AIDS Drug Assistance Program (ADAP)
The AIDS Drug Assistance Program
(ADAP) in San Diego County is administered by the HIV, STD and
Hepatitis Branch (HSHB).
The goal of ADAP is to make available in a timely manner drug treatments that can reliably be expected to increase the duration and quality of life of people living with HIV. Currently, over 181 drugs are available through ADAP. There are approximately 3,500 participating pharmacies statewide and 250 participating San Diego pharmacies where clients can access these drugs.
TO ENROLL IN ADAP
HIV positive individuals may go to any of the 239 enrollment sites located throughout California. San Diego ADAP enrollment sites.
WHO WE SERVE
Individuals are eligible for ADAP if they:
- are a resident of California;
- are HIV infected;
- are 18 years of age or older;
- have a Modified Adjusted
Gross Income (MAGI) that does not exceed 500 percent of the Federal
Poverty Level (FPL) per year based on family size and household
- have a valid prescription from a licensed California physician; and
- lack private insurance that covers the medications or do not qualify for Medi-Cal.
Applicants who earn more than 400% of FPL, based on family size and
household income may have a monthly cost-sharing obligation.
ADAP FOR PERSONS WITH OTHER PRESCRIPTION DRUG COVERAGE
Federal and state law requires that ADAP funds be used as the payer of last resort. The goal of ADAP is to help individuals access and maintain HIV prescription drug coverage, while ensuring that ADAP is used only after all other payer options are exhausted.
- Ramsell: The ADAP pharmacy benefits management service provider, 1 (888) 311-7632.
Medicare Part D/Medi-Cal: Medicare eligible ADAP clients are required to utilize the prescription drug benefits available under Medicare Part D. ADAP will be able to assist clients in meeting some out-of-pocket costs associated with the various levels of coverage available under Medicare Part D.
- Centers for Medicare and Medicaid Services (CMS): 1 (800) MEDICARE (633-4227).
Medi-Cal Health Insurance Premium Payment Program:
- 1 (800) 880-5305
Private Insurance: Persons eligible for private insurance coverage are required to utilize that plan's prescription drug coverage benefit. ADAP is able to assist clients in meeting some out-of-pocket costs associated with private insurance prescription drug coverage.
Persons who are eligible to receive insurance but are in need of premium payment assistance can refer to the Office of AIDS/Health Insurance Premium Payment (OA/HIPP) Program or the Medi-Cal HIPP Program.
- California Office of AIDS, HIPP Program, 1(844) 421-7050
WHAT YOU SHOULD KNOW
AIDS drugs (antiretrovirals) delay progression of the disease and help prevent life threatening infections that HIV positive individuals are susceptible to due to their suppressed immune systems. As a result, AIDS drugs enhance the quality of life for many HIV positive persons and enable them to remain healthy and to continue working, thus reducing the cost of publicly funded health care services.
For more information, phone 619-293-4722 or send us an email .
Last updated December 30, 2015.