ADAP: Frequently Asked Questions
AIDS Drug Assistance Programs (ADAPs) are state administered programs that provide HIV/AIDS medications to low-income individuals living with HIV disease who have little or no coverage from private or third party insurance. ADAPs were originally authorized by the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, which was enacted in 1990, and reauthorized in 1996 and again in 2000. Currently, ADAPs are authorized under the Ryan White HIV/ADIS Treatment Modernization Act of 2006. The intent of state and federal legislation is to assure that ADAP funds are used only for the purchase of ADAP formulary drugs that cannot be paid for through other sources. ADAP must be the payer of last resort.
ADAP started as a Health Resources and Services Administration (HRSA) demonstration project to provide zidovudine (AZT), the first drug approved by Food and Drug Administration (FDA) to treat HIV infection. Since that time, ADAPs have significantly expanded to cover other FDA approved drugs to treat HIV infection and HIV-related opportunistic infections. Arkansas AIDS Drug Assistance Program (ADAP) services are available to all eligible residents of Arkansas. There are 11 enrollment sites located around the state.
In order to enroll into the Arkansas AIDS Drug Assistance Program (ADAP), individuals must fulfill all ADAP eligibility criteria. The client is responsible for providing proof of eligibility for ADAP to local ADAP coordinators or case managers at ADAP enrollment sites. All information provided for determining program eligibility will be kept completely confidential. Medications will not be dispensed in any case until medical, financial, and residency eligibility criteria are confirmed; a lack of health insurance pharmacy benefits is established; and no other payers have been identified.
Generally, individuals are eligible for ADAP if they meet all requirements below:
Application Requirements: In order for a client to be considered for ADAP, the following completed documents must be submitted to the ADAP office for approval:
- ADAP Application Form
- Signed Medication Request form from an Arkansas licensed physician
- Signed History of HIV Meidcations form, if necessary
- Lab Work
- Proof of Income
- Medicaid Screening form or Medicaid denial letter less than one year old.
- CD4 count < 500 (lab work less than 6 month old) OR
- Viral Load > or equal to 55,000 (PCR) (lab work less than 6 months old) OR
- Viral Load > or equal to 30,000 (bDNA) (lab work less than 6 months old) OR
- CD4 count > 500 and proof of history of prescribed HIV medication regimens from clinician or pharmacy OR
- Documented prior AIDS diagnosis
The Arkansas ADAP formulary includes all Food and Drug Administration (FDA) approved antiretroviral agents and a limited number of drugs to treat/prevent opportunistic infections. Drugs are added to the formulary based on the recommendations of the Arkansas ADAP Formulary Committee. Eligible clients can access all formulary medications. However, some drugs require prior authorization.
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