Ryan White Parts B and C are last resort programs per federal legislation. Consumers must exhaust all other resources before access
can be granted to services through any of the programs listed below

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

    • ACTOS®
    • Agenerase®
    • Aldara
    • Ambien®
    • Anafranil™ (clomipramine hydrochloride)
    • Aptivus®
    • Atarax
    • Ativan
    • Atripla®
    • Augmentin®
    • Avosulfon®
    • AZT
  • B

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

    • Celexa
    • Centrax
    • Cleocin®
    • Clozaril®
    • Combivir®
    • Compazine
    • Complera™
    • CRIXIVAN®
    • Cymbalta® (duloxetine) delayed release capsules
  • D

    • d4T
    • Dalmane
    • Dapsone
    • ddC
    • ddI
    • DDS
    • Depakote®*
    • Desyrel Dividose tablet
    • Detrol®
    • Dilantin®
  • E

    • EDURANT®
    • Elavil
    • Enablex®
    • Epivir®
    • Epzicom®
  • F

    • Famvir®
    • Fortovase
    • Fuzeon
  • G

    • Glucophage
  • H

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

    • Inapsine®
    • INH
    • INTELENCE®
    • Invirase
    • ISENTRESS®
  • K

    • KALETRA®
    • KALETRA® Oral Solution
    • KEPPRA®
    • Klonopin
  • L

    • Lamictal®
    • Lamisil®
    • Lamprene
    • Lexapro®
    • Lexiva®
    • Librium
    • Lipitor®
    • Luvox
  • M

    • Megace Oral Suspension
    • Mepron®
    • Minocycline
    • Moban
    • Myambutol
    • Mycobutin®
    • Mycostatin
  • N

    • Navane®
    • Neurontin®
    • Nizoral®
    • Norpramin
    • Norvir® Oral Solution
  • O

    • Orap
  • P

    • Pamelor™ (nortriptyline HCI)
    • Paxil®
    • Paxipam®
    • Pravachol®
    • Prezista®
    • Prolixin elixir
    • ProSom Tablets
    • Prozac® (fluoxetine)
    • PZA
  • R

    • Rescriptor®
    • Restoril™ (temazepam)
    • Retrovir®
    • Reyataz®
    • Rifadin
    • RISPERDAL® (risperidone) Tablets/Oral Solution
  • S

    • Selzentry®
    • Septra
    • Serax
    • Serentil
    • SEROQUEL® (quetiapine fumarate)
    • Serzone
    • Sinequan®
    • SPORANOX® (itraconazole) Capsules
    • Stelazine
    • Surmontil®
    • Sustiva®
  • T

    • Tegretol
    • Thorazine®
    • Tofranil™ (imipramine hydrochloride)
    • TriCor®
    • Trilafon
    • Trimox
    • Trizivir®
    • Truvada®
  • V

    • Valcyte
    • Valium
    • Valtrex®
    • Vasotec
    • Videx
    • Viramune® Oral Suspension
    • Viramune® Tablets
    • Vistaril®
  • X

    • Xanax®
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zithromax® Suspension
    • Zithromax® Tri-Pak
    • Zithromax®Z-Pak
    • Zoloft®
    • Zovirax®