RAMSELL Public Health Rx

Members

California ADAP: Frequently Asked Questions

Am I Eligible for California's AIDS Drug Assistance Program?

What is ADAP?

How Do I Enroll?

Which Documents Are Needed?

What Drugs Are Covered?

Where Can I Fill Prescriptions?

What Are My Rights?

Where Can I Get More Information About HIV/AIDS?

Am I Eligible for California's AIDS Drug Assistance Program?

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)

back to top

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.

back to top

How Do I Enroll?

You must enroll at one of the approximately 250 designated enrollment sites throughout California. To locate the enrollment site closest to you, please enter your city or zip code into the form to the right. (consider updating depending where enrollment site locator is housed)

back to top

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, most recent pay stub, Public Assistance or Social Security Award Letters)
  • Proof of Medi-Cal application (if available) 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) not less than 6 months old

back to top

What Drugs Are Covered?

There are over 150 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.

California ADAP list of covered drugs alphabetically (PDF)

California ADAP list of covered drugs by drug class (PDF)

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 zip code or city in the form to the right.

back to top

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.

Where Can I Get More Information About HIV/AIDS?

See our California ADAP HIV/AIDS Resources page.

back to top

Enrollment Site Locator

City
Zip
County

Pharmacy Locator

City
Zip
County

News

Ramsell Public Health Rx Awarded Colorado State Pharmaceutical Assistance Program Contract

Oakland, Calif., May 12, 2008 - Ramsell Public Health Rx today announced that it will administer a full suite of Pharmacy Benefit Management (PBM) solutions for the Bridging the Gap, Colorado (BTGC) program, a State Pharmaceutical Assistance Program (SPAP) that covers the costs of a participant’s Medicare deductible, co-payment and coinsurance. The customizable PBM solution will provide a comprehensive package to meet BTGC’s service needs, including coordination of benefits, claims adjudication, pharmacy network management and data management.

More >