The Arizona Department of Health Services (ADHS) is responsible for the administration of ADAP for the state of Arizona. ADAP provides access to medications used to treat HIV and prevent the onset of related opportunistic infections to low-income individuals with HIV disease who have limited or no coverage from private insurance or Medicaid.

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

  • A

    • Abacavir
    • ACTOS®
    • Acyclovir
    • Agenerase®
    • Aldara
    • Amitriptyline
    • Amlodipine
    • Androgel® 1.62% and 1.0%
    • Aptivus®
    • Astelin
    • Atripla®
    • Atrovent® HFA
    • AZT
  • B

    • Baraclude®
    • Beconase AQ®
    • Biaxin® Filmtab
    • Biaxin® XL Filmtab
  • C

    • CARBATROL®
    • Celexa
    • Combivir®
    • Complera™
    • Condylox Gel
    • CRESTOR® (rosuvastatin calcium) Tablets
    • CRIXIVAN®
    • Cyclobenzaprine
    • Cymbalta® (duloxetine) delayed release capsules
  • D

    • d4T
    • Dapsone
    • Daraprim®
    • ddC
    • ddI
    • DDS
    • Detrol®
    • Dicloxacillin Sod. Monohydrate
    • Dicyclomine
    • Diltiazem
    • Diphenoxylate/Atropine
    • Doxazosin
    • Doxycycline
  • E

    • EDURANT® (rilpivirne) Tablets
    • Enablex®
    • Enalapril Maleate
    • Epivir®
    • Epzicom®
    • Estradiol
  • F

    • Fluconazole
    • Fluoxetine
    • Folic Acid
    • Fortovase
    • Furosemide
    • Fuzeon
  • G

    • Gemfibrozil
    • Glynase®PresTab®
    • Guaifenesin
  • H

    • HIVID
    • Hydroxyzine Pamoate
  • I

    • INH
    • INTELENCE® (etravirine) Tablets
    • Invirase
    • ISENTRESS®
  • J

    • Januvia®
  • K

    • KALETRA®
    • KALETRA® Oral Solution
    • KEPPRA®
    • Ketoconazole
  • L

    • Leucovorin
    • Levoxyl®
    • Lexapro®
    • Lexiva®
    • Lipitor®
    • Lithium Carbonate
    • Loratadine
    • Lorazepam
    • Lyrica®
  • M

    • MAG-OX 400
    • Medroxyprogesterone Tablet
    • Megace ES®
    • Mepron®
    • Methadose
    • Metoclopramide
    • Metoprolol Tartrate
    • Mirtazapine
    • Myambutol
    • Mycobutin®
  • N

    • Naproxen Sodium
    • Nasonex®
    • Neupogen®
    • Neurontin®
    • Niacor®
    • Nortriptyline
    • Norvir® Oral Solution
    • Nystex
  • O

    • Olanzapine
    • Omeprazole
    • Oxycodone and Aspirin
  • P

    • Paroxetine
    • Pegasys®
    • Pen-Vee K
    • Phenytoin Sodium
    • Pravachol®
    • Prednisone
    • Premarin Vaginal Cream®
    • PREZISTA® (darunavir) Oral Suspension
    • PREZISTA® (darunavir) Tablets
    • Prochlorperazine
    • PROCRIT® (epoetin alfa) Injection
    • PZA
  • R

    • Rescriptor®
    • Retrovir®
    • Reyataz®
    • Ribasphere RibaPak®
    • Rifampicin
    • Risperidone
  • S

    • Selzentry®
    • Septra
    • SEROQUEL® (quetiapine fumarate)
    • Spironolactone
    • SPORANOX® (itraconazole) Capsules
    • Sulfadiazine Tablets
    • Sulfamethoxazole/Trimethoprim
    • Sustiva®
    • Synthroid®
  • T

    • Temazepam
    • Trazodone
    • Triamterene/HCTZ
    • Trianex®
    • Trizivir®
    • Truvada®
  • U

    • ULTRAM® (tramadol HCL) Tablets
    • Ultrase®
  • V

    • Valcyte
    • Venlafaxine
    • Vfend®
    • Videx
    • Videx EC
    • Viramune® Oral Suspension
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zofran®
    • Zoloft®
    • Zovirax®