hivpositivemagazine.com

HOME


HIV/AIDS HOTLINES


HIV BASICS


POSITIVE PROFILES


ASO SPOTLIGHT


RECENT ARTICLES


HOW TO PAY FOR HIV TREATMENT


ADAP CRITERIA AND FORMULARIES


ASO LISTINGS


REVIEW OF HIV MEDICATIONS


2008 HIV/AIDS FUNDRAISING ACTIVITIES & EVENTS


ABOUT HIV POSITIVE! MAGAZINE


LINKS


SUBSCRIBE


CONTACT US


ADVERTISER INFORMATION

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 $25,525 - 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 $20,420. But in California and Michigan it is $50,000 - more than two-and-a-half times as much as Texas!

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

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

*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

334-206-5364
Maximum qualifying income (single): $25,525
Waiting List: No
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 (Prior Approval); epoetin alfa (Prior Approval); ethambutol; fluconazole; fosamprenavir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; nelfinavir; nevirapine; rifabutin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valganciclovr; zalcitabine; zidovudine.



ALASKA

907-263-2050
Maximum qualifying income (single): $38,310
Waiting List: There are 5 people on the waiting list.
Website: www.alaskanaids.org


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; nelfinavir; nevirapine; nystatin suspension; pneumococcal; pravastatin sodium; prochlorperazine; protonix; pyrazinamide; pyridoxine; pyrimethamine; rifabutin; rifampin; ritonavir; rosuvastatin; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; valganciclovir; varicella zoster immune globulin; zalcitabine; zidovudine.



ARIZONA

602-364-3594
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.azdhs.gov


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; enalapril; enfuvirtide*; epoetin alfa; escitalopram; estradiol; estrogen conjugated; ethambutol; 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; 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; niacin sustained release; nortriptyline; nystatin suspension; omeprazole; olanzapine; opium tincture; oseltamivir; oxycodone immediate release; pancrelipase; paroxetine; peginterferon alfa-2b; penicillin VK; pentamidine isethionate; phenytoin; pneumococcal; podofilox solution; potassium chloride; pravastatin; prednisone; prochlorperazine; promethazine; promethazine/codeine; pseudoephedrine; pyrazinamide; pyridoxine; pyrimethamine; ranitidine; ribavirin; rifabutin; rifampin; 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.

* Prior Authorization



ARKANSAS

501-661-2408
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.arkansashivstd.com


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; enfuvirtide; escitalopram; ethambutol; famciclovir; fluconazole; fluoxetine; fosamprenavir; ganciclovir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; metronidazole; nelfinavir; nevirapine; nystatin; paromomycin; paroxetine; pravastatin; pyrimethamine; rifabutin; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; venlafaxine; zidovudine.



CALIFORNIA

916-449-5900
Maximum qualifying income (single): $50,000
Waiting List: No
Website: www.dhs.ca.gov


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; enfuvirtide; epoetin alpha; erythromycin; ethambutol; ethionamide; 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; 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; ranitidine; ribavirin/interferon alfa 2B; ribavirin; rifabutin; rifampin/isoniazid; rifampin; 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

303-692-2716
Maximum qualifying income (single): $40,840
Waiting List: N/A
Website: www.stdhivco.org


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



CONNECTICUT

860-424-5152
Maximum qualifying income (single): $40,840
Waiting List: No
Website: www.ct.gov

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; 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; diphenoxylate HCL; divalproex sodium; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril maleate; enfuvirtide; engerix-B; erythropoietin; escitalopram oxalate; esomeprazole; ethambutol; 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; mupirocin oint.; 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; risperidone; ritonavir; rosiglitazone maleate; rosuvastatin; salmeterol; salmeterol xinafoate; saquinavir; sertraline; somatropin; spironolactone; stavudine; strovite forte; strovite plus; sulfadiazine; temazepam; tenofovir; terbinafine; terconazole; testosterone; testosterone cypionate; testosterone gel; tipranavir; TMP/SMX; trazadone; triamcinolone; triamcinolone acetonide; trimethoprim; twinrix; valacyclovir; valganciclovir; vancomycin; vaqta; venlafaxine; verapamil; voriconazole; zalcitabine; zidovudine; zolpidem.



DELAWARE

302-744-1050
Maximum qualifying income (single): $51,049
Waiting List: No
Website: www.dhss.delaware.gov


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; aspirin; atazanavir; atenolol; atorvastatin; atovaquone; azelastine; azithromycin; beclomethasone; brompheniramine; budesonide; bupropion; buspirone; carafate; carbamazepine; carvedilol; cefixime; cefuroxime; celecoxib; cephalexin; cetirizine; chlordiazepoxide; 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; 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; 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; 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; 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; quniapril; rabeprazole; 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; zidovudine; zolpidem.



DISTRICT OF COLUMBIA

202-671-4900
Maximum qualifying income (single): $40,836
Waiting List: No
Website: www.doh.dc.gov


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**(Prior Approval); buprenorphine/naloxone**(Prior Approval); bupropion; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; diphenoxylate and atropine; doxorubicin; doxycycline; dronabinol**; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfurvirtide; entecavir; erythropoietin alpha; ethambutol; fentanyl patch**; 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; megestrol; metformin; morphine sulfate**; nelfinavir; lidocaine patch; nevirapine; olanazapine; oxandrolone**; peginterferon alfa 2a; peginterferon alfa-2b; pegylated interferon; pyrazinamide; pyrimethamine; quetiapine; ribavirin; rifabutin; rifampin; risperidone; ritonavir; saquinavir; sertraline; somatropin; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; voriconazole; zalcitabine; zidovudine; ziprasidone.

**DENOTES CONTROLLED SUBSTANCES, AVAILABLE AT ANY CARE PHARMACY.



FLORIDA

Client must call County Health Dept. in county of residence for assistance. The phone numbers are listed in a local phonebook and online at website below.
Maximum qualifying income (single): $30,630
Waiting list: No
Website: www.doh.state.fl.us


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amantadine; amitriptyline; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; clarithromycin; dapsone; darunavir; delavirdine; didanosine; diphenoxylate; duloxetine; dronabinol; efavirenz; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); erythropoietin; ethambutol; filgrastim; fluconazole; fosamprenavir; gabapentin; gemfibrozil; glipizide; glyburide; hepatitis A&B; hydroxyurea; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; lopinavir/ritonavir; megestrol; metformin; miconazole; nandrolone; nelfinavir; nevirapine; nortriptyline; oseltamivir oxandrolone; pneumococcal; pravastatin; pregabalin; prochlorperazine; pyrimethamine; rifabutin; rimantadine; ritonavir; rosuvastatin; saquinavir; stavudine; sulfadiazine; tenofovir; terconazole; testosterone cypionate; testosterone gel/ patch/injectable; tipranavir; TMP/SMX; vaccines; zalcitabine; zanamivir; zidovudine.



GEORGIA

404-657-3100
Maximum qualifying income (single): $30,630
Waiting List: No
Website: N/A


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; enfuvirtide*; epoetin alpha; ethambutol; fluconazole; flucytosine; fosamprenavir; gabapentin; ganciclovir; hydroxyurea; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine*; leucovorin; loperamide; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin; prednisone; primaquine; prochlorperazine; pyrazinamide; pyrimethamine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir*; TMP/SMX; trimethoprim; valganciclovir; zalcitabine; zidovudine zidovudine. * Requires Prior Approval.



HAWAII

808-732-0026
Maximum qualifying income (single): $47,000
Waiting List: No
Website: www.hawaii.gov


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; clofazimine; clotrimazole; dapsone; darunavir; daunorubicin citrate liposomal; delavirdine; dicloxacillin; didanosine; diphenoxylate/atropine*; divalproex sodium; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide*; epoetin alpha; erythromycin; ethambutol; famciclovir; fenofibrate; filgrastim; fluconazole; flucytosine; fluoxetine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glyburide; hexachlorophene; hydrocortisone; hydroxyurea; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; megestrol; metformin HCL; metronidazole; mirtazapine; nandrolone decanoate*; nelfinavir; nevirapine; niacin; olanzapine; quetiapine; paclitaxel; pancrelipase; paromomycin; paroxetine HCL; peginterferon alpha 2a*; pentamidine-aerosolized; pravastatin; prednisone; probenecid; prochlorperazine; pyrazinamide; pyrimethamine; ribavirin*; rifabutin; rifampin; 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.

* Requires Prior Approval



IDAHO

208-334-6527
Maximum qualifying income (single): $20,420
Waiting List: No
Website: www.healthandwelfare.idaho.gov


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; clarithromycin; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir;enfuvirtide (Prior Approval); fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir (Prior Approval); TMP/SMX; zidovudine.



ILLINOIS

217-524-5983
Maximum qualifying income (single): $40,840
Waiting List: No
Website: www.idph.state.il.us


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir; amoxicillin; amphotericin B; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin dihydrate; cefixime; cephalexin monohydrate; chlorhexidine gluconate; cidofovir plus probenecid; ciprofloxacin; clarithromycin; clindamycin HCL; clindamycin palmitate; clindamycin phosphate; clobetasol propionate cream; clotrimazole; danazol; dapsone; darunavir; delavirdine; dicloxacillin sodium; didanosine; doxycycline hyclate; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); entecavir; ethambutol; ezetimibe; famciclovir; fenofibrate; fluconazole; fosamprenavir; imodium; indinavir; interferon alfa-2b; isoniazid/pyrazinamide/rifampin; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin calcium; levofloxacin; lomotil; lopinavir/ritonavir; megestrol; metronidazole oral; miconazole; multivitamins; nelfinavir; nevirapine; nystatin; paromomycin sulfate; penicillin VK; pentamidine isethionate; podofilox; pravastatin; primaquine phosphate; pyrazinamide; pyrimethamine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; sulfamethoxazole; tenofovir; terbinafine; terconazole; testerone enanthate; tinidazole; tipranavir (Prior Approval); TMP/SMX; trimethoprim; valacyclovir hcl; zidovudine.



INDIANA

317-233-7382
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.in.gov


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen hydrocodone; acetaminophen/codeine; acyclovir; amantadine; amitriptyline; amprenavir; atazanavir; atorvastatin calcium; atovaquone; azithromycin; bupropion; buspirone; carbamezapine; 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; 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; pentamidine; phenobarbital; phenytoin; pravastatin; premarin; prochlorperazine; promethazine; propoxyphene N/APAP; provera; pyrimethamine; rabeprazole; 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

515-281-4775
Maximum qualifying income (single): $20,420
Waiting List: No
Website: www.idph.state.ia.us


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 (Prior Approval); fluconazole; fosamprenavir; indinavir; itraconazole; ketaconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zidovudine.



KANSAS

785-368-6567
Maximum qualifying income (single): $30,630
Waiting List: No
Website: Under Construction


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 (Prior Approval); ethambutol; famciclovir; fluconazole; fosamprenavir; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; megestrol; metronidazole; nelfinavir; nevirapine; nystatin; oxandrolone; paromomycin; pentamidine isethionate; rifabutin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX DS; TMP/SMX; trazadone; valacyclovir; valganciclovir; zalcitabine; zidovudine.



KENTUCKY

866-510-0005
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.chfs.ky.gov


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



LOUISIANA

504-568-7474
Maximum qualifying income (single):$20,420
Waiting List: No
Website: www.hiv.dhh.louisiana.gov
(ADAP portion under construction)


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; amprenavir; atazanavir; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; zalcitabine; zidovudine.

Please Note: Enfuvirtide is made available through the Louisiana ADAP, however prior approval must be obtained from the ADAP coordinator.



MAINE

207-287-2899
Maximum qualifying income (single): $40,836
Waiting List: No
Website: www.maine.gov


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; 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; measles/mumps & rubella vaccine; methylprednisone; miconazole; minocycline; naftifine; nelfinavir; nevirapine; nystatin; oseltamivir; oxiconazole; pentamidine; pneumococcal vac polyvalent; prednisone; primaquine; pyrazinamide; pyridoxine; pyrimethamine; rifabutin; rifampin; rifapentine; 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
Maximum qualifying income (single): $51,050
Waiting List: No
Website: www.dhmh.state.md.us


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albuterol; amitriptyline HCL; amlodipine; amoxicillin; amoxicillin/clavulanate potassium; amphotericin-B; amphotericin B cholesteryl sulfate; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; buprenorphine; bupropion; captopril; carbamazapine; 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; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); epoetin alpha (Prior Approval); erythromycin; escitalopram oxalate; ethambutol; famciclovir; fenofibrate; filgrastim (Prior approval); fluconazole; fluoxetine; fluphenazine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glimepiride; glipizide; haloperidol; hydralazine; hydrochlorothiazide; hydroxizine; hydroxyurea; imiquimod; indapamide; indinavir; insulin glargine; insulin lispro; insulin NPH; insulin-regular; interferon alpha-2A; interferon alpha 2b; isoniazid; isoniazid-rifampin; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; levetiracetam; lisinopril; lithium; loperamide; lopinavir/ritonavir; megestrol; metformin; metoclopramide; metoprolol; metronidazole; miconazole; mirtazapine; nandrolone; nelfinavir; nevirapine; nifedipine; nortriptyline; nystatin; octreotide; olanzapine; oxandrolone (Prior Approval); oxymetholone; paromomycin; paroxetine; peginterferon alfa 2a (Prior Approval); peginterferon alfa 2b (Prior Approval); pentamidine; perphenazine; polymyxin B sulfate; pravastatin; primaquine; propanolol; prochlorperazine; pyrazinamide; pyrimethamine; quetiapine; ribavirin (Prior Approval); rifabutin; rifampin; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; spircinolactone; stavudine; sulfadiazine; tenofovir; testosterone; thalidomide; tipranavir; TMP/SMX; trazadone HCL; triamterene; trimethoprim; valacyclovir; valganciclovir HCL; venlafaxine; veraparnil; zalcitabine; zidovudine.



MASSACHUSETTS

800-228-2714
Maximum qualifying income (single): $50,000
Waiting List: No
Website: www.crine.org


Massachusetts has an “open formulary”, which means most FDA-approved drugs for the treatment of HIV, and the side-effects of HIV medication, are covered.



MICHIGAN

888-826-6565
Maximum qualifying income (single): $45,945
Waiting List: No
Website: www.michigan.gov


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; enalapril; enalapril/hctv; enfuvirtide (Prior Approval); epinephrine; epoetin alpha; erythromycin; escitalopram; ethambutol; 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 (Prior Approval); 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; 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 (Prior Approval); peginterferon alfa-2b (Prior Approval); pentamidine; phenytoin; penicillin; pneumonococcal vaccine; potassium chloride; pravastatin; primaquine; pioglitazone; prednisone; prochlorperazine; promethazine; propoxyphene; propranolol; pyrimethamine; quetiapine; quinapril; ramipril; ranitidine; ribavirin (Prior Approval); rifabutin; 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
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.dhs.state.mn.us


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 ethylsuccinate; erythromycin stearate; ethambutol; 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; 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; 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

601-362-4449
Maximum qualifying income (single): $40,840
Waiting List: No
Website: www.healthyms.com


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 2-a; pyrimethamine; oxandrolone; pentamidine; ribavirin; ritonavir/capsules/oral solution; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zalcitabine; zidovudine.



MISSOURI

573-751-6439
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.dhss.mo.gov


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; enalapril; enfuvirtide; entecavir; erythromycin; esomeprazole; eszopiclone; ethambutol; 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; 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; ramelteon; ramipril; ranitidine; repaglinide; resperidone; resuvastatin; rifabutin; rifampin; rifapentine; 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
Maximum qualifying income (single): $33,693
Waiting List: There is a wait list of 22 persons.
Website: N/A

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



NEBRASKA

402-559-4673
Maximum qualifying income (single): $20,420
Waiting List: No
Website: www.hss.state.ne.us


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; enalopril; enfuvirtide (Prior Approval); entecavir; escitalopram; estazolam; ethambutol; 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; lithium; lopinavir/ritonavir; lorazepam; loxapine; megestrol; mesoridazine; metronidazole; mirtazapine; molindone; moxifloxacin; nefazodone; nelfinavir; nevirapine; nortriptyline; nystatin; olanzapine; oxazepam; paroxetine; pentamidine; perphanazine; phenytoin; pimozide; pravastatin; prazepam; prochlorperazine; pyrazinamide; quetiapine; rifabutin; rifampin; 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
Maximum qualifying income (single): $40,840
Waiting List: No
Website: www.health.nv.gov


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; enfuvirtide; erythropoetin; ethambutol; fenofibrate; fluconazole; fosamprenavir; gabapentin; GCSF; gemfibrozil; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; megestrol; nelfinavir; nevirapine; niaspan; nystatin; ondansetron-only after compazine; paromomycin; phenytoin; prochlorperazine; pyramethamine; rifabutin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; trazadone; ultrase MT-20-pancreatic enzymes; valganciclovir; zalcitabine; zidovudine.



NEW HAMPSHIRE

603-271-4502
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.dhhs.state.nh.us


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



NEW JERSEY

877-613-4533
Maximum qualifying income (single): $51,050
Waiting List: No
Website: www.nj.gov


The NJ ADAP does not have a formulary. With a few exceptions, the NJ ADAP covers all FDA-approved medications.



NEW MEXICO

505-827-2435
Maximum qualifying income (single): $40,840
Waiting List: No
Website: N/A


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

* Prior approval required.



NEW YORK

518-459-1641
Maximum qualifying income (single): $44,000
Waiting List: No
Website: www.nyhealth.gov


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 (Prior Approval); 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; enalapril; enfuvirtide (Prior Approval); enoxaparin; entecavir; epoetin alfa (Prior Approval); escitalopram; esomeprazole; estrogens w/progestins; estrogens; ethambutol; ethionamide; etoposide; ezetimibe; felbamate; felodipine; fenofibrate; fenoprofen; fentanyl (patch only); fexofenadine; filgrastim (Prior Approval); 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 (Prior Approval); 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; 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 (Prior Approval); 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; ramipril; ranitidine; repaglinide; ribavirin; rifabutin; rifampin in combination; rifapentine; rimantadine; rimexolone; risperidone; ritonavir; rosiglitazone maleate; rosuvastatin; salmeterol; saquinavir; sargramostim (Prior Approval); 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 (Prior Approval); 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; venlafaxine; verapamil; vinblastine; vincristine; voriconazole; warfarin; zafirlukast; zalcitabine; zanamivir; zidovudine; zileuton; ziprasidone; zolpidem.



NORTH CAROLINA

877-466-2232
Maximum qualifying income (single): $20,420
Waiting List: No
Website: www.epi.state.nc.us


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; enalapril; enfuvirtide(Prior Approval); escitalopram; ethambutol; 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; megestrol; metoclopramide; metoprolol; metronidazole; mirtazapine; nelfinavir; nevirapine; nortriptyline; nystatin; omeprazole; ondansetron HCL; pancrelipase; paromomycin; paroxetine; pentamidine; pravastatin; prochloroperazine; promethazine; pyrimethamine; rifabutin; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zalcitabine; zidovudine.



NORTH DAKOTA

701-328-4555
Maximum qualifying income (single): $40,840
Waiting List: No
Website: www.ndhiv.com


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; enfuvirtide; erythromycin; erythropoietin; ethambutol; etodolac; 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; megestrol; morphine; nelfinavir; nevirapine; nystatin; olanzapine; ondansetron; pantoprazole sodium; paromomycin; pentamidine; pravastatin; prednisone; prochlorperazine; propoxyphene; pyrimethamine; ranitidine; rifabutin; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; TMP/SMX; trazadone HCL; valganciclovir; venlafaxine HCL; vitamin; zalcitabine; zanamivir; zidovudine.


OHIO

800-777-4775
Maximum qualifying income (single): $49,000
Waiting list: No
Website: www.odh.ohio.gov (Being Updated)


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; enfuvirtide (Prior Approval); ethambutol; famciclovir; fenofibrate; fluconazole; fluoxetine; fosamprenavir; 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; medroxyprogesterone acetate injectable suspension; metformin; mirtazapine; nefazodone; nelfinavir; nevirapine; nizatidine; nystatin; omeprazole; paroxetine; penicillin G benzathine; pentamidine; pravastatin; prochlorperazine; promethazine; pyrimethamine; 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
Maximum qualifying income (single): $20,424
Waiting List: No
Website: N/A


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; azithromycin; cidofovir; clarithromycin; clotrimazole troches; dapsone; darunavir (Prior Approval); delavirdine; didanosine; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); ethambutol; famciclovir; fluconazole; fosamprenavir; foscarnet; ganciclovir; indinavir; isonazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; megestrol acetate; nelfinavir; nevirapine; nystatin; oxandrolone; pentamidine isethionate; pyrazinamide; pyrimethamine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir (Prior Approval); TMP/SMX; valganciclovir; zalacitabine; zidovudine.



OREGON

971-673-0144
Maximum qualifying income (single): $30,630
Waiting List: No
Website: egov.oregon.gov


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir (Prior Approval); aerosolized pentamidine; aminosalicylic acid; amoxicillin; amoxicillin/potassium clavulanate; ampicillin; aminosalicylic acid; amprenavir; atazanavir; atovaquone; azithromycin; bupropion HCL; ceftriaxone; cephalexin; cefpodoxime; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clotrimazole; cyloserine; dapsone; darunavir; daunorubicin citrate; delavirdine; dicloxacillin; didanosine; doxorubicin HCL; doxycycline; efavirenz; emtricitabine; entecavir (Prior Approval); emtricitabine/tenofovir; enfuvirtide; epoetin alfa; erythromycin; ethambutol; ethionamide; famciclovir; filgrastim; fluconazole; fomivirsen; fosamprenavir; foscarnet; ganciclovir; hepatitis B immune Globulin; imiquimod cream; immune globulin IM; indinavir; interferon alfa-2b-2a (Prior Approval); interferon alfacon 1; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lopinavir/ritonavir; moxifloxacin; nelfinavir; nevirapine; nystatin; ofloxacin; pegylated interferon (Prior Approval); penicillin; pyrazinamide; pyrimethamine; ribavirin (Prior Approval); ribavirin/interferon alfa 2B; rifabutin; rifampin; ritonavir; saquinavir; stavudine; streptomycin; sulfadiazine; sulfa/pyrimethamine; tenofovir; tetracycline; tipranavir; TMP/SMX; trimethoprim; trimetrexate glucuronate; valacyclovir; valganciclovir; vancomycin oral; varenicline; zalcitabine; zidovudine.

Most drugs in these FDA classes are covered:
Antianxiety agents; Antidiabetic agents; Vaccines.



PENNSYLVANIA

800-922-9384
Maximum qualifying income (single): $33,000
Waiting List: No
Website: www.dpw.state.pa.us

Program is referred to as: The Special Pharmaceutical Benefits Programs.


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; famciclovir; fluconazole; flucytosine; fosamprenavir; foscarnet; ganciclovir; indinavir; isoniazid; itraconazole; kanamycin sulfate; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; megestrol; nelfinavir; nevirapine; nystatin; ofloxacin; paromomycin sulfate; pentamidine; prednisone; primaquine phosphate; pyrazinamide; pyrimethamine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; sulfadoxine/pyrimethamine; tenofovir; terconazole; tipranavir; TMP/SMX; trimetrexate; triple sulfa; valganciclovir; vinblastine sulfate; vincristine sulfate; zalcitabine; zidovudine.

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



RHODE ISLAND

401-222-7548
Maximum qualifying income (single): $40,840
Waiting List: No
Website: www.health.ri.gov


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; enfuvirtide; ethambutol; fentanyl; fluconazole; fluoxetine; fosamprenavir; gabapentin; ganciclovir oral (Prior Approval) and IV; hydroxyurea; indinavir; interferon alfa; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; lorazepam; morphine sulfate; nelfinavir; nevirapine; olanzapine; oxycodone; paroxetine; pegylated interferon alfa 2a (Prior Approval); pegylated interferon alfa-2b (Prior Approval); pentamidine; primaquine; pyrimethamine; ribavirin (Prior Approval); rifabutin; risperdal; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; zalcitabine; zidovudine.



SOUTH CAROLINA

803-896-6250
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.scdhec.net


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; enfuvirtide (Prior Approval); escitalopram; ethambutol; famciclovir; fluconazole; fluoxetine; fosamprenavir; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; mirtazapine; nelfinavir; nevirapine; nystatin; paroxetine; pegylated interferon (Prior Approval); primaquine; pyrimethamine; ribavirin (Prior Approval); rifabutin; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; venlafaxine; zidovudine.



SOUTH DAKOTA

800-592-1861
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.state.sd.us


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; 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; lopinavir/ritonavir; 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; ribavirin/interferon alfa-2b; ribavirin; rifabutin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valacyclovir HCL; zalcitabine; zidovudine.



TENNESSEE

615-741-8903
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.coetenn.com


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; enfuvirtide; ethambutol; gabapentin; fluconazole; fosamprenavir; gemfibrozil; glipizide; hydrochlorothiazide; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; metformin; nelfinavir; nevirapine; novolin 70/30; nystatin; paromomycin; pentamidine IV; phenytoin sodium; pravastatin; prednisone; primaquin; pioglitazone; promethazine; pyrimethamine; quinapril; rifabutin; 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

512-533-3000
Maximum qualifying income (single): $20,420
Waiting List: No
Website: www.dshs.state.tx.us (Under Construction)

Priority 1:
Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; atazanavir; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; pentamidine; 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
Maximum qualifying income (single): $40,848
Waiting List: No
Website: www.health.utah.gov

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; azithromycin; clarithromycin; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; fluconazole; fosamprenavir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin; pyrimethamine; rifabutin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valgancyclovir; zalcitabine; zidovudine.


VERMONT

802-527-5576
Maximum qualifying income (single): $20,420
Waiting List: No
Website: www.healthvermont.gov


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albuterol; amitriptyline; amphotericin B (Prior Approval.); amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; cidofovir (Prior Approval); ciprofloxacin; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone;darunavir; delavirdine; didanosine; doxorubicin; efavirenz;efavirenz/tenofovir/emtricitabine’; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); escitalopram; ethambutol; ezetimibe; famciclovir; fenofibrate; fentanyl; fluconazole; fluoxetine; fluvastatin; fosamprenavir; foscarnet (Prior Approval); gabapentin; GCSF (Prior Approval); 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; rifabutin; ritonavir; saquinavir; sertraline; simvastatin; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; trimethoprim; valacyclovir; valganciclovir (Prior Approval); venlafaxine; zalcitabine; zidovudine.



VIRGINIA

800-533-4148
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.vdh.virginia.gov


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; 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; megestrol; metformin; nelfinavir; nevirapine; para-aminosalicylic acid; peginterferon alfa-2a; peginterferon alpha-2b; pneumovax; pravastatin; prednisone; primaquine; pyrazinamide; pyridoxine; pyrimethamine; ribavirin; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trimethoprim; valganciclovir; voriconazole; zalcitabine; zidovudine.



WASHINGTON

360-236-3426
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.doh.wa.gov


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; 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; 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; ranitidine; rifabutin; rifampin; ropinirole; risperidone; ritonavir; 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
Maximum qualifying income (single): $25,525
Waiting List: No
Website: N/A


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; enfuvirtide; fosamprenavir; fluconazole; hepatitis A vaccine; hepatitis b vaccine; hepatitis A/B vaccines; indinavir; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin; pentamidine; pyrimethamine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir;tipranavir; zalcitabine; zidovudine.



WISCONSIN

608-267-6875
Maximum qualifying income (single): $30,630
Waiting List: No
Website: www.dhfs.wisconsin.gov


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; 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; nelfinavir; nevirapine; niacin; pegylated interferon alfa-2a; pegylated interferon alfa-2b; pentamidine; pravastatin; prochlorperazine; pyrimethamine; ribavirin; rifabutin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir HCL; valganciclovir HCL tablets; zalcitabine; zidovudine.



WYOMING

307-777-5800
Maximum qualifying income (single):
$32,750 – $41,700
(Depending on county of residence)
Waiting List: No
Website: www.wyohiv.info


Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acyclovir; alprazolam; amitriptyline; amoxicillin; amphotericin B; amprenavir; atazanavir; atorvastatin; azithromycin; cidofovir; citalopram; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; diazepam; didanosine; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; escitalopram; 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; hydroxyurea; hydroxyzine; imiquimod; indinavir; influenza vaccine; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lithium carbonate; loperamide HCL; lopinavir/ritonavir; lovastatin; meningococcal vaccine; nelfinavir; nevirapine; niacin; oxycodone/acetaminophen; paroxetine; pneumococcal vaccine; pravastatin; prednisone; prochlorperazine; promethazine; pyrimethamine; ranitidine; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; trazadone; tipranavir; TMP/SMX; valganciclovir; venlafaxine; zalcitabine; zidovudine; zolpidem tartrate.

Copyright 2008, 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!

::: Made with CoffeeCup : Web Design Software & Website Hosting :::