The AIDS Assistance Association (Four A's) provides supportive services to persons living with HIV/AIDS and their families and in the elimination of the transmission of HIV infection and its stigma.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to PPA.

Product(s) Covered by Program

  • 3

    • 3TC
  • A

    • Agenerase®
    • AZT
  • B

    • Biaxin® Filmtab
    • Biaxin® XL Filmtab
  • C

    • Citrovorum
    • Cleocin®
    • Combivir®
    • Compazine
    • CRIXIVAN®
    • Cytovene
  • D

    • d4T
    • Daraprim®
    • ddC
    • ddI
    • DDS
    • Detrol®
  • E

    • Enablex®
    • Epivir®
  • F

    • Famvir®
    • Fansidar
    • Fortovase
    • Foscavir
    • Fungizone
  • H

    • HIVID
    • Hydrea
  • I

    • Imodium
    • INH
    • Invirase
  • L

    • Lipitor®
    • Lomotil®
    • Lopid®
  • M

    • Mepron®
    • Methadose
    • Myambutol
    • Mycobutin®
  • N

    • Neurontin®
    • Norvir® Oral Solution
  • P

    • Pravachol®
    • PZA
  • R

    • Rescriptor®
    • Retrovir®
    • Rifampicin
  • S

    • SPORANOX® (itraconazole) Capsules
    • Sustiva®
  • T

    • Trizivir®
  • V

    • Valcyte
    • Videx
    • Videx EC
    • Viramune® Oral Suspension
    • Vistide®
    • Vitravene
  • W

    • Wellcovorin
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zovirax®