The AIDS Drug Assistance Program (ADAP) helps ensure that people living with HIV and AIDS who are uninsured and under-insured have access to medication. The Office of AIDS (OA) works closely with the pharmacy benefits manager (PBM), to administer and manage ADAP for the clients served.

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

    • ABILIFY® Oral Solution
    • ACTOS®
    • Adriamycin
    • Agenerase®
    • Albenza®
    • Aldara
    • Ancobon
    • Aptivus®
    • Atripla®
    • Avandia® 4mg
    • Avlosulfon
    • Avosulfon®
    • AZT
  • B

    • Biaxin® Filmtab
    • Blenoxane
  • C

    • CANCIDAS® for Injection
    • Capastat
    • Celexa
    • Cleocin®
    • Clopra
    • Combivir®
    • Compazine
    • Complera™
    • CRESTOR® (rosuvastatin calcium) Tablets
    • CRIXIVAN®
    • Cytovene
    • Cytoxan Injection
  • D

    • d4T
    • Daraprim®
    • Daunoxome
    • ddC
    • Deca-Durabolin
    • Decadron
    • Depakote®*
    • Detrol®
    • Dextrostat
    • Dicloxacillin Sod. Monohydrate
    • Dilantin®
    • Durabolin
    • DURAGESIC® (fentanyl) Transdermal System CII
  • E

    • E.E.S. 200 Liquid
    • EDURANT® (rilpivirne) Tablets
    • Enablex®
    • Epivir®
    • Epzicom®
  • F

    • Famotidine
    • Famvir®
    • Fortovase
    • Foscavir
    • Fungizone
    • Fuzeon
  • G

    • Gemfibrozil
    • Geodon®
    • Glucophage
    • Glucotrol®
    • Glynase®PresTab®
  • H

    • HIVID
    • Humatin
    • Hydrea
  • I

    • Ibuprofen
    • Indomethacin
    • Infergen
    • INTELENCE® (etravirine) Tablets
    • INTRON® A for Injection
    • Invirase
    • ISENTRESS®
    • Isoniazid
  • K

    • KALETRA®
    • KALETRA® Oral Solution
    • Ketoprofen
  • L

    • Lamictal®
    • Lamprene
    • LEVAQUIN® (levofloxacin) Tablets/Oral Solution
    • Levo-Dromoran
    • Lexiva®
    • Lipitor®
    • Lomotil®
    • Lorazepam
    • Lotrimin®
  • M

    • Marinol
    • Megace Oral Suspension
    • Mepron®
    • Myambutol
    • Mycobutin®
    • Mycostatin
  • N

    • Naproxen Sodium
    • Neupogen®
    • Neurontin®
    • Neutrexin
    • Nizoral®
    • Nortriptyline
    • Norvir® Oral Solution
  • O

    • Oncovin
    • Oxandrin
    • Oxycodone and Aspirin
  • P

    • Panretin Gel
    • Paxil®
    • PNEUMOVAX® 23
    • Pnu-Immune
    • Pravachol®
    • Prednisone
    • Prevacid®
    • PREZISTA® (darunavir) Oral Suspension
    • PREZISTA® (darunavir) Tablets
    • Prilosec
    • Primaxin IM
    • PROCRIT® (epoetin alfa) Injection
    • Proloprim
    • Prozac® (fluoxetine)
  • R

    • Ranitidine
    • Rebetron
    • Reglan
    • Rescriptor®
    • Retrovir®
    • Reyataz®
    • Ribasphere RibaPak®
    • Rifampicin
    • Roferon-A
  • S

    • Selzentry®
    • Septra
    • Seromycin
    • SEROQUEL® (quetiapine fumarate)
    • Serostim
    • Serzone
    • SPORANOX® (itraconazole) Capsules
    • Sulfadiazine Tablets
    • Sulindac
    • Sustiva®
  • T

    • Taxol
    • Toradol
    • Trazodone
    • Trecator®
    • TriCor®
    • Trimpex
    • Trizivir®
    • Truvada®
  • U

    • Ultrase®
  • V

    • Valcyte
    • Valtrex®
    • Velban
    • Vfend®
    • Videx
    • Videx EC
    • Viramune® Oral Suspension
    • Vistide®
    • Vitravene
  • W

    • Wellcovorin
  • X

    • Xanax®
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zocor Tablets
    • Zoloft®
    • Zovirax®
    • Zyprexa® (olanzapine) tablets
    • Zyvox®