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!

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): $27,225
Waiting List: There is a wait list of 119 individuals.
Website: www.adph.org/aids/index.asp?=995

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; valganciclovr; zalcitabine; zidovudine.

ALASKA

907-263-2050
Maximum qualifying income (single): $40,800
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
Maximum qualifying income (single): $32,670
Waiting List: No
Website: www.azdhs.gov/phs/hiv/adap.htm

Additional Information: Childless adults will no longer qualify for Medicaid in Arizona effective 7/8/11. Childless adults currently on Medicaid will need to re-enroll regularly or become disenrolled after 10/1/11. Those who roll off Medicaid will qualify for ADAP if they are living with HIV. The state Medicaid administrator estimates that between 1200 and 1300 individuals with HIV may be disenrolled from AHCCCS as a result of these changes. Currently the Arizona ADAP program serves between 1000 and 1100 persons a month. The ADAP program expects that demand for services will increase sharply in later 2011 and a waiting list may become necessary.

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; 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

501-661-2862
Maximum qualifying income (single): $21,780
Waiting List: Yes
Website: www.healthy.arkansas.gov/programs Services/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; 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

916-449-5900
Maximum qualifying income (single): $50,000
Waiting List: No
Website: www.cdph.ca.gov/programs/aids/Pages/OAADAP.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; 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

303-692-2716
Maximum qualifying income (single): $43,669
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; 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
Maximum qualifying income (single): $43,560
Waiting List: No
Website: www.ct.gov/dss/cwp/view.asp?a=2353 &q=305218#CADAP

Additional Information: CT DPH/DSS implemented insurance continuation program through CADAP called the Connecticut Insurance Premium Assistance (CIPA) program this June. Contact information for this program is: phone 1-855-888-2472, website www. My CIPA.com and email: CustomerService@MyCIPA.com

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; 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; voriconazole; zalcitabine; zidovudine; zolpidem.

DELAWARE

302-744-1050
Maximum qualifying income (single): $54,450
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; quniapril; 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
Maximum qualifying income (single): $54,450
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; 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

800-245-4444
Maximum qualifying income (single): $43,560
Waiting list: Yes, there is a waiting list, implemented June 1, 2010.
Website: www.FloridaADAP.org

Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; clarithromycin; clotrimazole; darunavir; delavirdine; diamino-diphenylsulfone; didanosine; efavirenz; emtricitabine; emtricitabine/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
Maximum qualifying income (single): $32,670
Waiting List: The wait list started on July 1, 2010. There are currently 1716 persons on the wait list. Those persons who are currently on the wait list are receiving medications through the Pharmaceutical Assistance Programs (PAPs).
Website: www.health.state.ga.us/programs/ stdhiv/index.asp

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; 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
Maximum qualifying income (single): $50,160
Waiting List: Yes, 13 people.
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
Maximum qualifying income (single): $21,780
Waiting List: Yes, 23 people.
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; enfuvirtide; fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; maraviroc; nelfinavir; nevirapine; nevirapine XR; raltegravir; rilpivirine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; zidovudine.

ILLINOIS

217-524-5983
Maximum qualifying income (single): $32,670
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

866-588-4948
Maximum qualifying income (single): $32,490
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

515-281-4775
Maximum qualifying income (single): $21,780
Waiting List: No
Website: www.idph.state.ia.us/adper/hiv_aids_programs.asp

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 as of 8/1/2011; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zidovudine.

KANSAS

785-368-8218
Maximum qualifying income (single): $32,670
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
Maximum qualifying income (single): $32,670
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; 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
Maximum qualifying income (single): $32,670
Waiting List: Louisiana currently has an Unmet Need List of approximately 840 individuals.
Website: www.hiv.dhh.louisiana.gov

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; 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

207-287-2899
Maximum qualifying income (single): $54,450
Waiting List: No
Website: www.positiveme.org/Resources/ ADAP.php

Additional Information: Maine is beginning to look at cost containment strategies for 2012.

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

800-205-6308
Maximum qualifying income (single): $54,450
Waiting List: No
Website: http://ideha.dhmh.maryland.gov/CHCS/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; 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
Maximum qualifying income (single): $54,450
Waiting List: No
Website: www.crine.org/hiv_drug_assistance_ program.html

Additional Information: - A six-month recertification process - Reimbursement for HIV resistance assays - Coverage of non-occupational post-exposure prophylaxis (nPEP)

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): $49,005
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; 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

800-657-3761
Maximum qualifying income (single): $32,670
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

601-362-4356
Maximum qualifying income (single): $43,560
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 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): $32,670
Waiting List: No
Website: www.health.mo.gov/living/healthcon diseases/communicable/hivaids/casemgmt.php

Additional Information: Clients are required to apply for and utilize other payer sources such as employer based health insurance, COBRA, Medicaid, and Medicare. If clients have these other payer sources, MO ADAP may assist with co-pays and deductibles for HIV medications that are listed on the ADAP formulary with the one exception; Missouri ADAP cannot assist with Medicaid co-pays and deductibles.

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; 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
Maximum qualifying income (single): $35,937
Waiting List: Montana has 29 persons waiting as of 7/7/2011. The current average wait is twelve to fifteen months.
Website: www.dphhs.mt.gov/PHSD/STD-HIV/ std-hiv

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
Maximum qualifying income (single): $27,225
Waiting List: No
Website: www.dhhs.ne.gov/dpc/Ryan_White.htm

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; 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
Maximum qualifying income (single): $43,560
Waiting List: No
Website: www.health.nv.gov/CD_HIV_Programs.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; 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; 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): $32,670
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. Fuzeon (Enfuvirtide, ENF), Selzentry (Maraviroc), and Tropism Testing (Trofile) require prior approval. For all other classes of drugs, the program matches the NH Medicaid Preferred Drug List (PDL) with the exceptions that Pravachol and Lipitor are preferred. If you do not have a copy of the NH Medicaid PDL, please call the CARE program at 603-271-4480 for a faxed copy or download one at: www.dhhs.nh.gov/ombp/pharmacy/documents/preferred.pdf

NEW JERSEY

877-613-4533
Maximum qualifying income (single): $32,670
Waiting List: No
Website: www.state.nj.us/health/aids/freemeds.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

Maximum qualifying income (single): $32,490
Also at 400% FPL, for 30-days of emergency ADAP medications (currently $43,560 annually).
Waiting List: No
Website: www.health.state.nm.us/IDB/HIV_services.shtml

New Mexico contracts with providers throughout the state by region:

New Mexico – HIV Service Providers (HSP)

New Mexico AIDS Services
625 Truman Street Ne
Albuquerque, NM 87110
Phone: 505-938-7100 or toll free 888-882-2437

Southwest CARE Center
649 Harkle Road, Suite E
Santa Fe, NM 87505
Phone: 505-989-8200 or toll free 888-320-8200

Alianza of New Mexico
200 West Hobbs Street
Roswell, NM 88203
Phone: 575-623-1995 or toll free 800-957-1995

CCC
Public Health Division
1170 N Solano, Suite I
Las Cruces, NM 88001
Phone: 575-528-5031

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

800-542-2437
Maximum qualifying income (single): $47,371
Waiting List: No
Website: www.health.state.ny.us/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; 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
Maximum qualifying income (single): $32,670
Waiting List: Yes, 294 clients on the waiting list as of June 30, 2011.
Website: www.epi.state.nc.us/epi/hiv/adap2.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; 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

701-328-1059
Maximum qualifying income (single): $32,670
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; 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

866-777-4775
Maximum qualifying income (single): $32,670
Waiting list: Yes, 238 individuals.
Website: www.odh.ohio.gov/odhPrograms/hastp ac/hivcare/drugasst/drgasst1.aspx

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; ethambutol; etravirine; 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; 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
Maximum qualifying income (single): $21,780
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

800-805-2313
Maximum qualifying income (single): Group 1, $0-21,780/yr and Group 3 $21,781-32,688/yr Groups have different annual maximum benefits for medical service copays paid behind a primary insurance. There is no maximum benefit for prescription drugs.
Waiting List: No
Website: www.oregon.gov/OHA/pharmacy/care assist/

Additional Information: Oregon has an assets test for eligibility. Excluded is one house, one vehicle, and tax deferred retirement accounts. Additionally clients are allowed to have up to $10,000 in savings, stock, bonds, certificates of deposit, or cash. Income is calculated on gross income and does not allow for any deduction.

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
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

401-222-2320
Maximum qualifying income (single): $43,560
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; 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
Maximum qualifying income (single): $32,670
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; 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
Maximum qualifying income (single): $32,670
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; 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; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valacyclovir HCL; zalcitabine; zidovudine.

TENNESSEE

615-532-2392
Maximum qualifying income (single): $32,670
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; 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; 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
Maximum qualifying income (single): $21,780
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; 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
Maximum qualifying income (single): $27,225
Waiting List: Yes, 30 people.
Website: wwww.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

802-951-4005
Maximum qualifying income (single): $21,780
Waiting List: No
Website: www.healthvermont.gov/prevent/aids/aids_index.aspx

Additional Information: Anticipate adding rilpivirine to the formulary shortly.

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; ritonavir; saquinavir; sertraline; simvastatin; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; trimethoprim; valacyclovir; valganciclovir; venlafaxine; zalcitabine; zidovudine.

VIRGINIA

866-392-1309
Maximum qualifying income (single): $43,560
Waiting List: Yes, VA currently has a waiting list. As of 7/28/2011, there are 858 individuals on the ADAP wait list.
Website: www.vdh.virginia.gov/epidemiology/DiseasePrevention/Programs/ADAP/index.htm

Additional Information: Enrollment is currently closed unless an individual is a pregnant woman, 18 years old or younger (includes perinatally-exposed newborns), or currently receiving treatment for an active opportunistic infection. All information regarding VA ADAP enrollment and eligibility and other pertinent information may be found by visiting the website.

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

360-236-3426
Maximum qualifying income (single): $32,664
Waiting List: No
Website: www.doh.wa.gov/cfh/hiv/care/default.htm

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
Maximum qualifying income (single): $35,392
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; 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

800-991-5532
Maximum qualifying income (single): $32,670
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
Maximum qualifying income (single):
$36,900 - $45,100
(Depending on county of residence)
Waiting List: Not currently, but enrollment is capped at 125.
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.

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

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