Members
California AIDS Drug Assistance Program ADAP
The California AIDS Drug Assistance Program (ADAP) was established in 1987 to help ensure that HIV-positive uninsured and under-insured individuals have access to medication. Currently, over 180 drugs are available through ADAP, and there are over 3,000 pharmacies statewide where clients can access these drugs.
Frequently Asked Questions:
Where can I download the 2011 Medicare Part D Premium Payment Program Application?
 |
You can download the package by clicking on the link below: • 2011 Medicare Part D Package  (6 pages) |
What is ADAP?
AIDS Drugs Assistance Programs (ADAP) are State-based programs funded in part by Title II of the Ryan White CARE Act created in 1990 by the US Congress.
ADAPs provide medications to treat HIV disease or prevent related serious deterioration of health. Drugs provided and eligibility criteria are determined state by state with a focus on serving low-income individuals.
ADAPs provide medications to treat HIV disease or prevent related serious deterioration of health. Drugs provided and eligibility criteria are determined state by state with a focus on serving low-income individuals.
Am I Eligible for ADAP?
You may be eligible for California ADAP services if:
- You are a resident of the State of California
- You are at least 18 years of age
- You have an HIV diagnosis
- ADAP will only process prescriptions written by a licensed California physician/prescriber
- You have limited or no prescription drug benefit from another source
- You have a Federal Adjusted Gross Income of not more than $50,000. (To determine your Federal Adjusted Gross Income, refer to your income tax forms or visit www.irs.gov)
How Do I Enroll?
You must enroll at one of the approximately 200 designated enrollment sites throughout California.
To locate the enrollment site closest to you, please enter your city or zip code into the form on the top right called "Enrollment Site Locator"
To locate the enrollment site closest to you, please enter your city or zip code into the form on the top right called "Enrollment Site Locator"
Which Documents Are Needed?
- Proof of California Residence (i.e. rental agreement or utility bill in your name, identifying place of residence)
- Picture identification (California Driver's License, California Identification card, Passport, School I.D., etc.)
- Proof of Income (copies of either your most recent Federal or State Income Tax returns)
- If you are not required to file a tax retrun, you must supply 3 consecutive months worth of current income documents
- Public Assistance or Social Security Award Letters
- Proof of Medi-Cal application (if applicable) and/or documentation of any current health insurance coverage (if applicable)
- Letter of HIV diagnosis from your physician/prescriber
- Lab values (CD4 and viral load counts) must be dated within 6 months
What Drugs Are Covered?
There are over 180 FDA approved drugs in the California ADAP program. To view the current list of drugs, or ADAP formulary, please choose one of the options below.
Where Can I Fill Prescriptions?
You can fill your ADAP prescriptions through any one of the more than 3,500 participating pharmacies.
To locate the pharmacy closest to you, enter your City, Zip code or County in the Pharmacy Locator below:
Or call Ramsell Public Health Rx at 1-888-311-7632.
To locate the pharmacy closest to you, enter your City, Zip code or County in the Pharmacy Locator below:
Pharmacy Locator
Or call Ramsell Public Health Rx at 1-888-311-7632.
What Are My Rights?
You have the right to apply, to appeal decisions and to receive confidential, nondiscriminatory, courteous and respectful service.
If you believe you have been denied your rights, or treated unfairly or discourteously at any point in the ADAP enrollment process, or while receiving pharmacy services, you may contact the local ADAP coordinator for your county or the State Office of AIDS at (916) 449-5900.
If you believe you have been denied your rights, or treated unfairly or discourteously at any point in the ADAP enrollment process, or while receiving pharmacy services, you may contact the local ADAP coordinator for your county or the State Office of AIDS at (916) 449-5900.
Where Can I Get More Information About HIV/AIDS?
Does ADAP Help Pay for My Medicare Part D Premium?
You may be eligible for ADAP Medicare Part D assistance by completing and mailing the application or
by visiting the Office of AIDS website address at: www.cdph.ca.gov/programs/AIDS.
Members who are in the Full Medicare Subsidy Program are not eligible for Premium Payment Assistance.
Members who are in the Full Medicare Subsidy Program are not eligible for Premium Payment Assistance.
Our Heart is in Public Health
Enrollment Site Locator
Pharmacy Locator
