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Washington Program: Frequently Asked Questions

What Are the Washington State AIDS Drug Assistance Program (EIP - Early Intervention Program) 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 Washington State AIDS Drug Assistance Program (EIP - Early Intervention Program) Eligibility Requirements

Basic requirements for all Washington State Department of Health Prescription Drug Program applicants:

• Are HIV positive
• Live in Washington State
• Have a gross monthly income of $2,553 (in 2007) or less as a single person. Applicants to the program prior to September 1, 2002 may have incomes up to $3,149.
• Have financial resources of $10,000 or less (not counting one home, one automobile and certain retirement accounts).

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Additional requirements for applicants with Medicare:

• Applicants with Medicare must be enrolled in a Prescription Drug Plan (PDP) or insurance that is "as good as” a PDP. If the applicant isn't enrolled in a PDP or "as good as" insurance, the applicant will receive temporary eligibility while enrolling.
• Applicants with a PDP and a gross monthly income at or below $1277 for a single person, must apply for Extra Help (also known as Low Income Subsidy) with Social Security Administration. Applicants will receive temporary eligibility during the Extra Help application period.

There are additional requirements for some applicants who may be eligible for Medicaid.

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What Documents Are Needed?

• Proof of residency
• Proof of income OR signature on a “no income” declaration statement
• A copy of your client’s Medicare card (if applicable)
• A copy of insurance credibility statement or copy of a PDP or MA-PD card
• A copy of your client’s insurance card (if applicable)
• Signed HIV medical documentation (new applicants only)

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What Drugs Are Covered?

Please download the PDF below for a complete formulary list. Download list

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Where Can Your Patient's Prescriptions Be Filled?

Your client can fill their prescriptions through any one of the participating pharmacies in Washington.

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

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What Are Your Patients' Rights?

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

If you believe a client has been denied their rights, or treated unfairly or discourteously at any point in the enrollment process, or while receiving pharmacy services, you may contact the local coordinator for your county or the Washington State Department of Health at 1-877-376-9316.

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