Alaska AIDS Drug Assistance Program

Alaska AIDS Drug Assistance Program

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Alaska

Alaska AIDS Drug Assistance Program

Sponsor Organization
Alaska

Prescription Medication Assistance Organization Contact
Division of Public Health
3601 C St
Ste 540
Anchorage, AK 99524-0249
Phone: (907) 269-8058
Fax: (907) 561-0453

Medications sent to: Patientís Doctor

Prescription Medications/Products Covered:
3TC
Agenerase
AZT
Bactrim
Biaxin Filmtab
Biaxin Granules
Biaxin XL Filmtab
Ciloxan
Cipro
Citrovorum
Cleocin
Combivir
Compazine
Crixivan
Cytovene
d4T
Daraprim
ddC
ddI
DDS
Diflucan
Emtriva
Epivir
Famvir
Fansidar
Fortovase
Foscavir
Fungizone
HIVID
Hydrea
Imodium
INH
Invirase
Lipitor
Lomotil
Lopid
Mepron
Microsulfon
Myambutol
Mycelex
Mycobutin
Neurontin
Norvir Oral Solution
Norvir Soft Gelatin Capsules
Pravachol
PZA
Rescriptor
Retrovir
Rifampin
Sporanox
Sustiva
Trizivir
Valcyte
Videx
Videx EC
Viracept
Viramune
Viread
Vistide
Vitravene
Wellcovorin
Zerit
Ziagen
Zithromax
Zovirax

Program Eligibility Requirements:
- income must be at or below 300% of Federal Poverty Level
- non-income assets must fall within the level allowed for Medicaid eligibility
- must have established residency in Alaska for at least 30 days
- must have a willingness to sign an Intent to Stay letter
- must be the last resort payer (no other public assistance, Medicaid, VA benefits, or private insurance)
- must be HIV POSITIVE
- must have a licensed practitioner's prescription
- must have been prescibed a medication on the ADAP formulary
- must be a client of one of the state funded HIV care consortium lead agencies




 

 

 

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