The AIDS Drug Assistance Program (ADAP) can help you pay for all or part of your HIV medications if you meet the program requirements.

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

    • Agenerase®
    • Aptivus®
    • Atripla®
    • AZT
  • B

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

    • Combivir®
    • Copegus
    • CRIXIVAN®
    • Cytovene
  • D

    • d4T
    • Dapsone
    • Daraprim®
    • ddC
    • ddI
    • Detrol®
    • Diflucan®
  • E

    • EDURANT® (rilpivirne) Tablets
    • Enablex®
    • Epivir®
    • EPOGEN® (EPOETIN ALFA) for dialysis use only
    • Epzicom®
  • F

    • Famvir®
    • Fortovase
    • Foscavir
    • Fuzeon
  • G

    • G-CSF
  • H

    • HIVID
    • Hydrea
  • I

    • INTELENCE® (etravirine) Tablets
    • Invirase
    • ISENTRESS®
  • K

    • KALETRA®
    • KALETRA® Oral Solution
  • L

    • Leucovorin
    • Lexiva®
  • M

    • Mepron®
    • Methadose
    • Mycobutin®
    • Mycostatin
  • N

    • Neupogen®
    • Norvir® Oral Solution
  • P

    • Pegasys®
    • PREZISTA® (darunavir) Oral Suspension
    • PREZISTA® (darunavir) Tablets
  • R

    • Rebetol
    • Rescriptor®
    • Retrovir®
    • Reyataz®
  • S

    • Selzentry®
    • Septra
    • SPORANOX® (itraconazole) Capsules
    • Sulfadiazine Tablets
    • Sustiva®
  • T

    • Trizivir®
    • Truvada®
  • V

    • Valcyte
    • Valtrex®
    • Videx
    • Videx EC
    • Viramune® Oral Suspension
  • W

    • Wellcovorin
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zithromax®Z-Pak
    • Zovirax®
    • Zyvox®