The Montana STD/HIV Section administers the AIDS Drug Assistance Program (also known as ADAP) with funding provided by the Ryan White Part B CARE Act which is administered through the federal Health Resources and Services Administration. This program provides HIV anti-retroviral drugs, medications to prevent opportunistic infection, and certain drugs to treat HIV-related disease for individuals who are uninsured or under-insured and who are unable to pay for such treatment.

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

    • Abelcet®
    • ABILIFY® Oral Solution
    • Agenerase®
    • Anafranil™ (clomipramine hydrochloride)
    • Androgel® 1.62% and 1.0%
    • Asendin
    • AZT
  • B

    • Biaxin® Filmtab
    • Biaxin® XL Filmtab
    • Biaxin® XL Pac
  • C

    • CANCIDAS® for Injection
    • Celexa
    • Combivir®
    • CRIXIVAN®
  • D

    • d4T
    • Daraprim®
    • ddC
    • ddI
    • DDS
    • Depakote® Sprinkle Capsules*
    • Depakote®*
    • Desyrel Dividose tablet
    • Detrol®
    • Diflucan®
  • E

    • Elavil
    • Enablex®
    • Epivir®
    • EPOGEN® (EPOETIN ALFA) for dialysis use only
  • F

    • Fansidar
    • floinic acid
    • Fortovase
    • Foscavir
    • Fungizone
  • G

    • Gabitril®
    • Geodon®
  • H

    • HALDOL® (haloperidol) Immediate-Release Formulation Injection
    • HIVID
    • Hydrea
  • I

    • INH
  • K

    • KALETRA®
    • KALETRA® Oral Solution
  • L

    • Lamictal®
    • Lexiva®
    • Lipitor®
    • Lopid®
    • Ludiomil
    • Luvox
  • M

    • Marplan
    • Megace Oral Suspension
    • Mepron®
    • Methadose
    • Moban
    • Myambutol
    • Mycobutin®
    • Mycostatin
  • N

    • Nardil®
    • Navane®
    • Neupogen®
    • Neurontin®
    • Norpramin
    • Norvir® Oral Solution
  • O

    • Orap
  • P

    • Pamelor™ (nortriptyline HCI)
    • Parnate®
    • Paxil CR®
    • Paxil®
    • Pravachol®
    • Prolixin elixir
    • Prozac® (fluoxetine)
  • R

    • Rescriptor®
    • Retrovir®
    • Reyataz®
    • RIF
    • Rifamate
  • S

    • Septra
    • Serentil
    • SEROQUEL® (quetiapine fumarate)
    • Serzone
    • Sinequan®
    • Sparine
    • SPORANOX® (itraconazole) Capsules
    • Stelazine
    • Sulfadiazine Tablets
    • Surmontil®
    • Sustiva®
  • T

    • Tegretol
    • Tegretol® XR
    • Thorazine®
    • Tofranil™ (imipramine hydrochloride)
    • Trilafon
    • TRILEPTAL®
    • Trizivir®
  • V

    • Valcyte
    • Valtrex®
    • Vesprin
    • Vfend®
    • Vfend® I.V.
    • Videx
    • Videx EC
    • Viramune® Oral Suspension
    • Vistaril®
    • Vivactil
  • Z

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