The Delaware AIDS Drug Assistance Program (ADAP) is a statewide program authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. ADAPs function as the payer of last resort for those who are not covered by other sources. The formulary currently includes all FDA approved medications for the treatment of HIV infection, including medications used for the prevention and treatment of secondary infections.
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What is the Delaware ADAP Program?
The state of Delaware is a recipient of CARE Act Title II funds, which is disbursed to all states and eligible U.S. territories to help improve the quality, availability, and organization of HIV/AIDS health care and supportive services, and also to provide access to high-cost pharmaceuticals through the AIDS Drug Assistance Program (ADAP).
What Are the Delaware ADAP Eligibility Requirements?
For eligibility questions call: 302-744-1050
What Drugs Are Covered?
Please click on the links below to download a PDF with a complete list of medications on Delaware AIDS Prescription Drug Program formulary.
What Prior Authorization Forms Are Required?
Trofile™ test showing CCR5 only is required for maraviroc (Selzentry™) new starts.
It is not required for those already on maraviroc through clinical trials, expanded
access or other insurance.
Complete sections 1 and 2. Prescriber name and signature must be included. Please fax completed application to DE ADAP at (302) 661-7226. Download PDF For more information, please call: 302-744-1050. Where Can Patient's Prescriptions Be Filled?
Patients can fill their ADAP prescriptions through any participating pharmacy in the Ramsell Public Health Rx's pharmacy network.
To locate the pharmacy closest to you, enter your City, Zip code or County in the form to the right or call Ramsell Public Health Rx at 1-888-311-7632. To locate the closest pharmacy, call Ramsell Public Health Rx at 1-888-311-7632 or enter your zip code or city on the form to the top right called "Pharmacy Locator". Who Can Be Contacted for Questions?
Where Can I Get More Information About HIV/AIDS?
Delaware HIV/STD Resources
http://www.atdn.org/access/states/de/de.html Our Heart is in Public Health | |||