Important News for ADAP Clients!
ADAP is introducing changes to the Formulary which will take effect from July 1st, 2009. Please read the information contained in the documents below.

• News from the ADAP Contract Pharmacy, The Apothecary Shops
• Letter to providers
• Letter to clients
• Aviso a los clients
  
• ADAP Revised Formulary effective 7/1/09
• Questions about Formulary Reductions
• Preguntas sobre la reducción de servicio de medicinas

Clients of the Maricopa Integrated Health Systems (MIHS) McDowell Clinic may be eligible for enrollment in the MIHS Copa Care Pharmacy program. Find more information on this program at: http://www.mihs.org/ryanwhite/

Many pharmaceutical companies offer patient assistance programs for the drugs they manufacture. Information from Medicare can be found at Patient Assistance Programs.

What Is ADAP?
The Arizona Department of Health Services (ADHS) is responsible for the administration of ADAP for the state of Arizona. ADAP provides access to medications used to treat HIV and prevent the onset of related opportunistic infections to low-income individuals with HIV disease who have limited or no coverage from private insurance or Medicaid.
  
How Is ADAP Funded?
ADAP currently receives funds from two sources: Ryan White Treatment Modernization Act Part B and state funding.
  
How Are Medications Purchased?
Under a wholesale license issued by the Arizona State Board of Pharmacy, ADHS purchases medications from a wholesaler.
  
How Are Medications Distributed?
ADAP medications are dispensed through The Apothecary Shops. The headquarters of The Apothecary Shops is in Tucson. Medication is shipped directly to ADAP-eligible clients’ homes. There is also the option to pick up medications at any of The Apothecary Shops’ 14 locations through Phoenix and Tucson. Currently, ADAP serves approximately 1000 clients statewide each month.  Answers to some frequently asked questions about ADAP and The Apothecary Shop may be found here & En Espanol.

How Do You Qualify For ADAP?
You must be HIV-infected and a resident of Arizona. Annual income is set at 300% of federal poverty level. For example, you cannot have an income of more than $32,490 for a family unit of one. Assistance in determining qualifying income limits based upon monthly income may be found here.  You cannot be eligible for AHCCCS (Arizona’s version of Medicaid). To ensure that Ryan White Part B is the payer of last resort for ADAP, all individuals applying for ADAP are screened for AHCCCS eligibility, which means all applicants must have AHCCCS denial letters. ADAP clients will be required to provide documentation of Arizona residency.

Do You Have To Wait For An AHCCCS Denial Letter Before Submitting An ADAP Application?
No. We will provide up to 30 days of medication to an otherwise ADAP-eligible client as long as you have an appointment scheduled with AHCCCS eligibility. However, we cannot provide further medication without your AHCCCS denial form or letter.

What If I Have Medicare?
If you are eligible for Medicare, you must sign up for Medicare Part D prescription coverage and provide us with a copy of your Medicare prescription card or a copy of a letter from the company that provides your drug plan.  You are also required to provide a copy of the current determination letter from the Social Security Administration (SSA) Medicare Prescription Drug Assistance Program that shows you are not eligible or only partially eligible for the low-income subsidy. Answers to some frequently asked questions about ADAP and Medicare can be found here.
  
Where Do You Get An Application?
You can get an application and assistance with filling out your application through your doctor, case manager, or health department. You can also download an ADAP application form. For additional information on program eligibility click here.  Additional forms that may be required for your application/renewal process may be downloaded as listed below:

• Proof of Support Form
• Non-Traditional Income Form
• Update Form

What Medications Are Available Through ADAP?
A complete list of drugs is available on the ADAP Formulary.

Are There Any Medications That Require Prior Authorization?
Yes. Your physician can download the Application Process for Patient Access to Fuzeon, Guidelines For the Use of Enfuvirtide (Fuzeon) and Application]. Your physician can download the Valganciclovir Use Guidelines and Valganciclovir Application.

What If My Medical Provider Disagrees With A Decision Made By ADAP Staff Regarding ADAP Medications That Were Prescribed?
Your medical provider can download the ADAP Formulary Committee Provider Dispute Policy and Procedures.

Have Questions Or Want Additional Information?
If you have questions or would like additional information about the program, please call (602) 364-3594, (602) 364-3595, (602)364-3610 or toll free at (800) 334-1540 (in-state only) and ask for the ADAP program.