RAMSELL Public Health Rx

Medical Professionals

California ADAP: Frequently Asked Questions

What Are the California ADAP Eligibility Requirements

What Documents Are Needed?

What Drugs Are Covered?

Where Can Your Patient's Prescriptions be Filled?

What Are Your Patients' Rights?

 

What Are the California ADAP Eligibility Requirements

Your patient may be eligible for California ADAP services if:

  • They are a resident of the State of California
  • They are at least 18 years of age
  • They have an HIV diagnosis (ADAP will only process prescriptions written by a licensed California physician/prescriber)
  • They have limited or no prescription drug benefit from another source
  • They have a Federal Adjusted Gross Income of not more than $50,000. (To determine their Federal Adjusted Gross Income, instruct your client to refer to their income tax forms or visit www.irs.gov)

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What Documents Are Needed?

  • Proof of California Residence (i.e. rental agreement or utility bill in your client’s 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 client’s 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) must be dated within 6 months.

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What Drugs Are Covered?

There are over 150 FDA approved drugs in the California ADAP program formulary. New FDA approved drugs are often reviewed and added by the State of California Medical Advisory Committee and the California Office of AIDS.

To view the current list of drugs, or ADAP formulary, please choose one of the options below.

California ADAP formulary listed alphabetically (PDF)

California ADAP formulary listed by drug class (PDF)

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Where Can Your Patient's Prescriptions be Filled?

The client can fill their ADAP prescriptions through any one of the more than 3,500 participating pharmacies in Ramsell Public Health Rx’s pharmacy network.

To locate the closest pharmacy, call Ramsell Public Health Rx at 1-888-311-7632 or enter your client’s zip code or city in the form to the right.

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What Are Your Patients' Rights?

You have the right to apply, to appeal decisions and to receive confidential, nondiscriminatory, courteous and respectful service.

If you believe your client has been denied their rights, or treated unfairly or discourteously at any point in the ADAP enrollment process, or while receiving pharmacy services, contact the State Office of AIDS at (916) 449-5900.

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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.

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