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 CARE Act Title II 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, stores inventory and distributes the medications.
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’ ten locations through Phoenix and Tucson. Currently, ADAP serves approximately 900 clients statewide each month.
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 $29,400 for a family unit of one. You cannot be eligible for AHCCCS (Arizona’s version of Medicaid) nor have any other benefits that could pay for the medications. To ensure that Ryan White Title II 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. Effective April 1, 2003, all new and re-certified ADAP clients will be required to provide documentation of Arizona residency
[PDF 32K].
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 ADAP-eligible client as long as you have an appointment scheduled with AHCCCS eligibility. However, we cannot provide further medication without your denial form or letter.
What If I Have Medicare?
If you are eligible for Medicare, you must 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 assistance. You must also provide a copy of your Medicare Rx card (Part D).
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 application here
[PDF 38K]. For additional information on program eligibility click
here [PDF 31K].
What Medications Are Available Through ADAP?
There are currently many drugs available on the ADAP
formulary [PDF 72K].
Are There Any Medications That Require Prior Authorization?
Yes. Your physician can download the Application Process for Patient Access to
Fuzeon [PDF 23K], Guidelines For the Use of Enfuvirtide
(Fuzeon) [PDF 28K] and Application
[PDF 18K]. Your physician can download the Valganciclovir Use
Guidelines [PDF 18K] and Valganciclovir
Application [PDF 14K].
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.
Click here for the Dispute
Policy.
Have Questions Or Want Additional Information?
If you have questions or would like additional information about the program, please call Laura Kroger at (602) 364-3594 or Lisa Sanchez at (602) 364-3595 or (800) 334-1540 (in-state only).
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