The HIV Drug Assistance Program (HDAP), through the Oklahoma State Department of Health and the contracted pharmacy, OU Pharmacist Care Center, provides specific HIV medications to eligible low-income individuals living with HIV disease in
Oklahoma (through mail order or pharmacy). HDAP is funded by the Federal Ryan White CARE Act Part B grant to the states. HDAP is the payor of last resort.

How to Apply

Select one of the links below to download the application or go to the program site 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 the PPA.

Product(s) Covered by Program

  • 3

    • 3TC
  • A

    • Agenerase®
    • Ativan
    • Atripla™
    • Avosulfon®
    • AZT
  • B

    • Bactrim
    • Bactrim DS
    • Biaxin® Filmtab
    • Biaxin® XL Filmtab
    • Biaxin® XL Pac
  • C

    • Celexa
    • Cipro
    • Combivir®
    • Complera™
    • Copegus
    • Crixivan®
    • Cytovene
  • D

    • d4T
    • Dapsone
    • Daraprim®
    • ddC
    • ddI
    • Desyrel Dividose tablet
    • Detrol®
    • Diflucan®
    • DURAGESIC® (fentanyl) Transdermal System
  • E

    • EDURANT® (rilpivirne) Tablets
    • Elavil
    • Enablex®
    • Epivir-HBV®
    • Epzicom®
  • F

    • Famvir®
    • Fansidar
    • Folic Acid
    • Fortovase
    • Foscavir
    • Fuzeon
  • H

    • HIVID
    • Hydrea
  • I

    • Infergen
    • INH
    • INTELENCE® (etravirine) Tablets
    • Intron A
    • Invirase
    • Isentress™
  • K

    • Kaletra®
    • Kaletra® Oral Solution
    • Klonopin
  • L

    • Lexiva®
  • M

    • Marinol
    • Megace Oral Suspension
    • Mepron®
    • Methadose
    • MSIR
    • Myambutol
    • Mycelex-G
    • Mycelex®
    • Mycelex® Troche
    • Mycobutin®
    • Mycostatin
  • N

    • NebuPent
    • Neurontin®
    • Norvir® Oral Solution
    • Norvir® Soft Gelatin Capsules
  • O

    • Oxandrin
    • OxyContin®
  • P

    • Paxil®
    • Peg Intron
    • Pegasys®
    • Pentam
    • Pentam 300
    • PREZISTA® (darunavir) Tablets/Oral Suspension
    • Primaquine Phosphate
    • Prozac® (fluoxetine)
    • PZA
  • R

    • Rebetol
    • Relenza®
    • Rescriptor®
    • Retrovir®
    • Reyata®
    • RIF
    • Rifadin
    • Rifamate
    • Rifampicin
    • RISPERDAL® (risperidone) Tablets/Oral Solution
    • Roxicodone
  • S

    • Selzentry™
    • Septra
    • Silvadene
    • SPORANOX® (itraconazole) Capsules
    • Stribild
    • Sustiva®
  • T

    • Tamiflu
    • Terbrazid
    • Trizivir®
    • Truvada®
  • V

    • Valcyte
    • Valtrex®
    • Videx
    • Videx EC
    • Videx Pediatrics
    • Viracept®
    • Viramune® Oral Suspension
    • Viread®
    • Vistide®
  • W

    • Wellcovorin
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zithromax® Suspension
    • Zithromax® Tri-Pak
    • Zithromax®Z-Pak
    • Zoloft®
    • Zovirax®
    • Zyprexa® (olanzapine) tablets