When you join our pharmacy network, we ensure that you:

• Receive optimum service and help when you need it
• Receive prompt payments, either electronically through ACH or by check
• Get quick approval times for medications
• Receive training in our proprietary system, PMDC Systems, used for program management
• Have access to multiple reports on your pharmacy activity

The Ramsell Public Health Rx pharmacy network is open to all pharmacies that meet the Ramsell Public Health Rx pharmacy contracting criteria. Chain and independent pharmacies, mail order pharmacies, institutional pharmacies, jail pharmacy systems, specialty pharmacies such as home infusion, compounding, and HIV are currently represented in the Ramsell Public Health Rx pharmacy network.

To begin the network enrollment process, you must complete the Ramsell Public Health Rx Pharmacy Enrollment Form. Download the form by clicking the link below. Fax or mail the completed form to the fax number or address referenced on the form.

The enrollment form below can be printed or viewed through Adobe Acrobat Reader:

• Pharmacy Network Enrollment Form

Pharmacies have the option of receiving payment electronically through ACH payments or via a manual check payment process. The electronic payments expedite payment receipt and improve pharmacy cash flow.

All pharmacy payments are accompanied by a HIPAA compliant remittance advice detail. Pharmacies can receive a paper remittance advice detail or an electronic detail via a secured Internet download, encrypted CD, or secure shell file transfer protocol (SSH FTP).

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.

Ramsell Public Health Rx currently manages the AIDS Drug Assistance Programs (ADAP) in California and Washington State. the SPAP programs in Colorado and Texas, and the Prescription Drug Program for San Bernardino County Department of Behavioral Health.

To view the current formulary for each program, select your role as:

• MEMBERS
• PHARMACIES
• MEDICAL PROFESSIONALS

For patient eligibility, and documentation requirements, go to the patient section of this website.

In California, patients must enroll at one of the approximately 250 designated enrollment sites. To locate the enrollment site closest to the patient, please use the enrollment site search form on any California ADAP program.

In Washington, patients must complete a confidential application, which is available through county health departments, AIDS service organizations and online. Patients may download the confidential application through the Washington State Department of Health’s website.

Staff at the Washington State Department of Health in Olympia process all applications for enrollment. Patients may contact them at the address given below or call 1-877-376-9316 for more information about how to apply.

Washington State Department of Health
HIV Client Services
P.O. Box 47841
Olympia, Washington, 98504-7841