AIDS Drug Assistance Program
The goal of the AIDS Drug Assistance Program (ADAP) is to make
available in a timely manner HIV medications that can increase the
duration and quality of life of people living with HIV. Currently,
over 181 drugs are available through ADAP. There are approximately 250
participating San Diego pharmacies where clients may access these
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 ADAP SERVES
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% 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 only 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.
Medicare Part D/Medi-Cal: Medicare-eligible ADAP clients are required to use 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 who have private insurance coverage must use 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 have private insurance but need of help paying premiums or co-pays can contact the Office of AIDS/Health Insurance Premium Payment (OA/HIPP) Program or the Medi-Cal HIPP Program.
- California Office of AIDS, HIPP Program, (844) 421-7050
About HIV Medications
HIV medications (antiretrovirals) delay progression of the disease and help prevent life threatening infections for which HIV positive individuals are at higher risk due to their suppressed immune systems. As a result, HIV medications enhance the quality of life for many HIV positive persons and enable them to live healthy lives. For more information on HIV medications, please visit HIV.gov.
For more information, phone (619) 293-4716 or send us an email.
Last updated January 10, 2020.