dexchlorpheniramine; diazepam; diclofenac; dicloxacillin; didanosine; digoxin; diltiazem; diphenhydramine; diphenoxylate+atropine; doxepin; doxycycline; dronabinol; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril; enfuvirtide; epoetin alpha; escitalopram; esomeprazole; estazolam; ethambutol; etravirine; ethosuximide; etodoloac; ezetimibe; exetimibe/simvastatin; famciclovir; famotidine; felodipine; fenofibrate; fenoprofen; fentanyl transdermal system; fexofenadine; filgrastim; fluconazole; fludrocortisone; flunisolide; fluoxetine; flurazepam; flurbiprofen; fluticasone/salmeterol; fluticasone; fluvoxamine; fomivirsen; fosamprenavir; foscarnet; fosinopril; furosemide; gabapentin; ganciclovir capsules; gatifloxacin; gemfibrozil; glimepiride; glipizide; glyburide; hemorrhoidal creams & suppository; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; hydrochlorothiazide; hydrocodone and derivatives; hydrocodone/IBU; hydromorphone and derivatives; hydroxyzine; ibandronate; ibuprofen; imipramine; imiquimod; indinavir; insulins; interferon alfa-2b+ ribavirin; ipratropium; isoniazid; isoproternol; isradipine; traconazole; ketoconazole tablets and cream; ketoprofen; labetalol; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levetiracetam; levofloxacin; levothyroxine; lisinopril; lithium carbonate; loperamide; lopinavir/ritonavir; loratadine; lorazepam; losartan; maprotiline; meclofenamate; megestrol acetate; meloxicam; meperidine; metaproterenol inhaler; metformin; methylprednisolone; metolazone; metoprolol; miconazole cream; minoxidil; mirtazapine; montelukast; morphine sulfate; moxifloxacin; nabumetone; naproxen; nefazodone; nelfinavir; nembutal; nevirapine; niacin; nicotine replacement products; nifedipine; nizatidine; nortriptyline; nystatin; ofloxacin; olanzapine; olmesartan; omega-3-acid ethyl esters; omeprazole; oxaprozin; oxazepam; oxycodone; paliperidone; pancrease enzymes; pantoprazole; paromomycin; paroxetine; peginterferon alfa-2a; penicillin; pentamidine; phenytoin; pioglitazone; piroxicam; pravastatin; prednisone; probenecid; prochlorperazine; promethazine; propoxyphene; propranolol; protriptyline; pyrazinemide; pyridoxine; pyrimethamine; quetiapine; quiniapril; rabeprazole; raltegravir; ramipril; ranitidine; resperidone; ribavirin; rifamycins-rifabutin and rifampin; ritonavir; rosiglitazone; rosuvastatin; salmeterol; saquinavir; sertraline; simvastatin; spectazole; spironolactone; stavudine; sulfadiazine; sulindac; telmisartan/hydrochlorothiazide; temazepam; tenofovir; terbutaline; testosterone replacement products; tiagabine; tipranavir; TMP/SMX; tolazamide; tolbutamide; tolmentin; tramadol; trazadone; triamcin 1%; triamterene; trifluoperazine; trimcinolone; trimipramine; valacyclovir; valdecoxib; valganciclovir; valproate; valsartan; venlafaxine; verapamil; voriconazole; warfarin; zidovudine; zolpidem.



DISTRICT OF COLUMBIA

202-671-4900 (ADAP)
Maximum qualifying income (single): $55,850
Waiting List: No
Website: www.doh.dc.gov/adap


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetomenaphine with codeine; acyclovir; adelfovir; aerosolized pentamidine; alpha interferon; amitriptyline; amoxicillin/clavulante; aripiprazole; atazanavr; atorvastatin; atovaquone suspension; azithromycin; benztropine; berocca plus; buprenorphine; buprenorphine/naloxone; bupropion; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; diphenoxylate and atropine; doxorubicin; doxycycline; dronabinol; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfurvirtide; entecavir; erythropoietin alpha; ethambutol; etravirine; fentanyl patch; filgrastim; fluconazole; fluoxetine; fosamprenavir; gabapentin; glipizide; haloperidol; hydrocortisone cream 1%; hydrocortisone cream 2.5%; ibuprofen; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; levofloxacin; linezolid; lopinavir/ritonavir; maraviroc; megestrol; metformin; morphine sulfate; nelfinavir; lidocaine patch; nevirapine; olanazapine; oxandrolone; peginterferon alfa 2a; peginterferon alfa-2b; pegylated interferon; pyrazinamide; pyrimethamine; quetiapine; raltegravir; ribavirin; rifabutin; rifampin; risperidone; ritonavir; saquinavir; sertraline; somatropin; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; voriconazole; zalcitabine; zidovudine; ziprasidone.



FLORIDA

800-352-2437 (ADAP), 850-617-6333 (AIDS Hotline)
Maximum qualifying income (single): $44,680
Waiting list: Yes, there is a waiting list, implemented June 1, 2010. ADAP continuously monitors program attrition to determine the number of any new enrollments. Florida ADAP is working to secure additional funding to make the waiting list time as short as possible. Approximate wait time cannot be determined at this time.
Website: www.FloridaADAP.org


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; clarithromycin; clotrimazole; darunavir; delavirdine; diamino-diphenylsulfone; didanosine; efavirenz; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide (Prior Approval); erythropoietin; ethambutol; etravirine; fluconazole; folinic acid; fosamprenavir; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; maraviroc (Prior Approval); miconazole; nelfinavir; nevirapine; nevirapine XR; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; terconazole; tipranavir; TMP/SMX; valacyclovir; valganciclovir, zidovudine.



GEORGIA

404-657-3100 (ADAP), 800-551-2728 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: As of Thursday July 19, 2012, there were 445 persons on the waiting list. That number may change by the time you go to press. If possible, we ask that you contact us closer to that date for an update.
Website: Under Construction

Additional Information: The Department of Public Health has been working to migrate many of those they serve from the AIDS Drug Assistance Program (ADAP) to the Pre-existing Condition Insurance Program (PCIP). PCIP provides not only important medications, but also medical care, and costs DPH less per patient than ADAP. The migration to PCIP has brought substantial decreases in the ADAP wait list each month and the department expects the wait list will be eliminated.


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



HAWAII

808-733-9360 (ADAP)
Maximum qualifying income (single): $51,440
Waiting List: No
Website: www.hawaii.gov/health/healthy-lifestyles/std-aids/aboutus/prg-medical-management/index.html


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aliretinoin; amitriptyline; amphotericin B; amphotericin B liposomal; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion HCL; cephalexin; cidofovir; ciprofloxacin; citalopram hydrobromide; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; daunorubicin citrate liposomal; delavirdine; dicloxacillin; didanosine; diphenoxylate/atropine; divalproex sodium; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; entecavir; epoetin alpha; erythromycin; ethambutol; etravirine; famciclovir; fenofibrate; filgrastim; fluconazole; flucytosine; fluoxetine; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glyburide; hepatitis A&B vaccines; hexachlorophene; hydrocortisone; hydroxyurea; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; maraviroc; megestrol; metformin HCL; metronidazole; mirtazapine; nandrolone decanoate; nelfinavir; nevirapine; nevirapine XR; niacin; olanzapine; quetiapine; paclitaxel; pancrelipase; paromomycin; paroxetine HCL; peginterferon alpha 2a; pentamidine-aerosolized; pravastatin; prednisone; primaquine; probenecid; prochlorperazine; pyrazinamide; pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin; rilpivirine; risperidone; ritonavir; saquinavir; sertraline HCL; stavudine; sulfadiazine; tenofovir; terbinafine HCL; testosterone cypionate; testosterone gel 1%; tetracycline; tipranavir; TMP/SMX; valacyclovir HCL; valganciclovir; venlafaxine; zalcitabine; zidovudine.



IDAHO

208-334-6527 (ADAP)
Maximum qualifying income (single): $22,340
Waiting List: Yes, about 14 clients.
Website: www.safesex.idaho.gov

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; clarithromycin; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; nevirapine XR; raltegravir; rilpivirine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; zidovudine.

ILLINOIS

800-825-3518 (ADAP), 800-243-2437 (AIDS Hotline)
Maximum qualifying income (single): $33,510
ADAP’s FPL is for those uninsured is 300%, which is $33,510 annual income for a household size of one. ADAP’s FPL is for those with active prescription insurance is 500%, which is $55,850 annual income for a household size of one.
Waiting List: No
Website: www.idph.state.il.us/health/aids/adap.htm


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amoxicillin; amphotericin B; amprenavir; atazanavir; atovaquone (Prior Approval); azithromycin dihydrate; cefixime; cephalexin monohydrate; chlorhexidine gluconate; cidofovir plus probenecid; ciprofloxacin; clarithromycin; clindamycin HCL; clotrimazole; dapsone; darunavir; delavirdine; dicloxacillin sodium; didanosine; doxycycline hyclate; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; entecavir; ethambutol; etravirine; famciclovir; fenofibrate; fluconazole; fosamprenavir; gabapentin; imiquimod cream; imodium; indinavir; isoniazid/pyrazinamide/rifampin; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; levofloxacin; lomotil; lopinavir/ritonavir; maraviroc; metronidazole oral; miconazole; nelfinavir; nevirapine; nystatin; paromomycin sulfate; penicillin VK; pentamidine isethionate; pravastatin; primaquine phosphate; pyrazinamide; pyridoxine hcl; raltegravir; rifabutin; rifampin; rilpivirine; ritonavir; saquinavir; stavudine; tenofovir; testosterone enanthate; tipranavir; TMP/SMX; trimethoprim; valacyclovir hcl; valganciclovir hcl; zidovudine.



INDIANA

317-233-7450 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.in.gov/isdh/17740.htm


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen hydrocodone; acetaminophen/codeine; acyclovir; amantadine; amitriptyline; amprenavir; aqueous crystalline; atazanavir; atorvastatin calcium; atovaquone; azithromycin; bupropion; buspirone; carbamezapine; cefixime; cephalexin; chlorhexidine-gluconate; citalopram; clarithromycin; clonazepam; clotrimazole; dapsone; darunavir; delavirdine; desipramine; didanosine; diphenhydramine; diphenoxylate atropine; divalproex sodium; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; esomeprazole; ethambutol; famotidine; fenofibrate; fluconazole; flucytosine; fluoxetine; fosamprenavir; gabapentin; gemfibrozil; hydroxyzine; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lithium carbonate; loperamide HCL; lopinavir/ritonavir; megestrol acetate; metoprolol; metronidazole; mirtazapine; morphine sulfate; nefazodone; nelfinavir; nevirapine; niacin vitamin B3; nystatin; omeprazole; oxandrolone; pantoprazole; paroxetine; penicillin G; penicillin G benzathine; pentamidine; phenobarbital; phenytoin; pravastatin; premarin; procaine penicillin; prochlorperazine; promethazine; propoxyphene N/APAP; provera; pyridonxine; pyrimethamine; rabeprazole; raltegravir; rifabutin; ritonavir; saquinavir; sertraline; sodium valproate; stavudine; sulfadiazine; temazepam; tenofovir; testosterone; tipranavir; TMP/SMX; tramadol HCL; trazadone; tricyclic antidepressants; valacyclovir oral; venlaxafine; zidovudine; zolpidem.



IOWA

515-281-0926 (ADAP)
Maximum qualifying income (single): $22,340
Waiting List: No
Website: www.idph.state.ia.us/HivStdHep/HIV-AIDS.aspx?prog=Hiv&pg=HivCss

Additional Information: For the state of Iowa, they require all clients who receive ADAP to be case managed. The clients do not directly contact ADAP, rather this contact goes through a case manager.


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosol pentamidine; atazanavir; atovaquone; azithromycin; clarithromycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; etravirine; fluconazole; fosamprenavir; indinavir; itraconazole; ketaconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; nystatin; raltegravir; rilpivirine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zidovudine.



KANSAS

785-368-8218 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.kdheks.gov/hiv/ryan_white_care. html#Provider_Enrollment

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromycin; cephalexin; clarithromycin; clindamycin; clonazepam; clotrimazole; dapsone; darunavir; delavirdine; didanosine; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; etravirine; famciclovir; fluconazole; fosamprenavir; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; maraviroc; megestrol; metronidazole; nelfinavir; nevirapine; nystatin; oxandrolone; paromomycin; pentamidine isethionate; raltegravir; rifabutin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX DS; TMP/SMX; trazadone; valacyclovir; valganciclovir; zalcitabine; zidovudine.

KENTUCKY

866-510-0005 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.chfs.ky.gov/dph/epi/HIVAIDS/ services.htm


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; ethambutol; fluconazole; fosamprenavir; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; maraviroc; megestrol; nelfinavir; nevirapine; nystatin; pantoprazole; prenatal plus; primaquine; promethazine HCL; pyrimethamine; raltegravir; ranitidine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trimethoprim; valganciclovir HCL; zidovudine.



LOUISIANA

504-568-7474 (ADAP), 800-992-4379 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: Yes, individuals are currently on the LA ADAP Unmet Need List for 1-2 months until a slot becomes available on the program.
Website: www.HIV411.org


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amphotericin B; amprenavir; atazanavir; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; ethambutol; etravirine; famciclovir; fluconazole; flucytosine; fomivirsen; fosamprenavir; foscarnet; ganciclovir; indinavir; isoniazid (INH); itraconazole; lamivudine; lamivudine/zidovudine; leucovorin calcium; lopinavir/ritonavir; maraviroc; meglumine antimoniate; nelfinavir; nevirapine; pentamidine; prednisone; probenecid; pyrazinamide (PZA); pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin (RIF); rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zalcitabine; zidovudine.



MAINE

207-287-3747 (ADAP)
Maximum qualifying income (single): $55,850
Waiting List: No
Website: www.mainepublichealth.gov/hiv

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acyclovir; adefovir dipivoxil; albendazole; amantadine HCL; amikacin; amphotericin B; amprenavir; atazanavir; atovaquone; azithromycin; butoconazole nitrate; caspofungin acetate; cefotaxime sodium; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; doxycycline; dronabinol; econazole; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; erythromycin; ethambutol; etravirine; famciclovir; fluconazole; flucytosine; fosamprenavir; gabapentin; ganciclovir; gatifloxacin; hepatitis A vaccine; hepatitis b vaccine; indinavir; influenza virus; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin;
levofloxacin; lopinavir/ritonavir; maraviroc; measles/mumps & rubella vaccine; methylprednisone; miconazole; minocycline; naftifine; 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; 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.



MARYLAND

410-767-6535 (ADAP)
Maximum qualifying income (single): $55,850
Waiting List: No
Website: www.ideha.dhmh.md.gov/OIDPCS/CHCS/SitePages/madap.aspx


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir; albuterol; amitriptyline HCL; amlodipine; amoxicillin; amoxicillin/clavulanate potassium; amphotericin-B; amphotericin B cholesteryl sulfate; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; buprenorphine; bupropion; captopril; carbamazapine; cefpodoxime proxetil; cetriaxone sodium; cephalexin; chlorothiazide; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonidine; clotrimazole; clotrimazole-betamethasone cream; contraceptive; dapsone; darunavir; daunorubicin citrate liposomal; delavirdine; didanosine; diltiazem; diphenoxylate/atropine; divalproex, valproic acid; doxazosin; doxycycline; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; entecavir; epoetin alpha; erythromycin; escitalopram oxalate; ethambutol; etravirine; famciclovir; fenofibrate; fenofibric acid; filgrastim; fluconazole; fluoxetine; fluphenazine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glimepiride; glipizide; haloperidol; hydralazine; hydrochlorothiazide; hydroxizine; imiquimod; indapamide; indinavir; influenza vaccine; insulin glargine; insulin lispro; insulin NPH; insulin-regular; interferon alpha-2A; interferon alpha 2b; isoniazid; isoniazid-rifampin; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levetiracetam; lisinopril; lithium; loperamide; lopinavir/ritonavir; maraviroc; megestrol; metformin; metoclopramide; metoprolol; metronidazole; miconazole; mirtazapine; moxifloxacin HCL; nandrolone; nelfinavir; nevirapine; nifedipine; nitazoxinide; nortriptyline; nystatin; octreotide; olanzapine; omega-3 acid ethyl esters; ondansetron; oxandrolone; oxymetholone; paromomycin; paroxetine; peginterferon alfa 2a; peginterferon alfa 2b; penicillin G benzathine; pentamidine; perphenazine; pneumovax 23; polymyxin B sulfate; ppv23; pravastatin; primaquine; promethazine; propanolol; prochlorperazine; pyrazinamide; pyrimethamine; quetiapine; raltegravir; ranitidine; ribavirin; rifabutin; rifampin; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; sitagliptin/losartan potassium +/- HCTZ; spircinolactone; stavudine; sulfadiazine; telbivudine; tenofovir; testosterone; thalidomide; tinidazole; tipranavir; TMP/SMX; trazadone HCL; triamterene; trimethoprim; valacyclovir; valganciclovir HCL; valsartan; venlafaxine; veraparnil; zalcitabine; zidovudine.



MASSACHUSETTS

800-228-2714 (ADAP), 800-235-2331 (AIDS Hotline)
Maximum qualifying income (single): $55,850
Waiting List: No
Website: www.crine.org/hiv_drug_assistance_ program.html

Massachusetts has an has an open formulary and includes all HIV-related medications. There are a few excluded categories of drugs.



MICHIGAN

888-826-6565 (ADAP)
Maximum qualifying income (single): $50,265
Waiting List: No
Website: www.michigan.gov/dap


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acamprosate; acetaminophen; acetaminophen/caffeine/butabital; acetaminophen/caffeine/codeine/butabital; acetaminophen-hydrocodone; acetaminophen/propoxyphene; acrivastine/pseudoephodrine; acyclovir; albuterol; aldesleukin; alendronate; alprazolam; amitriptyline; amlodipine; amoxicillin; amoxicillin/clarithromycin/lansoprazole; amoxicillin/clavulanic acid; amphotericin B; amprenavir; asa/caffeine/butabital; asa/caffeine/codeine/butabital; asa/codeine; atazanavir; atenolol; atenolol/chlorthalidone; atorvastatin; atovaquone; azithromycin; baclofen; beclomethasone; benazepril; buprenorphine; buprenorphine/naloxone; bupropion; buspirone; celecoxib; cephalexin; cetirizine; cetirizine/pseudoephedrine; chlorpromazine; cholestyramine; citalopram; cidofovir; cilostazol; ciprofloxacin; ciprofloxacin/dexamethasone; ciprofloxacin/hc; clarithromycin; clindamycin; clonazepam; clonidine; clopidogrel; clotrimazole; codeine; codeine/acetaminophen; conjugated estrogens; cyclobenzaprine; dapsone; darunavir; delavirdine; desonide; diazepam; diclofenac; diclofenac/misoprostol; dicyclomine HCL; didanosine; diltiazem; diphenhydramine; diphenoxylate/atropine; divalproex; doxepin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enalapril; enalapril/hctv; enfuvirtide; epinephrine; epoetin alpha; erythromycin; escitalopram; ethambutol; etravirine; famciclovir; famotidine; felodipine; fenofibrate; fentanyl; fexofenadine; fexofenadine/p-ephedrine; filgrastim; fluconazole; fluoxetine; folic acid; formivisen; fosamprenavir; foscarnet; furosemide; gabapentin; ganciclovir; gemfibrozil; glipizide; glyburide; glyburide/metformin; haloperidol; hctv/triamterene; hepatitis A vaccine; hepatitis B vaccine; humalog; humulin; hydrochlorothiazide; hydrocortisone cream; hydroxyurea; hydromorphone; ibuprofen; imiquimod topical; indinavir; influenza vaccine; insulin glargine; interferon alfa 2b; ipratropium; itraconazole; ketoconazole; lactulose; lamivudine; lamivudine/zidovudine; lancets; lansoprazole; leucovorin; levetiracetam; levofloxacin; levothyroxine; lisinopril; lisinopril/hctz; loperamide; lopinavir/ritonavir; loratadine; loratadine/pseudoephedrine; lorazepam; losartan; losartan/hctz; maraviroc; megestrol; meperidine; mesalamine; methadone; methyltestosterone; metronidazole; metformin; metoclopramide; metoprolol; minoxidil; mirtazapine; montelukast; morphine; nabumetone; nelfinavir; nevirapine; niacin; nicotine patch/nasal spray/gum; nifedipine; nitroglycerine; nizatidine; novolog insulins; nystatin; ofloxacin; olanzapine; omeprazole; opium tincture; oxandrolone; oxybutynin; oxycodone; oxycodone/acetaminophen; pancrelipase; paromomycin; paroxetine; peginterferon alfa 2-a; peginterferon alfa-2b; pentamidine; phenytoin; penicillin; pneumonococcal vaccine; potassium chloride; pravastatin; primaquine; pioglitazone; prednisone; prochlorperazine; promethazine; propoxyphene; propranolol; pyrimethamine; quetiapine; quinapril; raltegravir; ramipril; ranitidine; ribavirin; rifabutin; rilpivirine; rimantadine; risperidone; ritonavir; rosiglitazone; rosiglitazone/metformin; saquinavir; sertraline; silvadene; sodium fluoride; stavudine; sulfadiazine; sumatriptan; syringes-insulin; tamsulosin; temazepam; tenofovir; terazosin; terbinafine; testosterone; test strips; timolol maleate; tipranavir; tizanidine; TMP/SMX; topiramate; tramadol; tramadol/acetaminophen; triamcinolone cream; trimethobenzamide; trimethoprim; valacyclovir; valganciclovir; valsartan; valsartan/hctz; venlafaxine; verapamil; voriconazole; warfarin; zalcitabine; zidovudine; zolpidem.



MINNESOTA

651-431-2414 (ADAP), 800-248-2437 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.dhs.state.mn.us/hivaids

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albendazole; amitriptyline; amoxapine; amoxicillin clavulanate; amoxicillin trihydrate; amphotericin B; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; bacitracin zinc; bacitracin/polymyxin B sulfate; bacitracin; bupropion; carbamazepine; cefadroxil monohydrate; cefazolin sodium; chlor-hexidine; cholestyramine; cidofovir; cimetidine; ciprofloxacin; citalopram; clarithromycin; clindamycin; clofazimine; clomipramine; clotrimazole; dapsone; delavirdine; desipramine; dicloxacillin; didanosine; diphenoxylate HCL/atropine sulfate; divalproex; doxepin; doxycycline; dronabinol; econazole; econazole; efavirenz; emtricitabine; enfurvitide; erythromycin base/ethanol; erythromycin erythromycin stearate; ethambutol; etravirine; ethylsuccinate; fenofibrate; fluconazole; fluoxetine; fluvastatin; fluvoxamine; fosamprenavir; gabapentin; ganciclovir; gemfibrozil; gentamicin; hydrocortisone; hydroxyurea; imipramine; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; levofloxacin; loperamide; lopinavir/ritonavir; magnesium sulfate; maprotiline; maraviroc; megestrol acetate; metronidazole; miconazole nitrate; minocycline; mirtazapine; nefazodone; nelfinavir; neomy sulfa/bacitra/polymyxin B; neomycin; nevirapine; niacin; nitrofurantoin macrocrystal; nortriptyline; nystatin; ofloxacin; paromomycin; paroxetine; penicillin V potassium; pentamidine; phenelzine; pravastatin; prednisone; primaquine; primidone; probenecid; prochlorperazine; protriptyline; pyrazinamide; pyrimethamine; raltegravir; ranitidine; rifabutin; rifampin/isoniazid; rifampin; ritonavir; saquinavir; sertraline; silver sulfadiazine; simvastatin; stavudine; sulfadiazine; tenofovir; terconazole; tetracycline HCL; tipranavir; TMP/SMX; tobramycin sulfate; tranylcypromine; trazadone; trimipramine; valacyclovir; valganciclovir; valproic acid; vancomycin HCL; venlafaxine; vitamins; zalcitabine; zidovudne.

List of drugs for HIV-related side effects is extensive. Please call for complete listing.



MISSISSIPPI

601-960-7723 (ADAP)
Maximum qualifying income (single): $44,680
Waiting List: No
Website: n/a

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; amitriptyline HCL; atazanavir; atorvastatin; azithromycin; citalopram; clarithromycin; clindamycin; dapsone; darunavir; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; fluconazole; fosamprenavir; gabapentin; ganciclovir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; niacin; peginterferon alfa 2a; pyrimethamine; oxandro-lone; pentamidine; ribavirin; ritonavir/capsules/oral solution; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zalcitabine; zidovudine.



MISSOURI

573-751-6439 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.health.mo.gov/living/healthcondis eases/communicable/hivaids/casemgmt.php

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acetaminophen/codeine; acyclovir; adefovir; albendazole; alendronate; allupurinol; alprazolam; amitriptyline; amlodipine; amoxicillin; amoxicillin/clavulanic acid; ampicillin; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; baclofen; benazepril; bupropion; buspirone; butoconazole; captopril; carbamazepine; carisoprodol; cefadroxil; cefdinir; cefiprozil; cefixime; cefpodoxime; ceftibutin; celecoxib; cephalexin; chlordiazepoxide; chlorothiazide; chlorpropamide; chlorthalidone; chlorzoxazone; cholestyramine; cidofovir; cimetidine; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clonidine; clotrimazole; codeine; cyclobenzaprine; dapsone; darunavir; delavirdine; diazepam; diclofenac; dicloxacillin; didanosine; diltiazem; diphenoxylate/atropine; divalprox; doxazosin; doxepin; doxycycline; duloxetine; econazole; efavirenz; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enalapril; enfuvirtide; entecavir; erythromycin; esomeprazole; eszopiclone; ethambutol; etravirine; exenatide; ezetimibe; famciclovir; famotidine; fenofibrate; fentanyl; fluconazole; flucytosine; fluoxetine; fluvastatin; folinic acid; fosamprenavir; fosinopril; furosemide; gabapentin; ganciclovir; gemfibrozil; glimeperide; glipizide; glyburide; hepatitits A vaccine; hepatitis B vaccine; hydrochlorothiazide; hydrocodone; hydromorphone; ibuprofen; imipramine; imiquimod; indinavir; indomethacin; insulin; irbesartan; isoniazid; itraconazole; ketoconazole; ketoprofen; ketorolac; labetalol; lamivudine; lamivudine/zidovudine; lamotrigine; lanosoprazole; levofloxacin; lisinopril; lithium; lopinavir/ritonavir; lorazepam; lovastatin; maraviroc; meclizine; meglitol; meperidine; metaxalone; metformin; methadone; methocarbamol; methylphenidate; metoclopramide; metoprolol; metronidazole; miconazole; minocycline; mirtazapine; morphine; moxifloxican; mupirocin; naproxen; nateglinide; nefazodone; nelfinavir; nevirapine; niacin; nifedipine; nisoldipine; nitrofurantoin; nortriptyline; nystatin; olanzapine; omeprazole; ondansetron; opium tincture; orphenadrine; oxaprozin; oxycodone combinations; pantoprazole; paromomycin; paroxetine; penicillin; pentamidine; phenytoin; pioglitazone; piroxicam; podophyllum; pramlintide; pravastatin; prednisone; pregabalin; primaquine; primidone; prixidone; prochlorperazine; propoxyphene combinations; propranolol; pyrazinamide; quinapril; raltegravir; ramelteon; ramipril; ranitidine; repaglinide; resperidone; resuvastatin; rifabutin; rifampin; rifapentine; rilpivirine; ritonavir; rosiglitasone; saquinavir; sertraline; simvastatin; spironolactone; stavudine; sucralfate; sulfadiazine; telbivudine; temazepam; tenofovir; terazosin; terbinafine; terconazole; tetracycline; timolol; tipranavir; TMP/SMX; tolmetin; tramadol; trazadone; triamterene; trifluridine; troglitazone; trimethobenzamide; valacyclovir; valganciclovir; valproic acid; vancomycin; venlafaxine; verapamil; voriconazole; zalcitabine; zidovudine; zolpidem.



MONTANA

406-444-4744 (ADAP)
Maximum qualifying income (single): $36,861
Waiting List: One person is on the Montana ADAP waiting list as of July 16, 2012.
Website: www.dphhs.mt.gov/publichealth/hivstd/

Additional Information: They are doing better with the addition of Emergency Relief funding.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aldera cream; amantadine; amitriptyline; amoxapine; amoxicillin; amoxicillin/clavulanate potassium; amphotericin B; amprenavir; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; buspirone; carbamazepine; caspofungin; chlorpromazine; ciprofloxacin; citalopram; clarithromycin; clomipramine; clotrimazole oral; clozapine; dapsone; darunavir; delavirdine; desipramine; didanosine; doxepin; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine/tenofovir; enfuvirtide; erythropoietin alfa; escitalopram oxalate; ethambutol HCL; etravirine; ezetimibe; fenofibrate; filgrastim; fluconazole; fluoxetine; fluphenazine; fluvoxamine; fosamprenavir; foscarnet; gabapentin; gemfibrozil; haloperidol; hydroxyzine; imipramine; indinavir; isocarboxazid; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; lithium; lopinavir/ritonavir; loxapine; maprotiline; maraviroc; megestrol acetate; mesoridazine; methylphenidate hcl; mirtazapine; molindone; nefazodone; nelfinavir; nevirapine; nortriptyline; nystatin; olanzapine; oseltamivir phosphate; oxcarbazepine; paroxetine; pentamidine; perphenazine; phenelzine; pimozide; pravastatin; promazine; protriptyline; pyrazinamide; pyrimethamine; quetiapine; raltegravir; rifampin; rilpivirine; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; sodium divalproex; stavudine; sulfadiazine; tenofovir; testosterone; thioridazine; thiothixene; tiagabine; tipranavir; TMP/SMX; topiramate; tranylcypromine; trazadone; trifluoperazine; triflupromazine; trimipramine; valacyclovir; valproic acid; varenicline; venlafaxine; voriconazole; zidovudine; ziprasidone.



NEBRASKA

402-559-4673(ADAP)
Maximum qualifying income (single): $22,340
Waiting List: No, we removed all individuals from the waiting list on August 1, 2012
Website: www.dhhs.ne.gov/publichealth/Pages/dpc_ryan_white.aspx


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



NEVADA

775-684-3499 (ADAP)
Maximum qualifying income (single): $44,680
Waiting List: No
Website: www.health.nv.gov/HIVCarePrevention.htm


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; androgel; atazanavir; atorvastatin calcium; atovaquone; azithromycin; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; darbopoeiten; delavirdine; didanosine; diphenoxylate/atropine; divalproex sodium; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emticitabine/rilpivirine/tenofovir; enfuvirtide; erythropoetin; ethambutol; fenofibrate; fluconazole; fosamprenavir; gabapentin; GCSF; gemfibrozil; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; maraviroc; megestrol; nelfinavir; nevirapine; niaspan; nystatin; ondansetron-only after compazine; paromomycin; phenytoin; primaquine; prochlorperazine; pyramethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; trazadone; ultrase MT-20-pancreatic enzymes; valganciclovir; zalcitabine; zidovudine.



NEW HAMPSHIRE

603-271-4502 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.dhhs.nh.gov/dphs/bchs/std/care.htm


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



NEW JERSEY

609-624-2377 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.state.nj.us/health/aids/index.shtml

The program covers a wide range of FDA-approved medications for treating individuals with HIV and AIDS. Your doctor or clinic will tell you which of the approved drugs are appropriate for you.

NEW MEXICO

505-827-2435 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.nmhealth.org/IDB/HIV_services.shtml

Abacavir; abacavir/lamivudine; abacavir/lamividine/zidovudine; acyclovir; amikacin; amphotericin-B; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion SR; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; divalproex; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; erythropoietin; ethambutol; etravirine; famciclovir; fenofibrate; filgrastim; fluconazole; fosamprenavir; foscarnet; ganciclovir; hepatitis vaccines; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin calcium; lopinavir/ritonavir; maraviroc; megestrol; metformin; metronidazole; nelfinavir; nevirapine; nystatin; pentamidine; pioglitazone; pravastatin; prenatal-S; primaquine; raltegravir; rifabutin; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trimethoprim; valacyclovir; valganciclovir; venlafaxine; voriconazole; zalcitabine; zidovudine.



NEW YORK

800-542-2434 (ADAP), 800-992-4379 (AIDS Hotline)
Maximum qualifying income (single): $48,589
Waiting List: No
Website: www.nyhealth.gov/diseases/aids/resources/adap/index.htm


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acebutolol; acetohexamide; acetylcysteine; acrivastine/pseudoephedrine HCL; acyclovir; adefovir; albendazole; albuterol; albuterol-ipratropium; alclometasone dipropionate; alitretinoin; alprazolam; amantadine; amcinonide; amikacin; amiloride; aminosalicyclic acid; amitriptyline; amlexanox; amlodipine; amoxicillin/clavulanate; amoxicillin; amphotericin B; ampicillin; amprenavir; amylase-lipase-protease; apraclonidine; aripiprazole; atazanavir; atenolol; atorvastatin; atovaquone*; atropine; atropine-diphenoxylate; azatadine maleate; azatadine; azithromycin; aztreonam; bacitracin; beclomethasone; benazepril; bendroflumethiazide; benztropine mesylate; betamethasone dipropionate; betaxolol; bleomycin; bisoprolol; bitolterol mesylate; bleomycin; brimonidine; brinzolamide; brompheniramine w/wo combinations; budesonide; bumetanide; bupropion; buspirone; butabarbital; butalbital combination w/wo codeine; candesartan; capreomycin; captopril; carbachol; carbamazepine; carbinoxamine maleate; carteolol; carvedilol; caspofungin; cefaclor; cefadroxil; cefazolin; cefixime; cefoxitin; cefpodoxime; cefprozil; ceftazidime; ceftriaxone; cefuroxime; cephalexin; cephradine; cetirizine; chloral hydrate; chloramphenicol; chlordlazepoxide w/wo clidinium; chlorhexidine gluconate; chlorothiazide; chlorpheniromine w/wo combinations; chlorpromazine; chlorpropamide; chlorthalidone; cholestyramine; cidofovir; cimetidine; ciprofloxacin; citalopram hydrobromide; clarithromycin; clemastine fumarate; clindamycin; clobetasol propionate; clocortolone pivalate; clomipramine; clonazepam; clonidine; clorazepate; clotrimazole; cloxacillin; clozapine; colestipol; cromolyn sodium; cyclandelate; cyclopentolate; cyclopentolate-phenylephrine; cyclophosphamide; cycloserine; cyproheptadine; cytarabine; dapsone; darunavir; daunorubicin liposomal; delavirdine; desipramine; desonide; desoximetasone; dexamethasone; dexamethasone; dexbrompheniramine/pseudo.sulfate; dexchlorpheniramine; dextroamphetamine sulfate; diazepam; diclofenac; dicloxacillin; didanosine; diflorasone diflunisal; digoxin; diltiazem; diphenhydramine HCL; dipivefrin; divalproex sodium; dolasetron mesylate; dorzolamide w/timolol; dorzolamide; doxazosin; doxepin HCL; doxorubicin; doxycycline; dronabinol; duloxetine; dyphylline; econazole nitrate; ecothiopate; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enalapril; enfuvirtide*; enoxaparin; entecavir; epoetin alfa*; escitalopram; esomeprazole; estrogens w/progestins; estrogens; ethambutol; ethionamide; etoposide; etravirine; ezetimibe; felbamate; felodipine; fenofibrate; fenoprofen; fentanyl (patch only); fexofenadine; filgrastim*; flavoxate; flucinolone; fluconazole; flucytosine; flunisolide; fluoride; fluorometholone; fluoxetine; fluphenazine; flurandrenolide; flurazepam; flurbiprofen; fluticasone; fluticasone propionate; fluvastatin; fluvoxamine; formivisen; fosamprenavir; foscarnet; fosfomycin tromethamine; fosinopril sodium; furazolidone; furosemide; gabapentin; ganciclovir; gatifloxacin; gemfibrozil; gentamicin; glimepiride; glipizide; glucose monitor-limit one; glucose test control solution; glucose test strips; glyburide; granisetron; griseofulvin; guanabenz acetate; guanadrel sulfate; guanfacine; halazepam; halcinonide; halobetasol propionate; haloperidol; hepatitis A & B vaccines; homatropine; hydoxyzine HCL; hydralazine; hydrochlorothiazide; hydrocodone w/ASA, APAP; hydrocortisone w/wo combinations; hydroflumethiazide; hydromorphone; hydroxyurea; ibuprofen; imipenem-cilastatin; imipramine; imiquimod; immune globulin Rho*; indapamide; indinavir; indomethacin; insulin; interferon alfa; interferon alfa-N3; intravenous immune globulin; immune globulin Rho; ipratropium; ipratropium bromide; irbesartan; isoniazid; isosorbide; isoxsuprine; isradipine; itraconazole; kanamycin; ketoconazole; ketoprofen; ketorolac labetalol; lamivudine; lamivudine/zidovudine; lamotrigine; lancets/lancet devices; lansoprazole; latanoprost; leucovorin; levetiracetam; levobunolol; levofloxacin; levorphanol tartrate; lisinopril; lithium carbonate; lithium citrate; lomustine; loperamide; lopinavir/ritonavir; loracarbef; lorazepam; losartan potassium; loteprednol; loxapine; magnesium sulfate; maraviroc; medrysone; megestrol; mesoridazine; metaproterenol sulfate; metformin; methadone HCL; methotrexate; methyciothiazide; methyldopa; methylphenidate; metipranol; metoclopramide; metolazone; metoprolol; metronidazole; miconazole; miglitol; minocycline; minoxidil; mirtazapine; misoprostol; moexipril; molindone; mometasone furoate; montelukast sodium; moricizine; morphine sulfate; moxifloxacin; mupirocin; nadolol; nandrolone; naphazoline w/wo combinations; naproxen; nedocromil sodium; nefazodone; nelfinavir; neomycin w/wo combinations; nevirapine; niacin; nicardipine; nifedipine; nisoldipine; nitrofurantoin; nitroglycerin; nortriptyline; nystatin; ofloxacin; olanzapine; omeprazole; ondansetron; oprelvekin*; oseltamivir; oxazepam; oxcarbazepine; oxtriphylline; oxybutynin; oxycodone w/wo ASA, APAP; paclitaxel; pancrelipase; pantoprazole; papaverine; paromomycin; paroxetine; peak flow meter; peginterferon; pemoline; penbutolol sulfate; penciclovir; penicillin G; pentamidine; pentobarbital; perphenazine; phenir/ppa/phenylt./pyrilamine; phenylephrine-promethazine; phenyltolox/APAP; phenyltolox/pyril/pheniramine; phenytoin; pilocarpine; pilocarpine; pindolol; pioglitazone; pirbuterol acetate; piroxicam; podofilox; polythiazide; pravastatin sodium; prazosin; prednicarbate; prednisolone; prednisone; pregabalin; primaquine; primidone; probenecid; procainamide; procarbazine; prochlorperazine; progestins; promethazine; propranolol; pyrazinamide; pyrimethamine; quetiapine fumarate; quinapril; rabeprazole; raltegravir; ramipril; ranitidine; repaglinide; ribavirin; rifabutin; rifampin in combination; rifapentine; rimantadine; rimexolone; risperidone; ritonavir; rosiglitazone maleate; rosuvastatin; salmeterol; saquinavir; sargramostim; secobarbital; sertraline; sotalol; spacers/aerochambers; sparfloxacin; spectinomycin; spironolactone; stavudine; streptomycin; sucralfate; sulfadiazine; sulfadoxine/pyrimethamine; sulfamethoxazole; sulfasalazine; sulindac; syringes/needles; telmisartan; temazepam; tenofovir; terazosin; terbinafine HCL; terbutaline sulfate; terconazole; testosterone; tetracycline; thalidomide; theophylline; thiethylperazine maleate; thioridazine; thiothixene; tiagabine; ticarcillin/clavulante; timolol; tincture of opium; tiotropium; tipranavir*; TMP/SMX; tobramycin; tocainide; tolazamide; tolbutamide; tolmetin; tolterodine; topiramate; torsemide; tramadol; trandolapril; trazadone; triamcinolone acetonide; triamcinolone; triamterene; triazolam; trichlormethiazide; trifluoperazine; trimethobenzamide; trimethoprim; trimipramine; triple sulfa; triprolidine.; tropicamde w/wo hydroxyamphetamine; valacyclovir; valganciclovir; valproic acid; valsartan; vancomycin; varenicline; venlafaxine; verapamil; vinblastine; vincristine; voriconazole; warfarin; zafirlukast; zalcitabine; zanamivir; zidovudine; zileuton; ziprasidone; zolpidem.


* Drugs Requiring Prior Authorization



NORTH CAROLINA

877-466-2232 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: As of July 2010, the AIDS Drug
Assistance Program has had to limit new enrollment to individuals whose net income is at or below 125 percent of the federal poverty level. Because of an increasing number of applicants and limited availability of funding, ADAP is not able to provide services at this time to new applicants between 126 and 300 percent of the federal poverty level; these applicants will be placed on the NC ADAP waiting list.
Website: www. epi.publichealth.nc.gov/cd/hiv/adap.html


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amlodipine; amoxicillin; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; benazepril; bupropion; ciprofloxacin HCL; citaolpram; clarithromycin; clindamycin; clonidine; clotrimazole troches; dapsone; darunavir; delavirdine; didanosine; diphenoxylate HCL w/atropine sulfate; doxepin; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enalapril; enfuvirtide; escitalopram; ethambutol; etravirine; famciclovir; fluconazole; fluoxetine; fosamprenavir; gabapentin; ganciclovir; gemfibrozil; glimepiride; glipizide; glucophage; glyburide; hctv; hydroxyurea; indinavir; insulin; insulin syringes; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lansoprazole; leucovorin; lisinopril; loperamide; lopinavir/ritonavir; maraviroc; megestrol; metoclopramide; metoprolol; metronidazole; mirtazapine; nelfinavir; nevirapine; nevirapine XR; nortriptyline; nystatin; omeprazole; ondansetron HCL; pancrelipase; paromomycin; paroxetine; pentamidine; pravastatin; prochloroperazine; promethazine; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zalcitabine; zidovudine.



NORTH DAKOTA

701-328-2376 (ADAP), 800-70N-DHIV (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.ndhealth.gov/hiv


23-valent pnemococcal; abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acyclovir; adefovir; albendazole; albuterol inhaler; amantadine HCL; amitriptyline; amoxicillin; amphotericin; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; calcium acetate; chlor-hexidine; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; didanosine; diphenoxylate w/atropine; doxazosin mesylate; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; erythromycin; erythropoietin; ethambutol; etodolac; etravirine; famciclovir; filgrastim; fluconazole; fludrocortisone acetate; fluoxetine HCL; foscarnet sodium; gabapentin; ganciclovir; haloperidol; hepatitis A vaccine; hepatitis B vaccine series; indinavir; influenza; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lisinopril; loperamide; lopinavir/ritonavir; lorazepam; maraviroc; megestrol; morphine; nelfinavir; nevirapine; nystatin; olanzapine; ondansetron; pantoprazole sodium; paromomycin; pentamidine; pravastatin; prednisone; prochlorperazine; propoxyphene; pyrimethamine; raltegravir; ranitidine; rifabutin; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; TMP/SMX; trazadone HCL; valganciclovir; venlafaxine HCL; vitamin; zalcitabine; zanamivir; zidovudine.



OHIO

800-777-4775 (ADAP), 800-332-2437 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting list: No
Website: www.ohio.gov


Abacavir; abacavir/lamivdine; abacavir/lamivudine/zidovudine; acarbose; acyclovir; amitriptyline; amprenavir; atazanavir; atorvastatin; atovaquone; atropine diphenoxylate; azithromycin; bupropion; citalopram hydrobromide; clarithromycin; clotrimazole; dapsone; darunavir; delavirdine; desipramine; didanosine; divalproex sodium; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; ethambutol; etravirine; famciclovir; fenofibrate; fluconazole; fluoxetine; fosamprenavir; gardisil; gemfibrozil; glipizide; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lisinopril; loperamide; lopinavir/ritonavir; maraviroc; medroxyprogesterone acetate injectable suspension; metformin; mirtazapine; nefazodone; nelfinavir; nevirapine; nizatidine; nystatin; omeprazole; paroxetine; penicillin G benzathine; pentamidine; pravastatin; prochlorperazine; promethazine; pyrimethamine; raltegravir; ranitidine; rifabutin; risperidone; ritonavir; ritonavir; rosiglitazone; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; venlafaxine; zalcitabine; zidovudine.



OKLAHOMA

405-271-4636 (ADAP)
Maximum qualifying income (single): $22,340
Waiting List: No
Website: n/a


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; clarithromycin; clotrimazole troches; dapsone; darunavir; delavirdine; didanosine; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; etravirine; famciclovir; fluconazole; fosamprenavir; foscarnet; ganciclovir; indinavir; isonazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; megestrol acetate; nelfinavir; nevirapine; nystatin; oxandrolone; pyrazinamide; pyrimethamine; raltegravir; rifabutin; rifampin; ritonavir; saquinavir; stavudine; tenofovir; testosterone; tipranavir; TMP/SMX; valganciclovir; zidovudine.

Please contact ADAP case manager for list of other formulary drugs. Includes antibiotics, antihypertensives, diuretics, antidepressants, lipid control, anti-nausea, anti-anxiolytic, anti-psychotic, and anti-epileptic.



OREGON

971-673-0144 (ADAP), 503-223-2437/800-777-2437 (AIDS Hotline), 800-499-6940 (Espanol)
Maximum qualifying income (single): $33,516
Waiting List: No
Website: www.oregon.gov/oha/pharmacy/pages/careassist/index.aspx

All HIV antiretrovirals, all OI treatments covered. No drugs removed. Oregon ADAP applicants/clients must accept primary health insurance when offered or use a primary health insurance to which they have access. Any prescribed drug covered by the client’s primary insurance is eligible for the ADAP to pay the copays and deductibles. A very small number of drug classes (2-3) are excluded from copay assistance, such as those to treat erectile dysfunction.



PENNSYLVANIA

800-922-9384 (ADAP)
Maximum qualifying income (single): $36,699
Waiting List: No
Website: www.dpw.state.pa.us/provider/healthcaremedicalassistance/specialpharmaceuticalbenefitsprogram/index.htm

Program is referred to as: The Special Pharmaceutical Benefits Program. List of drugs is extensive. Please call or see website to get the full list.

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir/valacyclovir; alpha interferon; amikacin; amphotericin B; atazanavir; atovaquone; azithromycin; bleomycin; capreomycin; cidofovir injection; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clotrimazole; cycloserine; dapsone; darunavir; delavirdine; dexamethasone; didanosine; doxorubicin; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; ethionamide; etoposide; etravirine; famciclovir; fluconazole; flucytosine; fosamprenavir; foscarnet; ganciclovir; indinavir; isoniazid; itraconazole; kanamycin sulfate; 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; triple sulfa; valganciclovir; vinblastine sulfate; vincristine sulfate; zalcitabine; zidovudine.



RHODE ISLAND

401-222-4610 (ADAP), 401-222-7540 (AIDS Hotline)
Maximum qualifying income (single): $44,680
Waiting List: No
Website: www.health.ri.gov/programs/ryanwhite hivcare/


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromycin; ciprofloxacin; citalopram hydrobromide; clarithromycin; clonazepam; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; ethambutol; etravirine; fentanyl; fluconazole; fluoxetine; fosamprenavir; gabapentin; ganciclovir oral and IV; hydroxyurea; indinavir; interferon alfa; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; lorazepam; maraviroc; morphine sulfate; nelfinavir; nevirapine; olanzapine; oxycodone; paroxetine; pegylated interferon alfa 2a; pegylated interferon alfa-2b; pentamidine; primaquine; pyrimethamine; raltegravir; ribavirin; rifabutin; risperdal; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; zalcitabine; zidovudine.



SOUTH CAROLINA

803-831-7806 (ADAP), 800-322-2437 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: Yes, since March 15, 2010.
Website: www.scdhec.gov/adap


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; atazanavir; atovaquone; azithromycin; bupropion; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; escitalopram; ethambutol; etravirine; famciclovir; fluconazole; fluoxetine; fosamprenavir; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; mirtazapine; nelfinavir; nevirapine; nystatin; paroxetine; pegylated interferon; primaquine; pyrimethamine; raltegravir; ribavirin; rifabutin; rilpivirine; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; venlafaxine; zidovudine.



SOUTH DAKOTA

605-773-3737, 800-593-1861 (ADAP)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.doh.sd.gov/RyanWhite/default.aspx


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



TENNESSEE

615-532-2392 (ADAP), 800-525-2437 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: n/a


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir/vitamin E; atazanavir; atovaquone; azithromycin; bupropion HCL; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; ethambutol; etravirine; gabapentin; fluconazole; fosamprenavir; gemfibrozil; glipizide; hydrochlorothiazide; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; metformin; nelfinavir; nevirapine; novolin 70/30; nystatin; paromomycin; pentamidine IV; phenytoin sodium; pravastatin; prednisone; primaquin; pioglitazone; promethazine; pyrimethamine; quinapril; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir HCL; valganciclovir; venlafaxine HCL; zidovudine.

In addition, the following medicines are available through the Medical Services Fee Schedule: amphotericin B; ceftriaxone; cosyntropin; foscarnet sodium; ganciclovir; vancomycin.



TEXAS

800-255-1090 (ADAP)
Maximum qualifying income (single): $30,000
Waiting List: No
Website: www.dshs.state.tx.us/hivstd/meds/default.shtm

Priority 1:
Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; atazanavir; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/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; trimethoprim; zidovudine.

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

Priority 3:
Atovaquone; megestrol.



UTAH

801-538-6197 (ADAP)
Maximum qualifying income (single): $27,925
Waiting List: No
Website: www.health.utah.gov/cdc/hiv_treatment.htm


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromycin; bupropion; citalopram; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; diphenoxylate HCI/atropine sulfate; doxepin; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; esomeprazole; ethambutol; etravirine; fenofibrate; fluconazole; fluoxetine; fosamprenavir; gabapentin; glipizide; glipizide XL; haloperidol; imiquimod; indinavir; insulin; itraconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; levetirecetam; linezolid; lithium; lopinavir/ritonavir; maraviroc; metformim; mirtazapine; mupirocin; nelfinavir; nevirapine; nevirapine XR; nortriptyline; nystatin; paroxetine; pentamidine; phenobarbital; phenytoin; pravastatin; primaquine; pyrimethamine; quetiapine; raltegravir; rifabutin; rilpivirine; risperidone; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; topiramate; trazadone; valacyclovir; valgancyclovir; valproic acid; venlafaxine; zalcitabine; zidovudine.



VERMONT

800-244-7639 (ADAP), 800-882-2437 (AIDS Hotline)
Maximum qualifying income (single): $22,340
Waiting List: No
Website: www.healthvermont.org

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albuterol; amitriptyline; amphotericin B; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; doxorubicin; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; escitalopram; ethambutol; ezetimibe; famciclovir; fenofibrate; fentanyl; fluconazole; fluoxetine; fluvastatin; fosamprenavir; foscarnet; gabapentin; GCSF; gemfibrozil; hepatitis A/B; hepatitis A; hepatitis B; hydroxyurea; ibuprofen; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; lovastatin; megestrol acetate; morphine sulfate; nefazodone; nelfinavir; nevirapine; niacin; nystatin; paroxetine; pentamidine; pneumococcal; polycarbophil; pravastatin; primaquine; psyllium; pyrimethamine; raltegravir; rifabutin; rilpivirine; ritonavir; saquinavir; sertraline; simvastatin; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; trimethoprim; valacyclovir; valganciclovir; venlafaxine; zalcitabine; zidovudine.



VIRGINIA

855-362-0658 (ADAP), 800-533-4148 (AIDS Hotline)
Maximum qualifying income (single): $44,680
Waiting List: Yes, VA currently has a waiting list of 579 individuals. But as of July 16, 2012, VA ADAP began taking final steps toward the elimination of that waiting list. Enrollment was opened to all financially eligible clients on the waiting list and they will be enrolled in the order they were placed on the waiting list. All waiting list clients and new clients will be enrolled into ADAP by September 30, 2012.
Website: www.vdh.virginia.gov/ADAP

Additional Information: As stated earlier, they have opened enrollment to additional clients in order to eliminate the waiting list by September 30, 2012. Clients currently on the waiting list will first be enrolled in the order they were placed on the list and then new clients will be enrolled. All information regarding VA ADAP enrollment and eligibility and other pertinent information may be found by visiting: www.vdh.virginia.gov/ADAP


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosolized pentamidine; amikacin; atazanavir; atorvastatin; atovaquone; azithromycin; capreomycin; cidofovir; clarithromycin; clindamycin; cycloserine; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; epoetin alpha; ethambutol; ethionamide; etravirine; famciclovir; fluconazole; fosamprenavir; foscarnet; gabapentin; ganciclovir IV; glipizide; glipizide/metformin; glyburide; hepatitis A; hepatitis B; hepatitis A/B; indinavir; influenza; insulin injectable; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lopinavir/ritonavir; maraviroc; megestrol; metformin; nelfinavir; nevirapine; para-aminosalicylic acid; peginterferon alfa-2a; peginterferon alpha-2b; pneumovax; pravastatin; prednisone; primaquine; pyrazinamide; pyridoxine; pyrimethamine; raltegravir; ribavirin; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trimethoprim; valganciclovir; voriconazole; zalcitabine; zidovudine.



WASHINGTON

877-376-9316 (ADAP), 800-272-2437 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.doh.wa.gov/YouandYourFamily/IllnessandDisease/HIVAIDS/HIVCareClientServices/ADAPandEIP.aspx


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosolized pentamidine; albendazole; amoxicillin/potassium clavulante; amoxicillin; ampicillin; amprenavir; atazanavir; atovaquone; azrithromycin; carbamazepine; cefpodoxime; ceftriaxone; cephalexin; chlorhexidine gluconate; cidofovir; cimetidine; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clotrimazole betamethasone; clotrimazole; clozapine; dapsone; darunavir; delavirdine; dicloxacillin; didanosine; diphenoxylate/atropine; divalproex sodium; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; erythromycin; esomeprazole; estrogen; ethambutol; etravirine; famotidine; fluconazole; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir IV and oral; hepatitis B immune globulin; hydroxyurea; hyoscyamine; imiquimod cream; immune globulin; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin (oral only); levodopa/carbidopa; levofloxacin; lindane; lithium; loperamide; lopinavir/ritonavir; maraviroc; mediset fills; medroxyprogesterone; megestrol; methylprednisolone; metoclopramide; metronidazole; miconazole; moxifloxacin; nandrolone; nelfinavir; nevirapine; nizatidine; nystatin; ofloxacin; olanzapine; omeprazole; ondansetron HCL; opium tincture; oxandrolone; oxcarbapine; pantoprazole; paromomycin; penicillin; peridex; permethrin; phenazopyridine; podofilox; pill splitter; pramipexole; prednisone; primaquine; prochlorperazine; promethazine; pyrimethamine; rabeprazole; raltegravir; ranitidine; rifabutin; rifampin; risperidone; ritonavir; ropinirole; saquinavir; somatropin; stavudine; sulfa/pyrimethamine; sulfadiazine; tenofovir; terconazole; testosterone products; tetracycline; tipranavir; topiramate; TMP/SMX; trimethoprim; valacyclovir; valganciclovir; valproic acid; vancomycin oral; VZIG; zalcitabine; zidovudine.

The following classes of drugs are covered as groups. A drug’s class is defined by the federal Food and Drug Administration.

Antianxiety medications; Antidepressants; Antidiabetic; Antihyperlipidemic; Bipolar medications; Dermatologic; Oral analgesics; Hepatitis treatment; Hematopoietic agents; Vaccines.

Most drugs in these FDA classes are covered.



WEST VIRGINIA

304-232-6822 (ADAP), 800-642-8244 (AIDS Hotline)
Maximum qualifying income (single): $36,302
Waiting List: No
Website: www.dhhr.wv.gov/oeps


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; atorvastatin; azithromycin; clarithromycin; clotrimazole; cotrimoxazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; emtricitabine/rilpivirine/tenofovir; enfuvirtide; etravirine; fosamprenavir; fluconazole; hepatitis A vaccine; hepatitis b vaccine; hepatitis A/B vaccines; indinavir; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; nystatin; pentamidine; pyrimethamine; raltegravir; rilpivirine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; zalcitabine; zidovudine.



WISCONSIN

608-261-6952 (ADAP), 800-334-2437 (AIDS Hotline)
Maximum qualifying income (single): $33,510
Waiting List: No
Website: www.dhs.wisconsin.gov/aids-hiv


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



WYOMING

307-777-5856 (ADAP)
Maximum qualifying income (single):
$38,300 - $45,500
(Depending on county of residence)
Waiting List: No
Website: www.health.wyo.gov/phsd/aids/ryan.html


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acyclovir; amitriptyline; amoxicillin; amphotericin B; amprenavir; atazanavir; azithromycin; cidofovir; citalopram; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; etravirine; famciclovir; famotidine; fenofibrate; fluconazole; fluoxetine; fluvastatin; fluvoxamine; fomivirsen; fosamprenavir; foscarnet; ganciclovir; gemfibrozil; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; human papillomavirus vaccine; hydrocodone/acetaminophen; hydrocodone/ibuprofen; hydroxyzine; imiquimod; indinavir; influenza vaccine; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lithium carbonate; loperamide HCL; lopinavir/ritonavir; lovastatin; maraviroc; meningococcal vaccine; nelfinavir; nevirapine; niacin; oxycodone/acetaminophen; paroxetine; pneumococcal vaccine; pravastatin; prednisone; prochlorperazine; promethazine; raltegravir; ranitidine; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; trazadone; tipranavir; TMP/SMX; valganciclovir; venlafaxine; zalcitabine; zidovudine; zolpidem tartrate.



Copyright 2015, 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!