The Wisconsin AIDS/HIV Drug Assistance Program (ADAP), authorized by s. 49.686 of the Wisconsin statutes, is designed to maintain the health and independence of persons living with HIV infection in Wisconsin by providing access to HIV-related antiretroviral drugs and prophylactic medications as well as vaccines for hepatitis A and B. The ADAP formulary also includes hepatitis C virus (HCV) medications for persons co-infected with HIV and HCV.

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

    • Amitriptyline
    • amphotericin B
    • Aptivus®
    • Atripla®
  • B

    • Biaxin® Filmtab
  • C

    • Cleocin®
    • Combivir®
    • Compazine
    • Complera™
    • Copegus
    • CRIXIVAN®
    • Cytovene
  • D

    • Dapsone
    • Daraprim®
    • Diflucan®
  • E

    • EDURANT® (rilpivirne) Tablets
    • Emtriva®
    • Epivir®
    • Epzicom®
  • F

    • Famvir®
    • Foscavir
    • Fuzeon
  • I

    • Imodium
    • INTELENCE® (etravirine) Tablets
    • INTRON® A for Injection
    • Invirase
    • ISENTRESS®
  • K

    • KALETRA®
  • L

    • Lexiva®
    • Lipitor®
    • Lomotil®
    • Lonox
    • Lopid®
  • M

    • Mepron®
    • Myambutol
    • Mycobutin®
  • N

    • Neurontin®
    • Nizoral®
    • Norvir® Oral Solution
  • P

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

    • Rebetol
    • Rebetron
    • Relenza®
    • Rescriptor®
    • Retrovir®
    • Reyataz®
  • S

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

    • Tamiflu
    • Tivicay®
    • TriCor®
    • Trizivir®
    • Truvada®
  • V

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

    • Wellcovorin
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zovirax®